Ophthalmology in Chile.

Abstract

The practice of ophthalmology in Chile does not differ much from that in the United States. Basic ophthalmologic knowledge is the same, and common clinical problems are solved in the same way. The difference becomes evident in the more complex clinical problems. We have the knowledge and ability to perform the treatment but come up against the problem of high cost of technical instruments. Vitreous surgery, intraocular lens surgery, and laser treatments are performed, but we have to overcome the obstacles of obtaining the expensive and limited number of instruments. Perhaps, a US ophthalmologist will not understand this problem because, as I became aware during my stay as a fellow at The Wilmer Institute, Baltimore, and at other times when I have visited the United States, these difficulties do not arise. Lasers are bought, instruments are ordered by telephone, and manufacturers swamp the doctors with propaganda and offers of "call toll free for 30 days on trial." On the other hand, we know that, due to our efforts and using the means at our disposal, we have managed to keep the specialty at a high level, solving health problems and making the practice of ophthalmology pleasant in this beautiful country. Chilean ophthalmology has great prestige in South America. It has been the forerunner in the instruction of ophthalmologists, creating a method of teaching and of systematic specialization that has been unique in Latin America. It is an example to other branches of medicine in Chile. Although ophthalmologists are badly distributed in the country, considering our particular geographic and economic conditions, they fulfill their objectives in providing adequate visual health care for the population. This has come about through the combined effort of all Chilean ophthalmologists based on the example of their predecessors. Also, there has been a sense of solidarity among us, with responsibility and enthusiasm shown in practicing and in communicating ophthalmic precepts altruistically to the coming generations.