STAGES OF THE DEVELOPMENT OF EYE SURGERY IN THE PERIOD OF STATE INDEPENDENCE OF THE REPUBLIC OF TAJIKISTAN

Abstract

The article describes the development of ophthalmology during the period of independence of the Republic of Tajikistan. Due to an update of the normative legal base of the ophthalmologic service, and efforts to optimize and modernize the material and technical base that existed in the 1990s, reorganize the service of specialized care in polyclinics and hospitals at all levels, today the ophthalmic care will be provided in all eye institutions of the country, including primary health care at the level of the rural health center and the high-tech medical care at the tertiary level. The introduction of new methods of diagnosis, treatment and surgical interventions, especially in the field of vitreoretinal, ultrasound and laser surgery, significantly reduced the number of patients leaving to other regions for treatment. The introduction of minimally invasive surgery minimized the number of complications during surgery, significantly reducing the average duration of the patient’s stay at the hospital and simultaneously improving the occupancy rates of ophthalmologic beds in the republican institutions, which for the last 5 years accounted for approximately 91% of the total.

Thus, the improvement methods of diagnosis and treatment of eye diseases aimed at enhancing the effectiveness of ophthalmic care for patients is associated with the development of microsurgical techniques, bed capacity optimization, material and technical base modernization and human resources strengthening and with the beginning of a new stage in the development of high-tech ophthalmology service it requires the development of a new ophthalmic care program, economically and clinically acceptable for the Republic of Tajikistan, as a developing country.