EyeWorld Korea September 2014 Issue

42 EWAP CATARACT/IOL September 2014 Views from Asia-Pacific Mahipal SACHDEV, MD Chairman and Medical Director, Centre for Sight Group of Eye Hospitals B-5/24 Safdarjung Enclave, New Delhi -110029 Tel. no. +91-9810046017 Fax no. +011-41651744 drmahipal@gmail.com ਠ ؙ֧,²೚౸ ࠕ ֳણ ीԞѿ Ә ف ӠӋ ކ ు ऀӘ ݴ ֶ ़ ઔؘѿ³܅ؘ ߚ ૂѿ ৊Әઅ ࣏ ڝ ࣏ઊਁࣳ ۱ң੎ ܇ץ ઊ ٻ Ӌ ઔؘ ڡ ട .د અҽઊ ࡚࡚ന ࡂ ઊ଒ ކ ೚౸஢ ܩ ઊસ ݴ ࣏ੋന ࡘف ࡅ ࡚અ ीઘ ڝ ੸ ઊ ीԞѿ ࡚޻ഡ ઊઽ੹ ҌӋ ઔ੻੹ ࠋ ҽഡ .د 2 ך ҁ 1,000ܺ ف ݴ ࣛ੶ܾ /enS[ ഓ ܗ ೭੹ ઊੋടӋ ֢ࣳ ઊ ܟ ഡ ीԞܾ دࡂ ৊઺ട Ӌ ॕҲ ࠕ ֳણ੹ ૂңഢ ़ ઔӋ ી൜ഡ Ӹ઻ ӯી ҿӘ ݴ ৴੹ ़ ઔ د Ӌ ࡅ ઌ੸ ൜५ ඥ ߻Ҳ ٻ ৼ .د ऽܳ ټ ीઘਁҲࣳઅ ࠋ ઺ ټ ़ીஔ੭൛ीӘ²஢७ઘ³ਁҲࣳઅ ஢Ԟ ೚౸ ࠕ ֳણ ीԞ ݴ ࡻӯഡ ஢Ԟ ࡂ Ӌࣳ ڝ ੸ ࡜Ӗ೤ട .د ीઘѿ ӄസ੹ ॻӋ ीԞѿ ࠋ ઺തਁ ܅گ ೚౸ ी Ԟѿ ࠕ ֳણ ૂң ݴ ੥ഡ ೵૴ ीԞܾ ڷބ ඥ ઘ ޓݼ Ԥഢ ҫઑਁؘ અ७ഢ ਉ଒ѿ ৺ .د மԕ घ഑ಠਫ਼ৰ ৹ԓ ܩ ઊ ڙ ܾ ࡅ ઌઅ ӄੌ െથ ीԞܾ ңઅ ਯ࠸ਁ ѿԪ੎ ҿӘ ࡂ ݴ Ӌ ઔ .د ԓ ݼ Ӌ އ ੸ ڝݑٳ ઊ ઊ ीԞܾ ੍ً ॕҲ ਥҺ ҆ਁ ܅گ ഠ।ӌࣷઊ ઽઽ ତ ৈ଒Ӌ ઔ .د െથ ़ીஔ ઺֮઻ґؘ ൝ࣛહઌٙ ઍ ࠉ હ੶ܾ ़ીஔ֮ tag֢ ࡜਌ङહ ઻ґ ڢ અ ߚ ૂ ৺ઊ ़ીஔ ઺֮ઊ free-floatingടӋ ઔؘ ҫ੹ ࡂ Ҳ .دټ ਯ࠸ഡ ઺֮ ઻ґ ఽԞਭ ੥ௗѿ ਯ࠸ਁ ѿԪ੎ ,2/ ࣘ઒੹ ഢ ़ ઔ٩ܿ ന ી१৊ਁ ѿԪ੎ ҿӘ ݴ ৴٩ܿ ഡ .د ࣛ ؽ ഡ ൭Ә ݴ ًടؘ ۙ ݳد ಡଛ੸ ֥१અ ӯીઊ ࡅ .