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发展中国家的白内障手术。

Cataract surgery in developing countries.

机构信息

L V Prasad Eye Institute, Hyderabad, India.

出版信息

Curr Opin Ophthalmol. 2011 Jan;22(1):10-4. doi: 10.1097/ICU.0b013e3283414f50.

Abstract

PURPOSE OF REVIEW

To review the previous year's literature related to cataract surgery in developing countries and to provide fast, up-to-date information to the scientific world.

RECENT FINDINGS

Cataract is the leading cause of blindness, especially in developing countries. The prevalence of cataract increases with the aging population. Although cataract surgery is the most cost-effective intervention, its delivery in developing countries has many issues and challenges. A paradigm shift has occurred in the surgical techniques used for delivering cataract services and the outcomes have been positive in some countries compared to the scenario a decade ago. However, in some parts of Africa, it still continues to be a challenge. Apart from this, the issues related to ongoing supply of consumables and human resources continue to be a challenge in these countries.

SUMMARY

Although manual small incision cataract surgery is the most cost-effective intervention, there are other issues related to the delivery of services in developing countries. We need to plan a comprehensive strategy to deliver the services in developing countries if we want to achieve our goal of VISION 2020.

摘要

目的综述: 回顾过去一年与发展中国家白内障手术相关的文献,并为科学界提供快速、最新的信息。

最近发现:白内障是导致失明的主要原因,尤其是在发展中国家。白内障的患病率随着人口老龄化而增加。虽然白内障手术是最具成本效益的干预措施,但在发展中国家提供这种手术存在许多问题和挑战。白内障服务提供所使用的手术技术已经发生了范式转变,与十年前相比,一些国家的结果更为积极。然而,在非洲的某些地区,这仍然是一个挑战。除此之外,持续供应耗材和人力资源方面的问题在这些国家仍然是一个挑战。

总结:虽然手动小切口白内障手术是最具成本效益的干预措施,但在发展中国家提供服务方面还存在其他问题。如果我们想实现“视觉 2020”的目标,就需要制定一项全面的战略来提供这些服务。

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