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首页> 外文期刊>British journal of ophthalmology >Cataract in leprosy patients: cataract surgical coverage, barriers to acceptance of surgery, and outcome of surgery in a population based survey in Korea.
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Cataract in leprosy patients: cataract surgical coverage, barriers to acceptance of surgery, and outcome of surgery in a population based survey in Korea.

机译：麻风患者的白内障：韩国一项基于人群的调查显示，白内障的手术覆盖率，接受手术的障碍以及手术的结果。

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BACKGROUND/AIMS: Cataract is the leading cause of blindness in leprosy patients. There is no population based information on the cataract surgical coverage, barriers to use of surgical services, and outcome of surgery in these patients. We sought to determine these measures of cataract programme effectiveness in a cured leprosy population in South Korea. METHODS: The population consisted of residents of six leprosy resettlement villages in central South Korea. All residents were invited to participate in a study of eye disease and interviewed regarding use of surgical services and reasons for not using these services. RESULTS: The cataract surgical coverage in this population was 55.4% when <6/18 was used as the cut off and increased to 78.3% when the cut off was <6/60. Barriers reported by patients included being told by the doctor that the cataract was not mature and a perception by the patient that there was no need for surgery. Among patients who had aphakic surgery, 71% were still blind in the operative eye while among patients who had pseudophakic surgery, 14% were still blind (presenting vision). Blindness in pseudophakic patients could be reduced to 3% with spectacle correction. CONCLUSION: Cataract prevalence in leprosy patients will increase as life expectancy continues to increase. Leprosy control programmes will need to develop activities aimed at reducing the burden of cataract. Recommendations include establishing collaborative agreements with ophthalmological services to provide high quality IOL surgery to these patients, training of health staff to identify and refer patients in need of surgery, monitoring the uptake of cataract surgery among patients needing services, and monitoring the outcome of surgery to improve refractive outcome.
机译：背景/目的：白内障是麻风病人失明的主要原因。在这些患者中，没有基于人群的白内障手术覆盖率，使用手术服务的障碍以及手术结局的信息。我们试图确定这些措施对韩国治愈的麻风病患者白内障程序的有效性。方法：人口由韩国中部六个麻风安置村的居民组成。邀请所有居民参加眼病研究，并就手术服务的使用以及不使用这些服务的原因进行了访谈。结果：该人群的白内障手术覆盖率在<6/18时为55.4％，在<6/60时为78.3％。患者报告的障碍包括医生告知白内障还不成熟，以及患者认为不需要手术。在进行无晶状体手术的患者中，手术眼中仍有71％的盲者，而在进行假晶状体手术的患者中，仍有14％的盲者（呈现视力）。戴眼镜矫正后，假晶状体患者的失明可减少至3％。结论：随着预期寿命的持续增加，麻风病人的白内障患病率将会增加。麻风控制计划将需要开展旨在减轻白内障负担的活动。建议包括与眼科服务机构达成合作协议，以向这些患者提供高质量的IOL手术;培训卫生人员以识别和推荐需要手术的患者;监测需要服务的患者中白内障手术的接受程度;以及监测手术结局。改善屈光结果。

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