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Epidemiology | ONLINE FIRST

Variation in Cataract Surgery Needs in Latin America

Susan Lewallen, MD; Claudia Perez-Straziota, MD; Van Lansingh, MD, PhD; Hans Limburg, MD, PhD; Juan Carlos Silva, MD, MPH
Arch Ophthalmol. 2012;130(12):1575-1578. doi:10.1001/archophthalmol.2012.2147.
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Objective  To estimate and compare the incidence of operable cataract and the desired cataract surgery rates required to eliminate cataract-related visual impairment in several Latin American settings.

Methods  We obtained raw data on age-specific cataract prevalence from standardized population-based surveys. We used the data in a previously described model to estimate the incidence of operable cataract at 11 sites in 10 countries across Latin America. Age-specific incidence rates were then multiplied by corresponding population data to calculate the desired cataract surgery rates needed to eliminate cataract-related visual impairment in eyes in each country. Age-standardized incidence was also calculated to explore potential non–age-related differences in incidence among the countries.

Results  The desired cataract surgery rates ranged from 3441 to 8935 in the 11 sites. Much of the variation was owing to differing age structures, but there may be important variation in age-specific incidence rates as well.

Conclusions  Age structure has a major effect on the number of cataract surgeries needed in different countries of Latin America, and it is essential to consider this when planning cataract surgical services. Potential differences in non–age-related risk factors for cataract among different populations also deserve further study.

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Grahic Jump Location

Figure 1. Four-compartment model for estimating cataract incidence from age-specific prevalence data.

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Figure 2. Target cataract surgical rates (CSRs) to operate on all eyes with visual acuity of less than 6/18 vs reported actual CSRs.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

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