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It is estimated that 38 million people are blind worldwide, 9 to 12 million are in India. Estimates suggest that 50-80% of these people are blind because of cataract. The need for a rapid, effective and safe cataract procedure for the developing world is obvious. Balent and co-workers report the outcome of 593 patients undergoing cataract surgery by high volume surgeons. Average surgical time for these patients was less than 4 minutes, yet best corrected visual acuity of greater than 6/18 was achieved in 94% of patients. High volume surgery is compatible with good quality outcomes.
See p 1079
The cost of prescription pharmaceuticals is well documented. The production of generic pharmaceuticals in the developing world is an obvious necessity. Nevertheless, Weir and associates point out that in a study of generic ciprofloxacin eye drops purchased without prescription in India, 20% were under potent. In a number of preparations the
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