Gupta A K, Tewari H K, Ellwein L B
Amar Eye Center, Delhi, India.
Indian J Ophthalmol. 1998 Mar;46(1):47-50.
The aim of this study was to investigate cataract surgery procedures and caseloads among Indian ophthalmologists in private and government practices. Members of the All India Ophthalmological Society and state ophthalmic societies were surveyed by mail questionnaire in December 1995. Out of 6,800 surveyed, 2,098 responses (31%) were received. Over 61% of the 990,249 reported cataract surgeries were carried out in private facilities with 24% of private patients receiving extracapsular cataract extraction (ECCE) and 41% ECCE with intraocular lens (IOL). Intracapsular cataract extraction remains more common in government facilities with 62% of cases. Over 85% of all surgeons reported some experience with ECCE/IOL. Surgeons operating in both private and government facilities carry an average annual caseload of 861 cataract surgeries, which is twice that of their colleagues operating exclusively in either private or government settings. Although the questionnaire response rate was low, the findings suggest that ECCE is more common in India than in generally recognized, and with the recent availability of low-cost IOLs, its popularity is rapidly expanding.
本研究旨在调查印度私立和政府医疗机构中眼科医生的白内障手术操作及病例数量。1995年12月，通过邮寄问卷的方式对全印度眼科协会及各邦眼科协会的成员进行了调查。在6800名被调查者中，收到了2098份回复（31%）。在报告的990249例白内障手术中，超过61%在私立机构进行，其中24%的私立患者接受了囊外白内障摘除术（ECCE），41%的私立患者接受了ECCE联合人工晶状体（IOL）植入术。囊内白内障摘除术在政府医疗机构中仍然更为常见，占病例的62%。超过85%的外科医生报告有ECCE/IOL手术经验。在私立和政府医疗机构都开展手术的外科医生平均每年进行861例白内障手术，这是仅在私立或政府机构工作的同行的两倍。尽管问卷回复率较低，但研究结果表明，ECCE在印度比普遍认为的更为常见，并且随着近期低成本IOL的出现，其普及程度正在迅速扩大。
