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Article
June 1990

Cataract Surgery: A Global Perspective

Arch Ophthalmol. 1990;108(6):797-798. doi:10.1001/archopht.1990.01070080039032
Abstract

Over the last decade or so, there has been a gradual realization that the major cause of blindness worldwide is cataract. In fact, over half of all blindness in the world is caused by cataract.1-6 This has generated an increasingly active discussion on the ways in which cataract surgery can be effectively delivered to those in developing areas where access to medical services, let alone ophthalmic care, is virtually nonexistent. Recently, attention has focused on what type of cataract surgery should be performed. While at times the debate has seemed polarized, a common view is now emerging.

Clearly, one cannot mandate one type of procedure for all situations. It is obvious that intracapsular cataract extraction (ICCE) is a cheap, effective procedure that many large programs have successfully employed for decades.7 It would be quite wrong to stop doing ICCE where it is acceptable and effective. We need to

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