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Br J Ophthalmol 84:4-8 doi:10.1136/bjo.84.1.4
  • Original Article
    • Clinical science

The deficit in cataract surgery in England and Wales and the escalating problem of visual impairment: epidemiological modelling of the population dynamics of cataract

Table 4

Change in the population pool of vision impairing cataract, over a 5 year period to year 2001, under various assumptions concerning the level and pattern of cataract surgery. The population pool of unoperated cataract at start of the 5 year period = 2 356 546

Assumptions Vision impairing cataract: Comments on cataract backlog by the year 2001
Size of pool by year 2001, and
% change
Number expected to die without sight restoring surgery Total number of operations on people aged 65 and older
1 Current practice unchanged over the 5 year period (as in Table 3) 2 556 477 (+8.48%) 732 836 764 330 Marked worsening of the cataract backlog
To prevent the backlog worsening:
2 No additional operations, but all surgery in the age group 65 and older directed to people with impaired vision (<6/12) 2 435 579 (+3.35%) 693 269 764 330 Substantial improvement on (1) above, but the backlog still increasing
3 476 500 additional operations allocated to the cases aged 65 and older 2 356 549 (0.00%) 657 546 1 240 830 Backlog virtually unchanged—ie, no worsening
4 346 000 additional operations all directed to people with visual acuity <6/12 2 356 575 (0.00%) 660 255 1 110 330 Backlog virtually unchanged—ie, no worsening
5 All operations in age group 65+ directed to people with visual acuity <6/12 and 136 600 additional operations similarly directed 2 356 658 (0.00%) 664 614 900 930 Backlog virtually unchanged—ie, no worsening

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