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The Melaka Hospital cataract complications study analysis of 12,992 eyes

INTRODUCTION: As in all surgeries, complications during cataract surgery are unavoidable and cause distress to the surgeon and the patient. This study was conducted to know the factors contributing to complications in our settings, to be able to counsel patients about complications and outcomes and...

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Autores principales: Thevi, Thanigasalam, Maizura, Zin, Abas, Adinegara Lutfi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5369289/
https://www.ncbi.nlm.nih.gov/pubmed/28300736
http://dx.doi.org/10.4103/ijo.IJO_452_16
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author Thevi, Thanigasalam
Maizura, Zin
Abas, Adinegara Lutfi
author_facet Thevi, Thanigasalam
Maizura, Zin
Abas, Adinegara Lutfi
author_sort Thevi, Thanigasalam
collection PubMed
description INTRODUCTION: As in all surgeries, complications during cataract surgery are unavoidable and cause distress to the surgeon and the patient. This study was conducted to know the factors contributing to complications in our settings, to be able to counsel patients about complications and outcomes and to reduce litigations. MATERIALS AND METHODS: The secondary data analysis was conducted using the National Eye Database from 2007 to 2014. Demographic features, ocular comorbidities, technique of surgery, grade of surgeons, types of intraoperative complications, and reasons for not obtaining good visual acuity following intraoperative complications were studied. Statistics was done using Statistical Package for Social Sciences version 20. RESULTS: Out of 12,992 eyes, 6.1% had intraoperative complications. The highest rate of complications was when more trainees (medical officers [MOs] and gazetting specialists) operated. Posterior capsule rupture (PCR) was the most common complication followed by vitreous loss and zonular dehiscence. Those aged below 40 years had more complications (P < 0.05), and females had more complications. Ethnicity did not affect complications. Pseudoexfoliation was the only comorbidity causing complications (P < 0.05). Phacolytic lenses had 8.118 times the odds of getting intraoperative complications. MOs and gazetting specialists got more complications. Good outcomes were obtained in cases without complications and those operated by specialists. High astigmatism was the main reason for poorer outcomes. CONCLUSION: Intraoperative complications were caused mostly by less experienced doctors and had poorer outcomes. Age below 40 years, females, the presence of pseudoexfoliation and phacolytic lenses had more complications. PCR was the most common complication.
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spelling pubmed-53692892017-04-11 The Melaka Hospital cataract complications study analysis of 12,992 eyes Thevi, Thanigasalam Maizura, Zin Abas, Adinegara Lutfi Indian J Ophthalmol Original Article INTRODUCTION: As in all surgeries, complications during cataract surgery are unavoidable and cause distress to the surgeon and the patient. This study was conducted to know the factors contributing to complications in our settings, to be able to counsel patients about complications and outcomes and to reduce litigations. MATERIALS AND METHODS: The secondary data analysis was conducted using the National Eye Database from 2007 to 2014. Demographic features, ocular comorbidities, technique of surgery, grade of surgeons, types of intraoperative complications, and reasons for not obtaining good visual acuity following intraoperative complications were studied. Statistics was done using Statistical Package for Social Sciences version 20. RESULTS: Out of 12,992 eyes, 6.1% had intraoperative complications. The highest rate of complications was when more trainees (medical officers [MOs] and gazetting specialists) operated. Posterior capsule rupture (PCR) was the most common complication followed by vitreous loss and zonular dehiscence. Those aged below 40 years had more complications (P < 0.05), and females had more complications. Ethnicity did not affect complications. Pseudoexfoliation was the only comorbidity causing complications (P < 0.05). Phacolytic lenses had 8.118 times the odds of getting intraoperative complications. MOs and gazetting specialists got more complications. Good outcomes were obtained in cases without complications and those operated by specialists. High astigmatism was the main reason for poorer outcomes. CONCLUSION: Intraoperative complications were caused mostly by less experienced doctors and had poorer outcomes. Age below 40 years, females, the presence of pseudoexfoliation and phacolytic lenses had more complications. PCR was the most common complication. Medknow Publications & Media Pvt Ltd 2017-01 /pmc/articles/PMC5369289/ /pubmed/28300736 http://dx.doi.org/10.4103/ijo.IJO_452_16 Text en Copyright: © 2017 Indian Journal of Ophthalmology http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Original Article
Thevi, Thanigasalam
Maizura, Zin
Abas, Adinegara Lutfi
The Melaka Hospital cataract complications study analysis of 12,992 eyes
title The Melaka Hospital cataract complications study analysis of 12,992 eyes
title_full The Melaka Hospital cataract complications study analysis of 12,992 eyes
title_fullStr The Melaka Hospital cataract complications study analysis of 12,992 eyes
title_full_unstemmed The Melaka Hospital cataract complications study analysis of 12,992 eyes
title_short The Melaka Hospital cataract complications study analysis of 12,992 eyes
title_sort melaka hospital cataract complications study analysis of 12,992 eyes
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5369289/
https://www.ncbi.nlm.nih.gov/pubmed/28300736
http://dx.doi.org/10.4103/ijo.IJO_452_16
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