Cataract surgery outcomes in a Tertiary Hospital, Riyadh

Alqahtani, Bader; Faris, Ahmad; Alotaibi, Mohammed; Alzughaibi, Mohand; Omair, Aamir; Al-Jobair, Khalid

doi:10.4103/1658-600x.179827

Cited by 3 publications

(6 citation statements)

References 1 publication

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“…The prevalence of systemic diseases in the present study (51.8%) is higher than the figures reported in some studies [6,11,12] and lower than other studies reported from different countries (Table 4).…”

Section: Resultscontrasting

confidence: 83%

“…The prevalence of ocular comorbidities in the present study (39.8%) is lower than the figures 71.81% [11] and higher than the other studies reported from different countries (Table 6). [5] 1.12% 3.35% ---Shrestha et al [6] 1.04% 0.3% 0.3% Riley et al [7] 9.2% 7.6% 5.1% Pham et al [8] 10.6% 9.0% 12.6% Abdelmoaty et al [9] 2.85% 1.42% 0.57% Thevi & Godinho [10] 6.78% 10.8% 1.55% Al-Qahtani et al [12] 4.6% 5.1% 0.2% Present study 7.1% Open angle glaucoma is quite often associated with cataract in the same eye. If the intraocular pressure is not controlled adequately before cataract surgery with medications, the eye is at high risk for intraoperative vitreous loss/ suprachoroidal haemorrhage during operation.…”

Section: Resultsmentioning

confidence: 99%

“…The literature search revealed varying prevalence of preoperative coexisting systemic diseases in cataract patients ranging from 32.81% to 92.52% in different countries [5][6][7][8][9][10][11][12].…”

Section: Introductionmentioning

confidence: 99%

“…There is a need for extra health care services and availability of resources for cataract patients with systemic comorbidities. Wide range of prevalence of coexisting ocular diseases in cataract operated patients (8.0%-71.81%) has been reported from different countries [5][6][7][8][9][10]12]. The associated ocular diseases should be treated adequately before undertaking cataract surgery to avoid intraoperative and postoperative complications and to achieve useful vision after the operation.…”

Section: Introductionmentioning

confidence: 99%

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Prevalence of Coexisting Systemic and Ocular Diseases among Cataract Surgery Patients: A Study in a Teaching Hospital in North East Malaysia

Reddy¹

2019

JAMMR

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Aim: To determine the prevalence of coexisting systemic and ocular diseases among the cataract surgery patients in a teaching hospital in north east Malaysia. Method: in this retrospective study, the medical records of patients who were operated for cataract over a period of three years by a single surgeon in the teaching Hospital University Sains Malaysia were analyzed for the coexisting systemic and ocular diseases. Some patients were operated in both eyes. Results: Out of 218 patients who underwent cataract surgery, one or more systemic diseases were present in 113 patients (51.8%). The most common associated systemic disease was diabetes mellitus (24.3%), followed by hypertension (22.4%). A total of 324 eyes were operated in these patients. In addition to cataract, one or more ocular diseases were present in 129 eyes (39.8%). The most common ocular disease in cataract eyes was pterygium (9.8%), followed by diabetic retinopathy (9.5%). Conclusion: Ophthalmologist has to identify the coexisting systemic and ocular diseases present among cataract surgery patients. These diseases should be adequately controlled before surgery in order to avoid intraoperative and postoperative complications, and to achieve better quality of life for the patients.

