The Madurai Intraocular Lens Study II: Clinical Outcomes

Prajna, Namperumalsamy Venkatesh; Chandrakanth, K S; Kim, R.; Narendran, Vivek; Selvakumar, S.; Rohini, G.; Manoharan, Niranjan; Bangdiwala, Shrikant I.; Ellwein, Leon B.; Kupfer, Carl

doi:10.1016/s0002-9394(99)80230-x

Cited by 95 publications

(60 citation statements)

References 13 publications

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“…18 The low return rate after cataract extraction and other types of eye surgery is also compatible with previously published rates. 19 These procedures are relatively short in duration (Ͻ1 hour); they are usually completed under monitored anesthesia care, resulting in a low rate of anesthesiarelated symptoms; and they are usually less painful procedures, causing postoperative discomfort for only a limited time.…”

Section: Discussionmentioning

confidence: 99%

Return Hospital Visits and Hospital Readmissions After Ambulatory Surgery

1999

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ObjectiveTo determine the overall and complication-related readmission rates within 30 days after ambulatory surgery at a major ambulatory surgical center. Summary Background DataCurrently in North America, 65% of the surgical procedures are carried out in ambulatory settings. The safety of ambulatory surgery is well documented, with low rates of adverse events during or immediately after surgery. The consequences of ambulatory surgery during an extended period, however, have not been studied extensively. MethodsPreoperative, intraoperative, and postoperative data were collected on 17,638 consecutive patients undergoing ambulatory surgery at a major ambulatory surgical center in Toronto, Ontario. With the use of the database of the Ontario Ministry of Health, the authors identified all return hospital visits and hospital readmissions occurring in Ontario within 30 days after the ambulatory surgery. Return visits were categorized as emergency room visits, ambulatory surgical unit admissions, or inpatient admissions. The readmissions were categorized as those resulting from surgical, medical, or anesthesia-related complications or those not related to the ambulatory surgery. ResultsOne hundred ninety-three readmissions occurred within 30 days after ambulatory surgery (readmission rate 1.1%). Six patients returned to the emergency room, 178 patients were readmitted to the ambulatory surgical unit, and 9 patients were readmitted as inpatients. Twenty-five readmissions were the result of surgical complications, and one resulted from a medical complication (pulmonary embolism). The complication-related readmission rate was 0.15% (1 in 678 procedures). The complication rate was significantly higher among patients undergoing transurethral resection of bladder tumor (5.7%). No anesthesia-related readmissions or deaths were identified. ConclusionsThe rate of complication-related readmissions was extremely low (0.15%). This result further supports the view that ambulatory surgery is a safe practice.

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Section: Discussionmentioning

confidence: 99%

Return Hospital Visits and Hospital Readmissions After Ambulatory Surgery

1999

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“…[17][18][19] Randomised clinical trials have proven their safety. 20,21 Secondly, the cost of high-quality IOL has fallen as they are manufactured in developing countries such as India, Nepal, and Eritrea. Single-piece PMMA IOL are available for less than d2, which is cheaper than aphakic glasses.…”

Section: Surgerymentioning

confidence: 99%

High-volume surgery in developing countries

Yorston

2005

Eye

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Background Cataract remains the world's leading cause of blindness. In the developing world, many eye clinics provide cataract surgery for only a small proportion of those in need. This is partly because of low demandFcaused by barriers related to awareness, bad services, cost, and distanceFand partly because of deficiencies in the supply of services. This article reviews innovations in cataract surgery in poor countries that are intended to reverse this trend. Conclusions Increasing the number of operations, through close involvement with the community, and improved surgical outcomes, enables the cost of surgery to be reduced, leading to further growth in volume. Recent innovations, such as low-cost intraocular lenses, and small-incision extracapsular cataract extraction, have contributed to improving the results of surgery without increasing the costs. Effective management enables the delivery of increasing the numbers of operations, while at the same time improving outcomes and controlling costs.

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“…A incidência de complicações cirúrgicas é mais comum na extração intracapsular (14,5%) do que na extracapsular (7,7%) (8) . A baixa AV pode ser resultado de complicações cirúrgi-cas, o que foi encontrado em 8% (16) dos olhos avaliados, diferente da taxa encontrada em países desenvolvidos que é da ordem de 1% (6) .…”

Section: Discussionunclassified

“…A baixa AV pode ser resultado de complicações cirúrgi-cas, o que foi encontrado em 8% (16) dos olhos avaliados, diferente da taxa encontrada em países desenvolvidos que é da ordem de 1% (6) . Além dos erros refrativos não corrigidos, como causa de baixa visão decorrente de complicação intra ou pós-operató-ria, a segunda causa foi opacidade de cápsula posterior, diferente do observado em outro estudo (8) , problema que seria facilmente solucionado se houvesse o seguimento do paciente e realização do Yag-laser.…”

Section: Discussionunclassified