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EXTRAORDINARY RESULTS OF HIGH VOLUME CATARACT SURGERY IN INDIA
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 PROBLEM OF GENERIC EYE DROPS
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 …
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