Gimbel Eye Centre, Calgary, Alberta, Canada.
Curr Opin Ophthalmol. 2011 Jan;22(1):28-30. doi: 10.1097/ICU.0b013e328341425d.
PURPOSE OR REVIEW: To conduct a concise review of primary research articles over the preceding year on the subject of the consequences of waiting for cataract surgery.
Waiting for cataract surgery beyond 6 months may result in increasing vision loss, decrease in quality life, loss of driver's license, depression and adverse events including falls and fractures. The consequences of waiting for cataract surgery not only affect patients, families and surgeons, but also health ministries and public health policy makers. Consequences are both quantitative and qualitative in nature, ranging from progressive vision loss to patients' decrease in quality of life from factors other than vision loss. Cataract wait lists are not unique to North America, and numerous international articles have described a broad variety of consequences.
Consequences of waiting for cataract surgery are multivariate in nature and easily extend beyond the clinical setting into sociodemographic realms and public health costs and policy arenas.
对过去一年中有关白内障手术等待后果的主要研究文章进行简明回顾。
白内障手术等待时间超过 6 个月可能导致视力进一步下降、生活质量下降、丧失驾驶执照、抑郁以及跌倒和骨折等不良事件。白内障手术等待的后果不仅影响患者、家属和外科医生,还影响卫生部和公共卫生政策制定者。后果既有数量上的,也有质量上的,从视力逐渐下降到患者生活质量因视力丧失以外的因素而下降。白内障手术等候名单并非北美的特有现象,许多国际文章都描述了各种各样的后果。
白内障手术等待的后果具有多变量性质,很容易从临床环境扩展到社会人口领域以及公共卫生成本和政策领域。