白内障
Maria Vittoria Cicinelli1, John C Buchan2, Maneck Nicholson3
1School of Medicine, Vita-Salute San Raffaele University, Milan, Italy; Department of Ophthalmology, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Lancet (London, England)
|December 24, 2022
まとめ
白内障は全身の失明の原因ですが 治療も予防も可能です 世界的に視力障害を減らすために 費用対効果の高い白内障手術へのアクセスを改善することが重要です
科学分野:
- 眼科について
- 公衆衛生
- ゲロントロジー
背景:
- 盲目の主な原因は白内障で 9400万人が失明し 生活の質が低下しています
- 老化と酸化ストレスが 変形可能・変形不能の危険因子と共に 老化による白内障の主な原因である.
- ほとんどの失明は予防可能で 入手しやすい効果的な治療が必要であることを強調しています
研究 の 目的:
- カタラクタによる失明の現状を見直すため
- 白内障手術の効果と費用対効果について
- カタラクタ外科サービスへの普遍的なアクセスに関する課題と解決策を特定する.
主な方法:
- 世界的な失明統計と白内障の疫学に関する文献レビュー
- 眼内レンズインプラントによるファコエマルシフィケーションに焦点を当てた白内障治療方法の分析
- カタラクタ手術のサービスとアクセス障壁の傾向を調べる
主要な成果:
- 眼内レンズインプラントによるファコエムルシフィケーションは,高効率で費用対効果の高い白内障治療です.
- 全面的な白内障手術サービスが 拡大していますが 世界的な不平等は 依然存在しています
- 手術技術の進歩と 手術前評価により 早期の介入と よりよい結果が得られます
結論:
- 透明で公平な白内障手術は 全世界の失明を減らすために不可欠です
- 既存の障壁を克服し,広範なアクセスを確保するために,普遍的な健康保険は不可欠です.
- カタラクタによる視力障害の世界的な負担に対処するために,継続的なイノベーションと実施戦略が必要である.
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