Ophthalmology in Chile
F. Meyer
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.
