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London School of Hygiene and Tropical Medicine
The London School of Hygiene & Tropical Medicine is a world-leading centre for research and postgraduate education in public and global health, with 3,900 students and more than 1,000 staff working in over 100 countries. The School is one of the highest-r...
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Clare Gilbert, MD, professor ...
Clare Gilbert, MD, professor of international eye health, London School of Hygiene & Tropical Medicine, said she is interested in equal eyecare opportunities for both adults and children, but children especially as they do not have a voice.
The study by Gilbert et al. comprised 38 published papers that included 6,854 children who had undergone surgery in 1 or both eyes for bilateral cataract in developed and developing countries from the year 2000 onward.
In some regions of the world, the proportion of girls accessing surgery for bilateral cataract is lower than anticipated, the study authors found.
Higher income countries as well as some lower income settings saw relatively equal proportions of boys and girls receiving bilateral cataract surgery.
Other regions, such as sub-Saharan Africa, East Asia, South Asia, and the Pacific including China, however, appeared to show more bilateral cataract surgeries for boys than girls.
Dr. Gilbert said she expected lower proportions of females receiving the surgery in low income regions and in cultures that traditionally favor boys, but she did not expect to see such a gender difference in Asia.
The literature on cataract surgeries in India and Nepal, for example, found that 29.1% of cases were girls, while in China 36% were girls.
It was good to see that differences were not significant in studies from Africa and the Eastern Mediterranean region, but I did not expected the difference in Asian countries to be as great, Dr. Gilbert said.
As for addressing gender inequality for children with bilateral cataract, Dr. Gilbert
said there needs to be an emphasis on changing attitudes and increasing knowledge through health education.
said that providers could do their part by making sure there is enough infrastructure to provide cataract surgery to children and waive the costs for such services.
I hope this paper will reach some of the key decision makers so they can consider reducing or waiving their costs, she
If these disparities are not addressed, Dr. Gilbert
said it could have life-long consequences for children living without the surgery, which can lead to blindness.
Delayed cataract surgery can lead to amblyopia, which cannot be reversed if surgery is delayed, Dr. Gilbert
If girls do not access surgery at all, they obviously remain blind; if they access surgery late, this compromises their visual outcome.
We know that good vision early in life is vitally important for childrens developmentmotor, social, emotional, and cognitiveand if girls do not receive high quality surgery at the same rate as boys and at the most opportune time, this will have an impact on the whole of the rest of their lives, she
People - International Centre for Evidence in Disability
Clare Gilbert, Co-director of ICEH, LSHTM
Clare Gilbert - Professor of International Eye Health, Co-director of ICEH
Disability Seminars 2013 â€“ 2014
Dr Hannah Blencowe and Professor Clare Gilbert
Baby Boys at Higher Risk of Death and Disablity Due to Preterm Birth -
"There is a risk of repeating the epidemic of blindness in preterm survivors seen in the US and Europe in the 1940s and 1950s," says Professor Clare Gilbert, a physician at LSHTM and world expert on retinopathy of prematurity.
Clare Gilbert, FRCOphth; MD; ...
Clare Gilbert, FRCOphth; MD; MSc
London School of Hygiene & Tropical Medicine