Cataract Surgery in the Gulf States and Egype

Table Contents

 

Objects and Methods

1

Executive Summary

3

Cataract Surgery

7

Prices

8

El-Maghraby Hospital (Saudi Arabia)

8

Al-Nahda Hospital (Oman)

8

Al-Noor (UAE – Abu Dhabi)

9

The Institute of Ophthalmic Research (Egypt)

9

The Arab Boycott

10

Blindness in the Middle East

13

Major Causes of Blindness

15

Trachoma

15

Cataract

15

Other Causes

16

Country Specific Data

18

Saudi Arabia

18

The Health System

18

Hospitals

19

Doctors

20

Eye Healthcare

21

Ophthalmologists

22

El-Maghraby Eye Hospital

24

Eye Surgery in El-Maghraby Hospital in 1993

24

A Research Project in Cataract Surgery Performed in El-Maghraby Hospital

25

King Khaled Eye Specialist Hospital in Riyadh (KKESH)

26

Eye Surgery

29

Eye Disease and Blindness in Saudi Arabia

31

The National Survey of Eye Disease and Visual Loss, 1984

32

The Sample Survey of Settled Population – 1986

33

Eastern Province Survey – 1990 (EPS 1990)

34

Blindness

34

Causes of Blindness

35

Visual Impairment

36

Causes of Visual Impairment

37

Unilateral Blindness

39

Cataract

40

Cataract Surgery

42

Glaucoma

43

Regulations

44

Local Agents/Distributors

45

Trademark Regulations

47

Patent Law

47

Public Sector Contracts/ Service Agreement Regulations

48

Letter of Credit Instructions

48

Market Access

50

Promotion

51

Price Structure

52

Kuwait

53

The Health System

53

Eye Healthcare

54

Eye Surgery

55

Market Access

57

Promotion

57

Oman

58

The Health System

58

Doctors

58

Hospitals

59

Eye Healthcare

60

Ophthalmologists

61

Al-Nahda Hospital

61

Eye Surgery

62

Market Access

63

Tenders

63

UAE

64

The Health System

64

Eye Healthcare

65

Eye Surgery

66

Market Access

67

Tenders

67

Promotion

68

Qatar

69

The Health System

69

Eye Healthcare

69

Eye Surgery

71

Market Access

71

Tenders

71

Arbitration

72

Bahrain

72

The Health System

72

Eye Healthcare

73

Ophthalmologists

74

Eye Surgery

75

Egypt

75

The Health System

76

Eye Healthcare

76

Eye Surgery

79

Blindness and Eye Disease

79

Promotion

79

Tenders

79

Regulations

80

Agent and Distributor Regulations

80

Arbitration

81

The Viscoelastics Market

83

Agents and Distributors

86

Kabi Pharmaica – Healon

86

Alcon – Viscoat

86

IOLAB – Amvisc

87

Observations and Recommendations

89

 

Table 2: Beds in the Hospitals of the Ministry of Health by Types of Use, 87 – 91 (Saudi Arabia)

1991

1990

1989

1988

1987

General

715

637

1171

1242

782

Internal Disease

3526

3438

3351

3314

3238

Surgery

3689

3432

3252

3351

3424

Bone Disease

1585

1493

1439

1372

1528

Urinary Tract

555

582

596

570

624

Dental

109

94

122

138

123

Obstetrics & Gynecology

3542

3483

3457

3733

3660

Pediatrics

3927

3967

3971

3740

3539

Reviving Condensed Treatment

627

572

551

519

561

Ear, Nose & Throat

581

483

481

474

544

Ophthalmology

951

893

856

945

895

Chest Diseases

1219

1163

1151

1205

1170

Dermatology

263

243

46

244

218

Burns & Plastic Surgery

342

287

292

295

284

Neurology & Psychiatry

2310

2277

2292

2232

2284

Quarantine & Isolation

669

776

832

1326

1363

Others

2256

2015

1842

1615

1665

Total

26866

25835

25702

26315

25902

 

Table 3: Private Hospitals: Beds by Type of Use, 1987-1991 (Saudi Arabia)

Kinds of Beds/Years

1991

1990

1989

1988

1987

General

1206

1103

1117

1062

837

Internal Diseases

724

666

708

594

582

Surgery

711

657

686

620

595

Bone Diseases

325

370

379

323

283

Urinary Tract

210

228

227

205

171

Dental

87

106

89

79

46

Obstetrics & Gynecology

1009

925

986

899

838

Pediatrics

658

756

682

643

608

Reviving Cond. Treatment

340

283

302

253

244

E.N.T.

309

343

327

301

186

Ophthalmology

211

227

222

255

192

Chest Diseases

116

117

110

116

41

Dermatology

87

89

87

82

37

Burns & Plastic Surgery

84

58

80

69

37

Neurology & Psychiatry

215

218

209

180

146

Quarantine & Isolation

124

142

119

111

94

Others

264

163

149

164

82

Total

6680

6445

6479

5956

5019

Table 4: Physicians in the MoH and Private Hospitals by Specialization, 1990

Field of Specialization

Private Hospitals

Public Hospitals

General Practitioners

1363

6952

Dentists

676

971

Internal Diseases Specialists

508

536

Surgeons

241

511

Pediatricians

490

544

Obstetricians & Gynecologists

465

555

Ophthalmologists

165

155

Neurologists & Psychiatrists

51

181

Dermatologists & Venereologists

189

146

Ear, Nose & Throat

189

223

Radiologists

246

205

General Health & Tropical Medicine

21

110

Bone Diseases

105

252

Urinary Tract

68

152

Pathologists

340

351

Chest Diseases Specialists

29

123

Anesthetists

158

431

Others

110

461

Total

5414

12959

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