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MSICS is a procedure that was developed to reduce costs in comparison with phacoemulsification, which requires expensive high-tech equipment that needs skilled maintenance, and is relatively unsuited to less developed regions, and to eliminate the need for suturing the incision, by using a self-sealing incision.
Endothelial cells in the cornea are reduced as a result of eye surgery and aging. If the cells die too quickly, a cloudy cornea and vision loss may result. Your retina may detach from its normal position as a result of eye surgery. It’s a rare complication that necessitates immediate medical attention. This is another unusual side effect.
The corneal endothelium is a single layer of endothelial cells on the inner surface of the cornea.It faces the chamber formed between the cornea and the iris. The corneal endothelium are specialized, flattened, mitochondria-rich cells that line the posterior surface of the cornea and face the anterior chamber of the eye.
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.
Normal endothelial cell count at birth is about 4000 cells/sq mm. Adult population has a count of about 2500 to 2800 cells/Sq mm and loses around 0.6% cells per year. The cells in infant have potential regenerating capacity unlike the adult cell and this can be utilized for PDEK to obtain excellent functional outcome.
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 ...
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