Author/Editor		Šterman, Mitja; Štrumbelj, Vlasta
Title		Pregled operacij sive mrene v letih 1998-2001 na Očesnem oddelku Splošne bolnišnice Murska Sobota
Translated title		Review of cataract surgery from 1998 to 2001 at the Murska Sobota General hospital eye department
Type		članek
Source		Zdrav Vestn
Vol. and No.		Letnik 72, št. 5
Publication year		2003
Volume		str. 293-6
Language		slo
Abstract		Background. Cataract is a leading cause of a reversible blindness in a developed world. The number of cataract surgery procedures performed has been increasing. This study describes methods and cataract surgery quatity in Pomurje region, Slovenia from 1998 to 2001, to identify the need for cataract surgical service in this region. Methods. For the purposes of this study, data from medical documentation of all 1182 cataract surgery procedures performed in Murska Sobota Eye Depar-tmentfrom 1998 to 2001 were obtained. Results. The rate of cataract surgery has increased from 1.5 to 3.3 per 1000 inhabitants during the observed period. The percentage of glaucoma and diabetes in operated pattents has grown in this period. Extracapsular cataract extraction has been replaced by phacoemulsification. In 2001, 95.5% of procedures was performed by phacoemulsification and in 99.0% of cases intraocular lenses were implanted during the surgery. The average pre-operative visual acuity was 0.05 in 1998, 0.11 in 1999, 0.16 in 2000 and 0.22 in 2001. The average waiting period for surgery was 3 months in 1998 and 16 months in 2001. Uncorrected post-operative visual acuity of 1.0 was achieved in 29% and in 50% surgical procedures in years of 1998 and 2001, respectively. The number of complications decreased. Conclusions. A number of cataract surgeries increased and their outcomes showed a considerable improvement. At the same time, real patient needs weren't addressed as waiting time for surgery increased. Waiting time for surgery has increased. It is to be feared that the number of patients, waiting for the cataract surgery, will increase unless the number of procedures increases. The number of procedures allowed to be performed is too low compared to the number of patients with cataracts.
Summary		Izhodišča. Starostna siva mrena je glavni vzrok povratne slepote v razvitem svetu. Število operacij se povečuje. V prispevku smo opisali oskrbo prebivalstva pomurske regije z operacijami sive mrene v letih 1998 do 2001. Želeli smo opredeliti obseg, kakovost dela ter potrebe prebivalstva v regiji. Metode. V raziskavo smo retrospektivno zajeli in analizirali podatke o vseh 1182 operacijah, opravljenih na Očesnem oddelku v Murski Soboti od leta 1998 do 2001. Rezultati. V preučevanih letih se je število operacij povečalo od 1,5 na 3,3 na 1000 prebivalcev. Delež bolnikov z diabetesom in/ali glavkomom je bil vsako leto večji. Ekstrakapsularno ekstrakcijo leče je postopoma zamenjala fakoemulzifikacija, ki je v letu 2001 predstavljala 95,5% vseh operacij. Primarna implantacija leče je bila leta 2001 izvedena v 99,0%. Povprečna predoperativna vidna ostrina s korekcijo je znašala 0.05 leta 1998, 0,11 leta 1999, 0,16 leta 2000 in 0,22 leta 2001. Bolnik je na operacijo v letu 1998 čakal povprečno tri mesece, v letu 2001 pa 16 mesecev. Pooperativna vidna ostrina brez korekcije 1,0 ali več je bila dosežena pri 29% bolnikov leta 1998 in pri 50% leta 2001, število zaptetov se je zmanjšalo. Zaključki. V prikazanem obdobju smo starejšo metodo operacije sive mrene zamenjali z novejšo, povečali smo število operacij in zmanjšali število zapletov. Kljub temu je čakalna doba močno narasla. Če se število operacij ne bo povečalo, bo čakalna doba še naraščala, saj potrebe močno presegajo odobreni obseg operacij sive mrene.
Descriptors		CATARACT EXTRACTION PHACOEMULSIFICATION VISUAL ACUITY WAITING LISTS