The Evolution of Cataract Surgery.

Published on Jan 1, 2016in Missouri medicine
Geetha Davis1
Estimated H-index: 1
Sources
Abstract
Abstract Cataract surgery is one of the most common procedures performed worldwide. It is also one of the oldest. Alongside advancements in cataract surgical techniques have been improvements in intraocular lens replacement technology. Cataract surgery may be considered among the most successful treatments in all of medicine. This article discusses the fascinating evolution of cataract surgery, from the earliest approach of couching to modern day phacoemulsification and lens replacement.
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References14
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#1K. Ninn-Pedersen (Lund University)H-Index: 2
#2Birgitta Bauer (Lund University)H-Index: 14
There has been a striking increase in the number of cataract operations in the referral region of the Lund Health Care District during 1986 through 1990, in 1990 reaching 3.6 per 1000 inhabitants. Different preoperative, intraoperative and postoperative variables and observations were registered and analysed for 5878 consecutive cataract cases operated in the period studied. Women predominate in the material and despite the increased number of operations during the period studied there was no dr...
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#1Ulf Stenevi (Lund University)H-Index: 64
#1U. Stenevi (Lund University)H-Index: 1
Last. William Thorburn (Umeå University)H-Index: 20
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In 1992 a Swedish National Cataract Register was instituted. More than 90% of all cataract surgeries are performed at community run eye clinics. All community run eye clinics in the country participated and 89% of all cataracts performed are included in this register. In total 31679 eyes were entered. All the pertinent preoperative information on these patients can be found in the register. As indicated in other studies two-thirds of the surgeries were performed on women and one-third of the sur...
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Abstract Same-day surgery (SIDS) is not new. In 1909 Nicoll and Glasq published their results on over 9000 surgical procedures in the British Medical Journal . What is new in the international hospital literature is the rate of growth of SIDS in different sites, the effects of this growth on future planning for traditional inpatient beds and operating theatres, and the renewed interest of health economists in the safety, efficacy and cost-effectiveness of specific surgical procedures performed a...
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: There is a significant backlog of patients waiting for cataract operations in the United Kingdom. In England in the first quarter of 1989, there were 74,000 patients in total on ophthalmology waiting lists, of which approximately 75% were cataract cases. Although there is currently a significant shortfall of around 225 consultant ophthalmologists, as defined by the College of Ophthalmologists' standard, the backlog is also due to the imbalance in, and inefficient use of, resources. There are a...
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#1M BatterburyH-Index: 1
#2P T KhawH-Index: 1
Last. A R ElkingtonH-Index: 1
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An outpatient diagnostic index was used to analyse data relating to a sample of new patients attending the Southampton Eye Hospital in 1979 and 1986. Our main findings are an increased demand for cataract surgery by an increasingly aged population and a trend towards operating on cataracts at an earlier stage in their development. These and other results are discussed.
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#1Michael Drummond (University of Birmingham)H-Index: 96
Abstract In most countries, there are concerns about health care utilization and costs. Therefore, those arguing for more funds to be devoted to eye health care need economic data in support of their claims. This article examines the methods for estimating the economic effect of blindness and discusses the approaches to economic evaluation of health care interventions in the field of cataract. Some suggestions are also given for undertaking economic analysis alongside clinical trials in the fiel...
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#1L Cairns (Johns Hopkins University)H-Index: 1
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Despite the fact that two community-based surgeons switched from routine intracapsular cataract extraction to planned extracapsular cataract surgery and routine implantation of posterior chamber lenses, they did not materially increase the size of their surgical load or change their indications for cataract surgery. In contrast a similar change in surgical technique by two high-referral hospital-based surgeons was associated with a marked increase in operative rates and increased preoperative ac...
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: We evaluated extended-wear soft contact lens use in 128 aphakic eyes of 113 patients, 44 of whom had been unable to wear conventional contact lenses; 116 eyes (91%) have been successfully fitted and have worn the extended-wear lenses without significant complication. Eleven patients were unable to wear the lens or had to be discontinued for transient lens-related problems. In 103 eyes successfully fitted the lens is removed for cleaning less often than monthly. Ninety six of the 116 eyes fitte...
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Purpose To determine the preferred type of intraocular lens (IOL) that ophthalmologists would choose for themselves in case of cataract surgery. Design Prospective convenience questionnaire study. Materials and methods We developed an electronic survey with seven (7) questions, combining multiple and open options. The following categories were established: monofocal (MonoIOL) without monovision (MonoIOL-SM) and with monovision (MonoIOL-CM) and multifocal (MultiIOL) that could be either a bifocal...
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