Lyhne N, Corydon L, Thim K
Ojenafdelingen, Vejle Sygehus.
Ugeskr Laeger. 1996 Feb 5;158(6):779-81.
For several years the waiting list for cataract surgery has increased in the county of Vejle, Denmark. To reveal any change of indications for cataract surgery accounting for this increase, we analyzed referral notes and files in two samples of 86 and 72 patients examined preoperatively in 1991 and 1993. No significant difference was found between the groups regarding age, visual acuity, other eye diseases than cataract, diabetes, treatment with steroids, anisometropia or occupational disability due to poor vision. Thus no signs of changed indications for cataract surgery were found comparing the two samples. Median waiting time from referral to surgery had increased highly significantly from 1991 to 1993 (p << 0.01). The number of cataract operations per year was unchanged in the period. We propose that the increasing waiting time could be attributed to more people wanting cataract surgery, reflecting growing demands for good visual functioning and better expectations of the outcome after surgery.
在丹麦的瓦埃勒郡,白内障手术的等候名单多年来一直在增加。为了找出导致这种增加的白内障手术适应症的任何变化,我们分析了1991年和1993年术前检查的两个样本中86名和72名患者的转诊记录和档案。两组在年龄、视力、除白内障外的其他眼部疾病、糖尿病、类固醇治疗、屈光参差或视力不佳导致的职业残疾方面均未发现显著差异。因此,比较这两个样本时未发现白内障手术适应症改变的迹象。从转诊到手术的中位等待时间从1991年到1993年显著增加(p << 0.01)。在此期间,每年的白内障手术数量没有变化。我们认为等待时间的增加可能是由于更多的人想要进行白内障手术,这反映了对良好视觉功能的需求不断增长以及对手术效果的更高期望。