BOOK
Vision For The World: Eye Surgeons' Solution To Mass Blindness — A Major World Medical Problem
(1996)
Additional Information
Book Details
Abstract
The problem of mass blindness today stems largely from cataract which accounts for a total of 40 million cataract victims in the world — and it will worsen with the ageing population. Fortunately, this problem can be resolved with cost effective extracapsular cataract extraction (ECCE) and posterior chamber implantation (PCI).This book highlights how the use of ECCE and PCI can restore normal vision to cataract victims around the world.A successful approach is to establish training centres. The success of the International Intraocular Implant Training Centre (IIITC) in the Peoples' Republic of China is cited to show that implant surgery for cataracts can be successfully performed in communities in developing nations in Asia with appropriate training and supervision. The centre has since yielded excellent results with cost effective ECCE and PCI. The book challenges eye surgeons around the world to unite to address a global need to contain world cataract blindness.
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Contents | xi | ||
| Dedication | v | ||
| Foreword | ix | ||
| Acknowledgment | x | ||
| 1. Introduction | 1 | ||
| 2. Impact Of Technology On Mass Blindness In Asia | 3 | ||
| Introduction | 3 | ||
| Blinding malnutrition | 4 | ||
| Glaucoma | 4 | ||
| Blinding ocular infections | 4 | ||
| Ocular trauma | 5 | ||
| Diabetic retinopathy | 5 | ||
| Technology and mass blindness | 5 | ||
| Cataract Problem | 6 | ||
| Complications of cataract surgery in eye camps | 7 | ||
| Cataract problem in 21st century | 8 | ||
| The cataract problem in developed countries | 8 | ||
| Long-term solution | 9 | ||
| The implant controversy | 9 | ||
| Newly Industrialised Countries | 11 | ||
| Technical Priority | 14 | ||
| The Future | 14 | ||
| 3. Increasing Importance Of Eye Surgeons In Mass Cataract Blindness - A Megatrend | 15 | ||
| Current Situation Of Mass Cataract Blindness | 15 | ||
| Implant surgery in rural areas of developing countries | 15 | ||
| Increasing Importance Of Eye Surgeons - A Megatrend | 16 | ||
| Suitable eye surgeons | 18 | ||
| Organisation of World Eye Surgeons - WORLDCATS | 18 | ||
| Funds and support | 18 | ||
| Other organisations | 19 | ||
| Why WORLDCATS | 19 | ||
| Implant Training Centres | 19 | ||
| Why Intraocular Lens Implants? | 21 | ||
| CONCLUSION | 22 | ||
| 4. Tianjin Centre -Training of Surgeons | 23 | ||
| Basic techniques of microsurgery | 24 | ||
| ECCE and implantation | 25 | ||
| Tianjin project | 26 | ||
| Conclusion | 28 | ||
| Appendix A | 29 | ||
| Appendix B | 32 | ||
| 1. Implant Surgery | 32 | ||
| 2. Training | 33 | ||
| 3. Research and Publication | 33 | ||
| 4. International Intellectual Exchange | 33 | ||
| 5. Quality Assurance in ICataract Surgery | 35 | ||
| Measurement of Quality Cataract Surgery | 37 | ||
| THE ETHICS OF QUALITY EYE SURGERY | 37 | ||
| Quality Assurance In Intraocular Lens Implant Surgery | 38 | ||
| Visual Acuity | 38 | ||
| Posterior Capsule Rupture | 38 | ||
| Video Taping | 39 | ||
| Duration of Surgery | 39 | ||
| Recommendation | 40 | ||
| Volunteer System | 40 | ||
| The 21st Century | 40 | ||
| A MODEL FOR EXCELLENCE & QUALITY EYECAREIN PEOPLE'S REPUBLIC OF CHINA, TIANJIN | 41 | ||
| The Future | 41 | ||
| 6. Towards Perfect Outcome | 42 | ||
| 3 Factors for Perfect Result | 42 | ||
| The suggested measures for excellent result are: | 43 | ||
| Cataract in eyes with pathology | 44 | ||
| ECCE Technique: Attention to details | 45 | ||
| 1. Anaesthesia and soft eye | 45 | ||
| 2. Wound | 45 | ||
| 3. Viscoelastic material | 45 | ||
| 4. Anterior capsulectomy | 45 | ||
| 5. Expression | 45 | ||
| 6. Cortex Apiration | 46 | ||
| 7. Implant | 46 | ||
| 8. Suturing - Careful suturing to avoid astigmatism. | 46 | ||
| Endophthalmitis | 46 | ||
| ECCE or Phacoemulsification for perfect results | 47 | ||
| Conclusion | 48 | ||
| 7. Low Cost ImplantTechniques | 49 | ||
| Low Cost Implant Surgery | 49 | ||
| OPERATING MICROSCOPE INFUSION/ASPIRATION | 50 | ||
| Red reflex | 50 | ||
| Important silhouettes | 50 | ||
| Ring reflex | 51 | ||
| Basic Microsurgery | 51 | ||
| A. High magnification | 51 | ||
| B. Infusion/ Aspiration System | 51 | ||
| Simcoe Manual Infusion/ Aspiration System | 51 | ||
| C. Instrument | 52 | ||
| D. The Implant - Its Choice and Power | 52 | ||
| PLANNED EXTRACAPSULAR CATARACT EXTRACTION | 53 | ||
| ANTERIOR CAPSULECTOMY | 54 | ||
| Pupil Dilation | 54 | ||
| Can-Opener Technique | 54 | ||
| Disposable hypodermic needle | 54 | ||
| Air, fluid or viscoelastic | 55 | ||
| REMOVAL OF NUCLEUS | 55 | ||
| REMOVAL OF CORTEX | 55 | ||
| Infusion | 55 | ||
| Aspiration | 56 | ||
| Cortex at 12 o'clock Position | 57 | ||
| Residual Cortex | 57 | ||
| INSERTION OF POSTERIOR CHAMBER IMPLANT | 57 | ||
| One-hand method | 57 | ||
| Two-hand method | 57 | ||
| The cataract wound | 58 | ||
| 8. Quality Cataract Surgery InAsia In The Year 2000 | 59 | ||
| Trends in Europe and USA | 61 | ||
| General Trends in Asia | 61 | ||
| Ophthalmology in Asia | 61 | ||
| Admiration for USA Achievements | 62 | ||
| Current Status | 62 | ||
| 'Learning Curve' | 63 | ||
| Is Phacoemulsification not better? | 64 | ||
| The Future - The Year 2000 | 65 | ||
| Conclusion | 66 | ||
| 9. Interview With ProfessorArthur Lim OnMass Cataract Blindness | 67 | ||
| Introduction | 67 | ||
| InterviewTHE CHANGING TREND OF BLINDNESS | 68 | ||
| STRATEGIES IN THE PREVENTION OF BLINDNESS | 69 | ||
| WORLDCATS | 71 | ||
| THE TIANJIN INTERNATIONAL INTRAOCULAR IMPLANTTRAINING CENTRE | 73 | ||
| THE PROBLEM OF CATARACT - THE MAJOR BLINDING CONDITION | 74 | ||
| CATARACT SURGERY - WHAT TECHNIQUE? | 76 | ||
| About The Author | 81 | ||
| Afterword | 82 |