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- W2182960074 abstract "Cataract blindness isapublic health problem ofmajorproportions indeveloping countries. Intracapsular cataract extraction withaphakic spectacles hasbeenthestandard surgical technique forrestoring sight. Because ofimagemagnification intheoperated eye,however, theresult inunilaterally blind patients is lessthansatisfactory. Fortunately, withtheavailability oflow-cost intraocular lenses(IOL) andophthalmologists trained inextracapsular surgery, itisnowpractical tointervene successfully intheunilateral case. Theneedforincreased attention onthequality ofthevisual outcomeisonlyoneofthree important strategic issues incataract blindness control. Theexisting highprevalence ofcataract blindness in developing countries andanincreasing cataract incidence duetoanagingpopulation require substantial increases insurgical volume. Thethird issuerelates tocost. Ifsignificant increases insurgical volumeandquality ofoutcomesaretoberealized without anincreased needforexternal funding, service delivery mustbemademoreefficient. Theexpansion ofIOLsurgery forunilateral blindness isafavourabletrend inensuring financial sustainability ofdelivery systems; patients canbeoperated onwhile still economically productive andabletopayrather thanwaiting forbilateral blindness andalessfavourable economic andsocial impact. Ifthequality, volume, andcostissues aretobesuccessfully addressed, operational andstructural changes toeyecaredelivery systemsarenecessary. Thesechanges canbe effected through training, technology introduction, managementoffacilities, social marketing, organizational partnerships, andevaluation. Withimproved understanding ofthecritical factors insuccessful modelstheir widespread replication will befacilitated." @default.
- W2182960074 created "2016-06-24" @default.
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- W2182960074 date "1995-01-01" @default.
- W2182960074 modified "2023-09-24" @default.
- W2182960074 title "Strategic issues inpreventing cataract blindness indeveloping countries" @default.
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