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Secondary to other eye diseases: ... Cataract surgery, ... Direct medical costs for cataract treatment are estimated at $6.8 billion annually.
Cataract surgery is one of the most cost-effective health interventions, since its economic benefits considerably exceed the cost of treatment. [ 128 ] [ 129 ] The 1998 World Health Report estimated 19.34 million people were bilaterally blind due to age-related cataracts, and that cataracts were responsible for 43% of all cases of blindness.
As of 2023, the cataract-surgery rate in South Africa is less than half of the estimated requirement of at least 2,000 per million population per year needed to eliminate cataract blindness. [ 19 ] [ 20 ] In 2011, Lecuona and Cook identified an inadequate level of human resources in the public sector to provide care for the indigent population ...
Manual small incision cataract surgery (MSICS) is an evolution of extracapsular cataract extraction (ECCE); the lens is removed from the eye through a self-sealing scleral tunnel wound. A well-constructed scleral tunnel is held closed by internal pressure, is watertight, and does not require suturing.
The intraocular lens did not find widespread acceptance in cataract surgery until the 1970s, when further developments in lens design and surgical techniques had come about. As of 2021, approximately four million cataract procedures take place annually in the U.S. and nearly 28 million worldwide, a large proportion in India.
Cataract surgery by “couching” (lens depression) is one of the oldest surgical procedures. The technique involves using a sharp instrument to push the cloudy lens to the bottom of the eye. Perhaps this procedure is that which is mentioned in the articles of the Code of Hammurabi (ca. 1792–1750 BC) though it is a mere speculation.
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