د ઌ੸ ೚౸ ࠕ ֳણ ܩ ઊસઅ ӿࣛ Ҁ ޅ ઻ґ ݴ ઊੋഡ /R, ࡽ٩ѿ ம ف 40%ਁ ش ടؘٙ ઊؘ ֯੸ ٩़અ ֥ १ਭ ً ઘ૲ ބ ૲ടӋ ઔ੶޵ ൝ઘ ࡘف ࡚ਁҲ دࡂ ૝੸ Ӹ઻ ӯી ҿӘ ݴ ૂӖടӋ ઔ ੻੹ અ߸ഡ .د ԓ ݼ Ӌ ഑ ߸ݼ ৸ ,2/ ࣏ੋ ࡽ٩ؘ د ஢ઽ ,2/ ࠃ ֥१ ,2/Ә തՌ ً އ ৈ૏ ࡅ .د ઌ੸ ೚౸ ܩ ઊસ ࠕ ֳણ ़ीܾ १ܲ ҿӘ ݴ ੍ً ൜३ടਉ ңઅ ࡘف ࡚અ ൝ ઘ ݴ ৊७१ే ़ ઔ .د ԓ ߜ ೂౣઅ ഩ ࡚ഢܾ phaco ਁׂ଒ ݴ ੍ً மघ൛ടਉ د ੻ ֧ ৈ૲ Զ֗ഡ Ҁ ޅ ઊ ٻ ٩ܿ ഡ .د ҋ൛ ټ ৊઺ऀӘ ી൜ऀઊ܅ؘ ણઽઊ ઽઽ ً²ґࣷ³੹ ੘ടؘ ൝ઘਁҲ ి ࠉ ല੹ ࡜ ܟ ઍ੶ె .د ࡅ ઌઅ અҽ੶ؘܾ ੭ઍഡ ز ઽ੸ ࡻੋ ੄घઍ ҫઊ .د ઊ ܟ ഡ ഓ ܗ ೭ઊ ࠕ ֳણ ़ीӘ Ӹ ઻ ӯીी²ઍஔൌ³੶ܾ ґ ٻࠋ ৰ ઽઽ ً އ ੸ ीઘ ڝ ੸ ԓҫઊ ࡻੋ ൭Әહઌ ಉઘઑ ੹ ࠋ ҽഢ ҫઊ .د १ણ ൜ ف ਭ د ৩ഡ ഓ ܗ ೭અ ઊੋ ѿ؟ऀ੶ܾ ௗ ؽݑ ࡻੋ(cost per procedure)ઊ ӄભܲ ઔҲ ҆घത੹ ࡂ Ҳ ٽ ҫઊ .د ೚౸஢ ܩ ઊસઅ Ԝીહ ਊഢਁ ٳ અടؘ ҫ੶ܾ ܇ץ ઊ ٽݼߗބ ҫ੶ܾ ࡂ ઊؘٙ ઽઽ ً އ ੸ ीઘਭ ൝ઘ ڝ ઊ ઊ ܟ ഡ ीԞ ݴ ӄസടԞ १ઙതਁ ܅گ ҿӵ ৊Әઅ࣏ ڝ અ ߸ ܑ ݴ ҿીഢ ҫઊ .د Editors±note: Dr. Sachdev is a consultant for Alcon, AEEott 0edical 2ptics, %ausch /omE, and Allergan, Eut has no financial interests related to his com- ments. Hiroko BISSEN-MIYAJIMA, MD, PhD Professor & Chair of Department of Ophthalmology, Tokyo Dental College Suidobashi Hospital 2-9-18 Misaki-cho, Chiyoda-ku, Tokyo 101-0061 Japan Tel. no. +81-3-5275-1912 Fax no. +81-3-5275-1912 bissen@tdc.ac.jp ೚ ౸஢ ܩ ઊસ ࡂ ૒ ࠕ ֳણ ़ी੹ १ઙടؘ ࡘف ࡚અ ৊Әઅ࣏ ڝ ੸ ઘ३અ ӄസ ੹ ࠅ ౕ੶ܾ ઊҫઊ ѿԪ੎ ߸ܑਁ ࠕ ֳણਁ ف ഡ ೵૴ ीԞѿ ٽ ҫઊ܅ؘٙ ٳ અഡ .