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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.
The weighted mean number of ophthalmologists per million inhabitants in the region was approximately 62. Cataract-surgery coverage widely varied across Latin America, ranging from 15% in El Salvador, to 77% in Uruguay. Barriers cited included cost of surgery and lack of awareness about available surgical treatment.
Posterior capsular rupture, a tear in the posterior capsule of the natural lens, is the most-common complication during cataract surgery. [8] Posterior capsule rupture can cause lens fragments to be retained, corneal oedema, and cystoid macular oedema ; it is also associated with increased risk of endophthalmitis and retinal detachment.
The organizations take care of the costs of the camp, transporting the patients to surgery and their rehabilitation while Aravind does the surgery free of cost. Aravind started performing 5 times the number of cataract surgeries that were performed in the entire country and 16 times more than that of the entire U.S. [11]
Within this system, a cataract operation ranges from free to a little under US$900 (~ Rs. 53,700) based on the accommodations associated with the surgery and the type of lens implanted. [17] Patients can self-select services and room type based on preference and ability to pay, without compromising clinical outcomes.
However, a subsequent study conducted by the researchers from London School of Hygiene & Tropical Medicine and the Royal College of Surgeons of England confirmed the high quality of care, concluding that "patients undergoing cataract surgery or hip replacements in ISTCs achieved a slightly greater improvement … than those treated in NHS ...
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