Sándor Gábor L, Tóth Gábor, Szabó Dorottya, Szalai Irén, Lukács Regina, Pék Anita, Tóth Georgina Z, Papp András, Nagy Zoltán Z, Limburg Hans, Németh János
Department of Ophthalmology, Semmelweis University, Budapest 1085, Hungary.
Department of Ophthalmology, Flór Ferenc Hospital, Kistarcsa 2143, Hungary.
Int J Ophthalmol. 2020 Mar 18;13(3):438-444. doi: 10.18240/ijo.2020.03.11. eCollection 2020.
To estimate the prevalence of blindness and visual impairment resulting from cataract in the population aged ≥50y in Hungary, and to assess the cataract surgical services.
A rapid assessment of avoidable blindness (RAAB) was conducted. A total of 3523 eligible people were randomly selected and examined. Each participant underwent surgery for cataract was interviewed with regard to the year, place, and costs of the surgery. Participants with obvious cataract were asked why they had not yet undergone surgery (barriers to surgery).
An estimated 12 514 people were bilaterally blind; the visual acuity (VA) in 19 293 people was <6/60, and the VA in 73 962 people was <6/18 in the better eye due to cataract. An estimated 77 933 eyes are blind; 98 067 eyes had a VA of <6/60, and an estimated 277 493 eyes had a VA of <6/18 due to cataract. Almost all cataract surgeries were conducted in government hospitals. The age- and sex-adjusted cataract surgical coverage with VA<3/60 in eyes was 90.0%. The rate of good visual outcome after surgery was 79.5%. Ocular comorbidity was the main cause of poor outcome (78.1%), followed by late complications (such as posterior capsule opacification) (17.2%), inadequate optical correction (3.1%), and surgical complications (1.6%). The main barrier to surgery in people with bilateral cataract and VA of <6/60 was 'need not felt'.
The prevalence of visual impairment resulting from cataract is slightly higher than expected. The quality of the cataract surgical service seems adequate in Hungary. However, the number of cataract operations per year should continue to increase due to the increasing patient demands and the aging population.
评估匈牙利50岁及以上人群中白内障导致的失明和视力损害患病率，并评估白内障手术服务情况。
开展了一项可避免失明快速评估（RAAB）。共随机选取3523名符合条件的人员进行检查。对每例接受白内障手术的参与者就手术年份、地点和费用进行了访谈。询问有明显白内障的参与者为何尚未接受手术（手术障碍）。
估计有12514人双眼失明；19293人的视力（VA）<6/60，73962人的较好眼因白内障导致视力<6/18。估计有77933只眼失明；98067只眼的视力<6/60，估计有277493只眼因白内障导致视力<6/18。几乎所有白内障手术均在政府医院进行。年龄和性别调整后的白内障手术覆盖率（视力<3/60的眼）为90.0%。手术后良好视力结果的比例为79.5%。眼部合并症是导致不良结果的主要原因（78.1%），其次是晚期并发症（如后囊混浊）（17.2%）、光学矫正不足（3.1%）和手术并发症（1.6%）。双眼白内障且视力<6/60的人群中，手术的主要障碍是“感觉不需要”。
白内障导致的视力损害患病率略高于预期。匈牙利白内障手术服务质量似乎足够。然而，由于患者需求增加和人口老龄化，每年的白内障手术数量应继续增加。
