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EDITOR
The management of cataract is one of the spectacular
surgical success stories of recent years. Day care is now the norm, and
visual rehabilitation is rapid and dramatic. As a result, the uniformly
excellent outcome of this technically highly complex eye operation is
now almost taken for granted.
In 1998-9 some 170 000 cataract operations were performed in the NHS. But Action on Cataracts, launched by the NHS Executive earlier this year,1 draws attention to the patchiness of services and the long delays experienced by many patients. It presses for the better organisation of services, and the need for them to be patient focused. Many of these recommendations are innovative and exciting, and the NHS Executive anticipates that this initiative will result in a 47% increase in cataract operations, to 250 000 annually, by 2003.
Pressure on trusts will increase, especially in those areas that
are identified as poor performers.1
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