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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...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications & Media Pvt Ltd
2017
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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. |
format | Online Article Text |
id | pubmed-5369289 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
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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