د ԓ ܟ ֢ ץ ࡅ Ӌઅ ૂ޿Ә Ҏઊ² ࠕ ֳણ ௗ ݑ ਁ ف ഡ ೚౸஢ѿ Ә ف ӠӋਁ ҧ ސ ੸ ऀӘ ݴ ֶ ़ ઔؘѿ"³܅ؘ ଖ ߚ ੹ ࠊ ؘ د ޷ ԓ ڝ અ غف ੸ ࡂ ़હઊ .دټ Ӡҁࣽ ز ௖ ஬ਕઅ ҿӘ ࠅ ݴ ౕ੶ܾ ܩ ઊસ ݴ ࣏ੋയ੹ ڹ ़ी ҿӘѿ ఽҲ ґࣷ ٽ ़ ઔ د ޷ ਸ਼ ԓ ڝ ੸ ࡚޻ടҲ²ԓ دܨ ³Ӌ غف ഢ ़ ৺ؘ଒ ӿԙട .د ઺֮઻ґीઊ ૝੸ ਙ .د ઺֮઻ґઅ ఽԞਭ ੥ௗѿ ৊ીહઊӋ થെѿ؟നࣳ ࣘ઒ ټ ઌ Ӗ़ીஔѿ ઊࣛહ੶ܾ ੥ௗ ݴ ઠ੹ ़ ઔ٩ܿ ടӋ १ܲઊ ఽҲ ґࣷ .دټ Ҁ ޅ ઻ґઅ Ӵ૒ѿ ٪ಡനࣳ ࡊ ഥઊ ً ઝ ٻ Ӌ ़ीਁ અഡ ֥१ ੥സ੹ ૵ઍ ़ ઔ੹ ҫ੶ܾ ࡂ ઌ .د Ԟଖֳ ઻ґ ݴ ౿ഡ ֥१ ӯી੸ ܩ ઊસ १ी ކ ઊ ѿ؟ട ܩ .د ઊસ ݴ ઊੋഡ ഩ࡚ഢ ઊ ़ીஔ੭൛ीਁࣳ ஢੻ಶ ࣏ੋ १ҁ੹ ز ஸഢ ҫઊ ܩ .د ઊસ ݴ һઘ ޾৩੶ܾ ૒࣏ ട޷ ࡘف ࡚અ ଑ܺਁࣳ ஢੻ಶ ৺ઊ ़ીஔ ඛ઒੹ ഢ ़ ઔ .د ઊ ܟ ഡ ણઽઊ ࡘف ࡚અ ࠕ ֳણ ीઘ ڝ ਁҲ ઔৰࣳ ޓ ੌ ޓ ܲહઌѿ" ࡅ ઌ੸ ԓ دܨ Ӌ ࣥ Ҁട଒ ކ ीઘ ڝ ੸ ԓ ઘஔܾ ޓ ੌ ࡻॵ ܩ ઊસઅ Ӵ઒, ੭଒, ੎ਕࡻ, ڢ અ ౌ ؽ ऀ੹ ઒ ଑നৡ ഡ .د ಡඥ ઊ ܟ ഡ Ӌܹ൛ १ ف ਁ ࡘف ࡚અ ӵѿ ڝ ઊ અ ߚ ݑ ૂਁ ଓ޷ടӋ ઔ .د અ ݑ હ ԓ ݼ Ӌ ӄૂહ ઊ ښ ੹ ޾ ࡂ ڂ ણടؘ ҫઊ ૻ੄ട .د ࡻੋ੹ Ӌܱട଒ ৌً܅٩ ೚౸஢ ܩ ઊસ ࡂ ૒ ࠕ ֳણ ़ीઅ હ੾଑ઊ ࠕ ֳણ ़ीܾઅ ௝ಉ ݴ ੥ഡ ۙ ݳد ૻ੄ ഡ ઊ੭ѿ .دټ ৗࣷ ़ीܾ ઌഡ Ҁ ࠉޅ ඕ, Ҁ ޅ ൓్, ઙ੸ ٳ Ӗ੹ ѿଔ ؁੸ ़ी ف ࣛઊ ৈ .دإ ৊ҩ਍ઊ ઙ੸ ؁ਁؘ ਼৊Ҁ ઻ґीઊ ച੄ഢ ़ ઔ ࡅ .د ઌ੸ ৈ ބ ੌ ݼ ѿ ࣥҀടؘ ҫ دࡂ ً ѿԪ੎ ߸ܑਁ ઊ ܟ ഡ ߚ ૂѿ നҿ ٽ ҫઊ܅Ӌ ߻ؘ .د ԓ ܨ Ҳ ٻ ޷ ઊ ܟ ഡ ଖ ߚ ਁ ࡚޻ടҲ°ԓ دܨ ±Ӌ غف ഢ ़ ઔ .د Editors±note: Prof. %issen-0iyaMima has no financial interests related to her comments.