Hashemi Hassan, Fayaz Faezeh, Hashemi Alireza, Khabazkhoob Mehdi
Noor Ophthalmology Research Center, Noor Eye Hospital.
Rehabilitation Research Center, Department of Optometry, School of Rehabilitation Sciences, Iran University of Medical Sciences.
Curr Opin Ophthalmol. 2025 Jan 1;36(1):10-17. doi: 10.1097/ICU.0000000000001092. Epub 2024 Sep 25.
The objective of this review article is to ascertain the global distribution of cataract surgery and evaluate the extent of its coverage in recent years.
The cataract surgical rate (CSR) has been reported from 36 to 12 800 (per million population) across different countries. The average cataract surgical coverage (CSC) in the majority of countries was around 50% or lower. Additionally, in many countries, the efficient CSC (eCSC) deviates from the CSC, emphasizing the importance of attention to the quality of surgical procedures. Socioeconomic status and access to health services are key determinants in the distribution of cataract surgery. This procedure is more prevalent among older individuals, with a higher incidence among men and private insurances tend to cover a larger portion of cataract surgeries. The pandemic of COVID-19 has had a detrimental effect on cataract surgery rates in numerous countries.
The rate of cataract surgery and its extent of coverage in certain countries is inadequate. The primary factor influencing the quantity and coverage of cataract surgeries is the economic status of the countries. Additionally, government support through insurance and the provision of appropriate healthcare services can contribute to an increase in cataract surgeries.
本文综述的目的是确定白内障手术的全球分布情况，并评估近年来其覆盖范围。
不同国家报告的白内障手术率（CSR）从36到12800（每百万人口）不等。大多数国家的平均白内障手术覆盖率（CSC）约为50%或更低。此外，在许多国家，有效白内障手术覆盖率（eCSC）与CSC存在偏差，这凸显了关注手术质量的重要性。社会经济地位和获得医疗服务的机会是白内障手术分布的关键决定因素。该手术在老年人中更为普遍，男性发病率较高，而且私人保险往往覆盖更大比例的白内障手术。2019冠状病毒病大流行对许多国家的白内障手术率产生了不利影响。
某些国家的白内障手术率及其覆盖范围不足。影响白内障手术数量和覆盖范围的主要因素是各国的经济状况。此外，政府通过保险提供支持并提供适当的医疗服务有助于增加白内障手术量。