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Section: Resultscontrasting

confidence: 83%

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Prevalence of Coexisting Systemic and Ocular Diseases among Cataract Surgery Patients: A Study in a Teaching Hospital in North East Malaysia

Reddy¹

2019

JAMMR

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“…However, there is signi cant variation in the postoperative visual outcome across regions and different kinds of facilities. (2)(3)(4)(5)(6)(7)(8)(9) For example, in a summary of eight population-based studies (10) in sub-Saharan Africa, the percentage of eyes with good visual outcome ranged from 23 to 59% and the percentage of eyes with poor vision ranged from 23 to 64%.…”

Section: Introductionmentioning

confidence: 99%

Comparison of cataract surgery outcomes between a secondary and a tertiary eye hospital in Tamil Nadu, India

Subburaman

Gunasekaran²,

Chandrashekharan

et al. 2023

Preprint

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Purpose: To examine the difference in post-operative visual outcomes of cataract surgeries between a tertiary and secondary centre at Aravind Eye Hospitals in Tamil Nadu, India. Methods: Our retrospective cross-sectional study analysed cataract surgeries at a secondary centre and its associated tertiary centre in 2021. Our main outcome measures were postoperative best corrected visual acuity (BCVA), spherical equivalent, and intraoperative and postoperative complications. Two-sample proportion tests, regression analyses, and logistic probability analyses were performed. Results: The analysis of 32,302 cataract surgeries in 2021 of which 4,357 were performed at the secondary centre and 27,945 were performed at the tertiary centre showed that the tertiary centre operated on more advanced cataract condition (p<0.001) and had higher incidence of patients with ocular comorbidity (p<0.001). Intraoperative (p<0.001) and post-operative complication rates (p<0.001) were higher in the tertiary centre. The odds of effective outcomes (BCVA >=6/12) controlling for all covariates are poorer (p<0.0001) in the tertiary centre for both phacoemulsification (phaco) and manual small incision cataract surgeries (MSICS). Conclusion: World Health Organization recommendations for the effective outcome of cataract surgery are met by both the tertiary and secondary centres, but the odds of effective outcomes in MSICS in the tertiary centre was lower after adjusting for all known factors. Further investigations of the causes of poor vision in MSICS in the tertiary centre are needed to improve the situation.

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Comparison of cataract surgery outcomes between a secondary and a tertiary eye hospital in Tamil Nadu, India

Subburaman

Gunasekaran

Chandrashekharan

et al. 2023

Eye

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Purpose: To examine the difference in post-operative visual outcomes of cataract surgeries between a tertiary and secondary centre at Aravind Eye Hospitals in Tamil Nadu, India. Methods: Our retrospective cross-sectional study analysed cataract surgeries at a secondary centre and its associated tertiary centre in 2021. Our main outcome measures were postoperative best corrected visual acuity (BCVA), spherical equivalent, and intraoperative and postoperative complications. Twosample proportion tests, regression analyses, and logistic probability analyses were performed.Results: The analysis of 32,302 cataract surgeries in 2021 of which 4,357 were performed at the secondary centre and 27,945 were performed at the tertiary centre showed that the tertiary centre operated on more advanced cataract condition (p<0.001) and had higher incidence of patients with ocular comorbidity (p<0.001). Intraoperative (p<0.001) and post-operative complication rates (p<0.001) were higher in the tertiary centre. The odds of effective outcomes (BCVA >=6/12) controlling for all covariates are poorer (p<0.0001) in the tertiary centre for both phacoemulsi cation (phaco) and manual small incision cataract surgeries (MSICS).Conclusion: World Health Organization recommendations for the effective outcome of cataract surgery are met by both the tertiary and secondary centres, but the odds of effective outcomes in MSICS in the tertiary centre was lower after adjusting for all known factors. Further investigations of the causes of poor vision in MSICS in the tertiary centre are needed to improve the situation.

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Cataract surgery outcomes in a Tertiary Hospital, Riyadh

Cited by 3 publications

References 1 publication

Prevalence of Coexisting Systemic and Ocular Diseases among Cataract Surgery Patients: A Study in a Teaching Hospital in North East Malaysia

Prevalence of Coexisting Systemic and Ocular Diseases among Cataract Surgery Patients: A Study in a Teaching Hospital in North East Malaysia

Comparison of cataract surgery outcomes between a secondary and a tertiary eye hospital in Tamil Nadu, India

Comparison of cataract surgery outcomes between a secondary and a tertiary eye hospital in Tamil Nadu, India

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