Cataract surgery audit at an Australian urban teaching hospital

Abstract

This audit is the first to document modern cataract surgery, overwhelmingly dominated by phacoemulsification in an Australian population and can be used to benchmark cataract surgery outcome in an urban Australian population.

Auckland cataract study 2: clinical outcomes of phacoemulsification cataract surgery in a public teaching hospital

“…The rate of anterior vitrectomy for PCR (70%) was similar to that reported in ACS1 (75%) and in Singapore (77%), although a lower rate was reported in Australia (58%) . In the current study, all cases with vitreous loss had a PCR, but not all cases of vitreous loss are a result of PCR, and not every PCR requires an anterior vitrectomy.…”

“…This prospective study provides a detailed analysis of phacoemulsification cataract surgery in a large Auckland public teaching hospital, serving approximately 25% of the New Zealand population. It illustrates improved outcomes for cataract surgery in comparison with a similar study conducted 15 years ago in Auckland (ACS1) and parallels data from other international institutions …”

“…Although improved since ACS1 (6/48), the current results are higher than the modern‐day threshold of 6/9 in the developed world . In an Australian teaching hospital, 73% of eyes had BMVA ≥6/12, and in a mix of 75 public and private US practices, mean BCVA was 6/24 for first eyes . Cataract surgery rates have escalated substantially in response to the need for higher visual function to support independence and avoid the significant economic impact of visual acuity <6/12 .…”

Applying risk analysis to predict posterior capsule rupture during cataract surgery in New Zealand

“…The rate of PCR‐VL in the current study was 3.32%. This rate is similar to previous studies from NZ and Australia but higher than rates reported in the UK and Europe . The current study population has a significantly higher mean preoperative risk of PCR‐VL (4.92%), compared with the mean preoperative risk reported in the UK study population (1.92%) .…”

Benchmarking, key performance indicators and maintaining professional standards for cataract surgery in Australia

“…In this issue, Kahawita and Goggin from South Australia add to the evidence base of cataract surgery in an Australian context . This adds to the previously published work by Australian and New Zealand centres .…”