Gogate P M, Deshpande M, Wormald R P
HV Desai Eye Hospital, Pune, India.
Br J Ophthalmol. 2003 Jul;87(7):843-6. doi: 10.1136/bjo.87.7.843.
To compare the cost of manual small incision cataract surgery (MSICS) with conventional extracapsular cataract surgery (ECCE) in community eye care settings.
A single masked randomised trial was used to compare the safety, efficacy, time, and patient satisfaction of surgery by both the techniques. The fixed facility and recurrent cost for the two procedures was calculated based on information collected from different sources. Average cost per procedure was calculated by dividing the total cost by the number of procedures performed.
The average cost of an ECCE procedure for the hospital was Rs 727.76 (US$15.82) and the average cost of a MSICS procedure was Rs 721.40 ($15.68), of which Rs. 521.51 ($11.34) was the fixed facility cost common to both.
Both ECCE and MSICS are economical in community eye care settings, but MSICS is economical and gives better uncorrected visual acuity in a greater proportion of patients.
比较在社区眼保健环境中手动小切口白内障手术（MSICS）与传统囊外白内障摘除术（ECCE）的成本。
采用单盲随机试验比较两种手术技术的安全性、有效性、手术时间和患者满意度。根据从不同来源收集的信息计算两种手术的固定设备成本和经常性成本。通过将总成本除以手术执行次数来计算每次手术的平均成本。
医院ECCE手术的平均成本为727.76卢比（15.82美元），MSICS手术的平均成本为721.40卢比（15.68美元），其中521.51卢比（11.34美元）是两种手术共有的固定设备成本。
在社区眼保健环境中，ECCE和MSICS都是经济实惠的，但MSICS更经济，并且在更大比例的患者中能提供更好的未矫正视力。
