Gupta A K, Ellwein L B
Maulana Azad Medical College, New Delhi.
Indian J Ophthalmol. 1995 Mar;43(1):3-8.
Surgery for cataract blindness, a major health problem, is undergoing a rapid transition. This study characterizes cataract surgery in India in terms of practice setting and surgical procedure. A survey questionnaire was mailed in December 1992 to 4356 members of the All India Ophthalmological Society, resident in India, requesting data on cataract surgery cases within the past 12 months. Two thousand one hundred thirty-four (49%) ophthalmologists responded to the survey. Of the 1,023,070 cataract cases reported, two-thirds were private patients. Among private patients, 26.0% received extracapsular cataract extraction (ECCE) with intraocular lens (IOL) implantation and 20.7% received ECCE without an IOL. Among patients operated under government auspices, 9.1% received ECCE with IOL and 22.4% received ECCE without IOL. Overall, 82.8% of active surgeons reported experience with the ECCE procedure. The cataract case load in the private sector and the frequency of ECCE, with or without IOL implantation, among both private and government-operated cases is greater than previously recognized.
作为一个主要的健康问题，白内障致盲手术正在经历快速转变。本研究从手术环境和手术程序方面对印度的白内障手术进行了描述。1992年12月，一份调查问卷被邮寄给居住在印度的4356名全印度眼科协会成员，要求提供过去12个月内白内障手术病例的数据。2134名（49%）眼科医生回复了调查。在报告的1023070例白内障病例中，三分之二是私人患者。在私人患者中，26.0%接受了白内障囊外摘除术（ECCE）并植入人工晶状体（IOL），20.7%接受了无IOL的ECCE。在政府主持下接受手术的患者中，9.1%接受了有IOL的ECCE，22.4%接受了无IOL的ECCE。总体而言，82.8%的在职外科医生报告有ECCE手术经验。私营部门的白内障病例数以及在私人和政府手术病例中，无论有无IOL植入的ECCE频率都比以前认识到的要高。
