Allied Health Professions

Download Cataract Blindness and Simulation-Based Training for by James R. Broyles, Peter Glick, Jianhui Hu, Yee-Wei Lim PDF

By James R. Broyles, Peter Glick, Jianhui Hu, Yee-Wei Lim

Cataracts account for approximately half all instances of blindness around the world, with the overwhelming majority in constructing nations, the place blindness and visible impairment can lessen lifestyles expectancy and monetary productiveness. each one of these situations will be cured through speedy, reasonably cheap surgeries, yet a scarcity of expert surgeons makes it not likely that the necessity for such surgical procedures — expected to arrive 32 million instances globally through 2020 — could be met lower than present practices. HelpMeSee Inc. (HMS) is constructing an method of surgical procedure education and supply that incorporates use of high-fidelity simulator know-how and linked curricula for high-volume education, improvement of a process of self sufficient deepest practitioners, and coaching the place priceless of people with out clinical levels. RAND researchers decided that this system has the capability to scale up surgical means quickly and that lower than confident assumptions, the HMS software might mostly shut the backlog of surgical situations within the 4 significant areas studied, leading to 21 million instances of cataract-caused visible impairment in 2030, in comparison with 134 million situations less than the established order. this system additionally gives you to have huge affects on wellbeing and fitness and productiveness, and the envisioned expenses in line with 12 months of incapacity avoided recommend that the intervention will be hugely low in cost in all of the areas researched. although, a couple of major demanding situations must be met, fairly within the components of outreach, distant tracking of self sustaining practitioners (especially non-doctors), and public and felony recognition of non-doctors as surgeons. it is very important conscientiously pilot and video display the technique prior to totally scaling up.

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Additional info for Cataract Blindness and Simulation-Based Training for Cataract Surgeons: An Assessment of the HelpMeSee Approach

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1 The international dollar is a measure used to facilitate comparison of costs in different countries. See Chapter Seven for discussion. , per surgery) provider direct costs were found highest for PHACO and lowest for ECCE, with the difference attributed to the cost of equipment and materials; the costs to patients (direct plus indirect) were found to be highest for ECCE and identical for PHACO and MSICS. Overall, ECCE had the highest total costs and MSICS the lowest. In Nepal, Ruit (2007) compared the efficacy and visual results of PHACO and MSICS and found that both surgical techniques achieved excellent surgical outcomes with low complication rates, but that surgical time for MSICS was much shorter than for PHACO (9 minutes vs.

Caregivers also must give up some productive activities. Costs to the public sector include welfare payments and lost taxation revenue, although both are relatively rare in developing country contexts. Blind or severely impaired individuals suffer reduced quality of life, exacerbated by the general lack of services for the blind in poorer countries. , 1991). S. dollars (US$) per year worldwide (Access Economics, 2010). The impact is especially profound in the developing world, where blindness was found to exacerbate poverty by sharply reducing the Defining Blindness, Low Vision, and Visual Impairment The World Health Organization uses the following definitions of blindness and low vision, based on Visual Acuity (VA).

This predecessor of modern techniques required a large corneal incision and suturing. This technique can generally produce good results but without the consistency of modern cataract techniques. The healing process is longer and suture management requires significant postoperative care. This technique is still widely used in developing nations. • Intracapsular cataract extraction (ICCE)—No longer widely practiced, this technique requires removal of the cataract and its supporting capsule through a very large corneal incision.

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