Natchiar G, Robin A L, Thulasiraj R D, Krishnaswamy S
Aravind Eye Hospital, Madurai, India.
Arch Ophthalmol. 1994 Jul;112(7):987-93. doi: 10.1001/archopht.1994.01090190135035.
The number of individuals in developing nations with preventable blindness from cataract and other disorders is increasing. New programs incorporating local customs and efficiently using available resources must be created to prevent the escalation of blindness and to rehabilitate patients already disabled with cataracts. We describe a system of high-quality, high-volume, cost-effective cataract surgery, using screening eye camps and a resident hospital. This has enabled us to provide efficient low-cost cataract surgery and overcome barriers of adequate eye care in southern India. We have been successful in locating patients with treatable eye problems, educating them about the availability of ophthalmic care, and providing free eye care. Our structure stresses the following: community involvement, identification of individuals most likely to benefit from screening, efficient utilization of both medical and paramedical personnel, and a streamlined approach to screening patients. This system may be capable of modification for use in other developing areas to decrease the backlog of cataract blindness.
发展中国家因白内障和其他疾病导致可预防失明的人数正在增加。必须制定新的项目，将当地习俗纳入其中并有效利用现有资源，以防止失明情况的恶化，并使已因白内障致残的患者得到康复。我们描述了一种利用筛查眼科营地和住院医院进行高质量、大批量、具有成本效益的白内障手术的系统。这使我们能够在印度南部提供高效低成本的白内障手术，并克服充足眼部护理的障碍。我们成功地找到了患有可治疗眼部问题的患者，向他们宣传眼科护理的可及性，并提供免费眼部护理。我们的架构强调以下几点：社区参与、确定最有可能从筛查中受益的人群、医疗和辅助医疗人员的高效利用以及简化的患者筛查方法。该系统可能能够进行调整，以用于其他发展中地区，减少白内障致盲的积压情况。
