Phacoemulsification under topical anaesthesia in remote areas: experiences in the Amazon

Despite many global initiatives to eliminate avoidable blindness, the number of cataract‐blind people is still unacceptably high in many parts of the world, particularly in remote rural areas of developing countries. One of the established ways to increase uptake of cataract services is by extending ophthalmic care facilities to rural areas through mobile eye units, thereby providing cataract surgical services close to large numbers of affected individuals.1,2 Unfortunately, however, results of camp surgery are often poor. 1,3 As a result, the quality and safety of surgery in eye camps is questioned 1, and a growing body of evidence suggests that cataract surgery can be only performed in adequately equipped facilities.4 In this paper, we report that high‐quality cataract surgery in the field is possible, even under the most primitive circumstances. We show that skilled surgeons, modern equipment and good organization make it feasible to perform high‐quality phacoemulsification under topical anaesthesia in remote rural areas of the Amazon rain forest.
Source: Clinical and Experimental Ophthalmology - Category: Opthalmology Authors: Tags: Letter to the Editor Source Type: research

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