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Is manual small incision cataract surgery affordable in the developing countries? A cost comparison with extracapsular cataract extraction
Open accessAbstract
AIM: To compare the cost of manual small incision cataract surgery (MSICS) with conventional extracapsular cataract surgery (ECCE) in community eye care settings. METHOD: A single masked randomised trial was used to compare the safety, efficacy, time, and patient satisfaction of surgery by both the techniques. The fixed facility and recurrent cost for the two procedures was calculated based on information collected from different sources. Average cost per procedure was calculated by dividing the total cost by the number of procedures performed. RESULT: The average cost of an ECCE procedure for the hospital was Rs 727.76 (US$15.82) and the average cost of a MSICS procedure was Rs 721.40 ($15.68), of which Rs. 521.51 ($11.34) was the fixed facility cost common to both. CONCLUSION: Both ECCE and MSICS are economical in community eye care settings, but MSICS is economical and gives better uncorrected visual acuity in a greater proportion of patients.
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“Though the sample sizes are small, there were minimal differences in the price of supplies between phaco and MSICS approaches, which goes against published evidence of the cost efficiency of MSICS versus phaco.”
From Improving productivity, costs and environmental impact in International Eye Health Services: using the ‘Eyefficiency’ cataract surgical services auditing tool to assess the value of cataract surgical services (2021) · cites this paper as [29]
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Cites
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Gogate, P., Deshpande, M., & Nirmalan, P. K. (2007) · Ophthalmology · doi:10.1016/j.ophtha.2006.08.057 · Cited by 156
Self-citationGogate, P., Optom, J. J., Deshpande, S., & Naidoo, K. (2015) · Middle East African Journal of Ophthalmology · doi:10.4103/0974-9233.159763 · Cited by 106
Goel, H., Wemyss, T. A., Harris, T., Steinbach, I., Stancliffe, R., Cassels-Brown, A., Thomas, P. B. M., & Thiel, C. L. (2021) · BMJ Open Ophthalmology · doi:10.1136/bmjophth-2020-000642 · Cited by 57
Metadata
- Authors
- Gogate, P. M.
- Affiliations
- PBMA's H.V. Desai Eye Hospital (IN)
- Corresponding author
- Gogate, P M
- ORCID
- Gogate, P M
- Venue
- British Journal of Ophthalmology
- Publisher
- BMJ
- Published
- 2003-07-01
- Volume
- 87
- Issue
- 7
- Pages
- 843-846
- ISSN
- 0007-1161 (ISSN-L)
- PMC
- PMC1771751
- OpenAlex
- W2041809683
- Cited by
- 83
- References
- 18
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 3 · 2023: 2 · 2022: 6 · 2021: 4 · 2020: 2 · 2019: 2 · 2018: 3 · 2017: 3 · 2016: 3 · 2015: 3 · 2014: 3 · 2013: 5 · 2012: 4
- FWCI
- 4.84
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- British Journal of Ophthalmology (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- UCL Discovery (University College London) (submittedVersion)
- HighWire Press Open Archive (submittedVersion)
- Funders
- Department for International Development, UK Government
- Department for International Development
- Topics
- Health Sciences › Medicine › Ophthalmology › Intraocular Surgery and Lenses
- Health Sciences › Medicine › Ophthalmology › Ophthalmology and Visual Impairment Studies
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Global Health and Surgery
- Keywords
- manual small incision cataract surgery, extracapsular cataract extraction, cataract surgery costs, cost comparison, community eye care, developing countries, uncorrected visual acuity, surgical safety and efficacy, patient satisfaction
- MeSH terms
- Cataract Extraction, Costs and Cost Analysis, Developing Countries, Hospitals, Community, Humans, Time Factors, Single-Blind Method
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