Cost Effective Health Care Dollars

Jeffrey P. Rutgard, M.D.

Originally published on the Hawaiian Eye Foundation

Why Sight?

Blindness and visual impairment is a solvable world crisis.

An estimated 39 million people are blind worldwide, with another 246 million living with significant visual impairment. Eighty percent (80%) of global blindness is caused by cataracts, a condition that can be reversed with a 15-20 minute operation.

Poverty & Sight

Blindness or visual impairment can keep individuals and families trapped in the devastating abyss of poverty. By restoring sight and preventing blindness, those affected are able to, once again, take care of themselves and their health. They can be productive members of their family and release a member of their family from the bondage of being a fulltime care-taker for the blind relative. Once visually rehabilitated through cataract surgery, the blind or visually impaired person can lift themselves, and their family, out of poverty. The World Bank ranked cataract surgery as one of the most cost-effective health interventions that can be offered in low- and middle-income countries to the many who cannot afford the cost of such surgery.

Education and Opportunity

Globally, 19 million children are visually impaired or suffer from blindness. Children who have vision problems are most often unable to get an education. Those who have their sight restored are given an average of 50 years of sight, allowing them to learn and build a brighter future filled with opportunity.

Empowering Women and Girls

Two-thirds of the world’s blind are female. We reach out to women and girls to make sure they are receiving the essential eye care they need, overcoming the social, cultural, and economic barriers they may face. As a result, they can lead healthy, productive lives.

Profound & Immediate Impact

The majority of eye care treatments can transform a life almost instantly. A pair of glasses brings the world into focus. A 15-20 minute cataract operation restores sight and independence. Eye drop medication for eye infections prevent suffering and potentially decades of blindness. Quality eye care provides an immediate and lasting impact.

Builds a Better Future

When you restore sight to one person, you are giving life to two people. Seventy-five percent (75%) of visually impaired people are assisted by a relative to do basic Activities of Daily Living (ADLs) such as washing, dressing, toileting, and eating. A majority of the time this relative is a child. Restoring vision to an adult releases these “seeing eye children” and allows them to return to productivity and attend school. Since cataracts are common, cataract surgery relieves many people in each extended family from the economic, educational, and productive barriers that deepen their poverty and affect their daily quality of life. Restoring vision to the impoverished allows them to lead productive lives, while enabling entire communities a better future.

Build Capacity

Partnering with local hospitals and members of the community to provide training skills and services improves access to quality eye care. The result is improved infrastructure for eye care, which decreases needless blindness.

Surgery

Low cost, high-quality surgeries cure blindness. Over 50% of blindness is caused by cataracts. For as little as $100, a 15-20 minute eye surgery can cure this condition.

Glasses

A pair of glasses can bring the world into focus. They open the door of opportunity for children to receive an education and adults to work and have a better future.

Medical Treatment

Access to the most basic eye drop or eye ointment medicine can mean the difference between a simple eye infection, acid chemical burn, or corneal abrasion healing in a few days, or a life tragically altered by blindness. Creating an infrastructure of trained, local, eye care personnel and access to medications can make all the difference for the future of a child or an adult.

Where Should This Eye Care Be Directed?

The greatest need is found in developing countries around the world. A majority of people live without the benefit of desperately needed medical care. Of those blind from curable cataracts, 90% live in developing nations.

Summary

Blindness and visual impairment can be prevented and/or cured in the majority of cases worldwide. Eye treatment in the form of cataract surgery, glasses, and medications for infections and minor injuries are some of the most cost-effective health dollars. Focusing on the prevention and treatment of curable eye problems can transform the lives of those living in developing countries where access to this care is both unaffordable and unavailable. The result is an improvement in the quality of life and economics for individuals, their families and their communities