During a recent visit to Africa, an ophthalmologist told me that his eye department, in a rural part of his country, had recently lost its non-governmental organisation NGO support. As a result, he had not performed any cataract operations for several weeks, because the hospital had not ordered the necessary intra-ocular lenses IOLs. This seemed a very unfortunate state of affairs — but also something others could learn from. We have therefore invited ophthalmologists and regular Community Eye Health Journal contributors in Africa to explain how this situation could be better handled — and avoided — in future. What follows is an edited collection of their responses. Cataract surgery should be the minimum service offered in any ophthalmic setting, especially when there is a resident ophthalmologist. It takes time to build up a practice and win the confidence of patients. Once this is done one has to make sure that the services are regular. The ultimate solution is to educate management and encourage them to stock these items in the pharmacy, just like all the other essential items they stock. In the short term, network with other eye institutions and barter with them.
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These lenses are intended to provide visual freedom for patients, lessening or eliminating the reliance on glasses or contact lenses. All of these lenses are foldable, which permits the surgeon to insert them through a small incision. Watch the video. Cataracts are the clouding of the eye’s natural lens, which inhibits light from easily passing through the lens.
The clouded lens can be removed and replaced with an intraocular lens IOL. STAAR, which has been dedicated solely to ophthalmic surgery for over 30 years, designs, develops, manufactures and markets implantable lenses for the eye with companion delivery systems.
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