Secretaria Municipal da Saúde de São Paulo, São Paulo, Brasil.
Rev Panam Salud Publica. 2011 Jun;29(6):428-32. doi: 10.1590/s1020-49892011000600008.
Estimate cataract surgical rates (CSR) for Brazil and each federal unit in 2006 and 2007 based on the number of surgeries performed by the Unified Health System to help plan a comprehensive ophthalmology network in order to eliminate cataract blindness in compliance with the target set by the World Health Organization (WHO) of 3,000 cataract surgeries per million inhabitants per year.
This descriptive study calculates CSR by using the number of cataract surgeries carried out by the Brazilian Unified Health System for each federal unit and estimates the need for cataract surgery in Brazil for 2006-2007, with official population data provided by the Brazilian Institute of Geography and Statistics. The number of cataract surgeries was compared with the WHO target.
To reach the WHO goal for eliminating age-related cataract blindness in Brazil, 560,312 cataract surgeries in 2006 and 568,006 surgeries in 2007 needed to be done. In 2006, 179,121 cataract surgeries were done by the Unified Health System, corresponding to a CSR of 959 per million population; in 2007, 223,317 were performed, with a CSR of 1,179. With the Brazilian Council of Ophthalmology estimation of 165,000 surgeries each year by the non-public services, the CSR for Brazil would be 1,842 for 2006 and 2,051 for 2007. The proportions needed to achieve the proposed target were 38.6% in 2006 and 31.6% in 2007.
Human resources, technical expertise, and equipment are crucial to reach the WHO goal. Brazil has enough ophthalmologists but needs improved planning and infrastructure in order to eliminate the problem, aspects that require greater financial investment and stronger political commitment.
根据 2006 年和 2007 年巴西统一医疗系统（SUS）实施的手术数量，估计巴西各联邦单位的白内障手术率（CSR），以帮助规划全面眼科网络，从而根据世界卫生组织（WHO）每年每百万居民 3000 例白内障手术的目标消除白内障致盲。
本描述性研究通过巴西统一医疗系统为每个联邦单位实施的白内障手术数量计算 CSR，并根据巴西地理与统计研究所提供的官方人口数据，估计巴西 2006-2007 年白内障手术的需求。将白内障手术数量与 WHO 目标进行比较。
为了实现 WHO 在巴西消除与年龄相关的白内障致盲的目标，2006 年需要进行 560,312 例白内障手术，2007 年需要进行 568,006 例手术。2006 年，SUS 实施了 179,121 例白内障手术，CSR 为每百万人口 959 例；2007 年，实施了 223,317 例，CSR 为每百万人口 1,179 例。根据巴西眼科委员会估计，非公共服务机构每年进行 165,000 例手术，巴西 2006 年和 2007 年的 CSR 分别为 1,842 和 2,051。为实现拟议目标，2006 年需要达到 38.6%，2007 年需要达到 31.6%。
人力资源、技术专长和设备对于实现 WHO 目标至关重要。巴西拥有足够的眼科医生，但需要改善规划和基础设施，以解决这一问题，这需要更多的财政投资和更强有力的政治承诺。
