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Cataract surgery in Zimbabwe: the way forward
1Rangarirai Masanganise, Tennent Institute of Ophthalmology, Western Infirmary, Glasgow, United Kingdom.
The Central African Journal of Medicine
|July 24, 1998
Summary
Extracapsular cataract extraction in Zimbabwe is challenged by resource limitations and competing surgical methods. However, with cost-saving strategies, high-quality cataract surgery is achievable.
Area of Science:
- Ophthalmology
- Public Health
Background:
- Senile cataracts are a leading cause of visual impairment globally.
- Intracapsular cataract surgery (ICCS) has faced challenges, including aphakic correction issues.
- Extracapsular cataract extraction (ECCE) with intraocular lens (IOL) implantation is the preferred standard for cataract management.
Purpose of the Study:
- To evaluate the barriers to adopting ECCE and IOL implantation in Zimbabwe.
- To explore cost-effective strategies for implementing ECCE and IOL implantation in resource-limited settings.
Main Methods:
- Review of existing literature on cataract surgery techniques and challenges.
- Analysis of resource availability and implementation issues in Zimbabwe.
- Identification and evaluation of cost-reduction measures for ECCE and IOL implantation.
Main Results:
- Adoption of ECCE and IOL implantation in Zimbabwe is hindered by pressure favoring ICCS, inadequate resources, and implementation difficulties.
- Known problems exist with ICCS and subsequent aphakic correction.
- Practical cost-reduction methods for ECCE and IOL implantation have been proposed.
Conclusions:
- Zimbabwean ophthalmologists can provide high-quality, international-standard cataract surgery.
- Overcoming resource limitations and implementing cost-saving measures are crucial for widespread ECCE and IOL adoption.
- Successful implementation requires addressing challenges related to human resources, material availability, and surgical technique preferences.