The Malaysian Cataract Surgery Registry: risk Indicators for posterior capsular rupture

Salowi, Mohamad Aziz; Chew, Fiona Lee Min; Adnan, Tassha Hilda; King, Christopher R.; Ismail, Mohammad; Goh, Pik-Pin

doi:10.1136/bjophthalmol-2016-309902

Cited by 32 publications

(36 citation statements)

References 16 publications

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“…PCR is one of the most significant intraoperative complications of cataract surgery, with a reported incidence of 0.20% to 4.7% . In the present study, the overall rate of anterior vitrectomy for PCR was 0.72% and comparable with those in previous studies.…”

Section: Discussionsupporting

confidence: 88%

“…The male sex and preoperative diabetes have been reported as risk factors for intraoperative PCR . Other studies have also reported old age as a risk factor for PCR; however, young patients with a very soft cataract are also at increased risk because the second instrument or phacoemulsification tip can abruptly penetrate the peripheral nucleus and strike or aspirate the capsule . Among socioeconomic variables, residence in a rural area, a lower household income, and surgery in tertiary centres were associated with a higher risk of PCR in our South Korean population.…”

Section: Discussionsupporting

confidence: 46%

“…Multivariable analysis revealed that an age of <40 years, the male sex, preoperative diabetes, and a history of eye trauma were strongly associated with an increased risk of intraoperative PCR. The male sex and preoperative diabetes have been reported as risk factors for intraoperative PCR . Other studies have also reported old age as a risk factor for PCR; however, young patients with a very soft cataract are also at increased risk because the second instrument or phacoemulsification tip can abruptly penetrate the peripheral nucleus and strike or aspirate the capsule .…”

Section: Discussionmentioning

confidence: 99%

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Incidence and characteristics of cataract surgery in South Korea from 2011 to 2015: A nationwide population‐based study

Ryu

Kim

Hong

et al. 2020

Clinical Exper Ophthalmology

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Importance: Detailed incidence data for cataract surgery in the general population are limited, yet important for determining the surgical needs of the community and formulation of healthcare policies.Background: To report incidence rates of cataract surgery in South Korea.Design: Nationwide, retrospective population-based study. Participants: This study involved the entire population of South Korea (n = 47 990 761); 2 236 107 eyes of 1 591 176 patients confirmed as having cataract surgery from 1 January 2011 to 31 December 2015 were included.Methods: Data for all patients who underwent primary cataract surgery in South Korea were retrieved using Korean Electronic Data Interchange and Korean Standard Classification of Diseases-7 codes. Annual incidence rates were calculated and adjusted to the national population data for the corresponding year.Main Outcome Measures: The average incidence of cataract surgery during the 5-year study period was estimated using population data from the 2010 Korean census.Results: The incidence of cataract surgery increased from 8.54/1000 personyears in 2011 to 9.67/1000 person-years in 2015. The probability of second-eye surgery within 12 months after the first-eye surgery increased from 42.98% in 2011 to 48.01% in 2015. In total, 85.72% of surgeries were performed in nonrural areas: 43.18% in individuals with a higher household income and 76.65% in primary healthcare centres. The rate of vitrectomy for posterior capsular rupture was 0.72%. Conclusions and Relevance: The incidence of cataract surgery in South Korea is increasing over time. Our findings are expected to aid in the formulation of future healthcare policies concerning cataract surgery in South Korea. K E Y W O R D S cataract surgery, epidemiology, incidence Sun Young Ryu and Jiwon Kim contributed equally to this study.

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Section: Discussionsupporting

confidence: 88%

Section: Discussionsupporting

confidence: 46%

Section: Discussionmentioning

confidence: 99%

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Incidence and characteristics of cataract surgery in South Korea from 2011 to 2015: A nationwide population‐based study

Ryu

Kim

Hong

et al. 2020

Clinical Exper Ophthalmology

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“…Intrasurgical complications in our study were rare. e rate of capsular tears was 0.33%, compared with reported rates as low as 0.55% [9], to more commonly reported rates of between 1.14% and 1.78% [10][11][12][13] or occasionally as high as 3.1% [14]. Vitreous loss in our study appeared in 0.33% of cases, compared with reported rates ranging from 0.34% [9] to 2.2% [14]; the incidence of zonular dehiscence (0.40%) and dropped nucleus (0.11%) is also similar or lower compared with that of other reports [10,14].…”

Section: Discussionmentioning

confidence: 78%

“…e rate of capsular tears was 0.33%, compared with reported rates as low as 0.55% [9], to more commonly reported rates of between 1.14% and 1.78% [10][11][12][13] or occasionally as high as 3.1% [14]. Vitreous loss in our study appeared in 0.33% of cases, compared with reported rates ranging from 0.34% [9] to 2.2% [14]; the incidence of zonular dehiscence (0.40%) and dropped nucleus (0.11%) is also similar or lower compared with that of other reports [10,14]. e low rate of intrasurgical complications in our study could be due to several factors: surgery was never performed by ophthalmologists in training and the cases included were operated recently (2017) and outcomes have been reported to improve with time [14][15][16].…”

Section: Discussionmentioning

confidence: 78%

Visual and Refractive Outcomes of Cataract Surgeries Performed in One Year in a Private Practice Setting: Review of 2714 Procedures

Rementería-Capelo

García-Pérez

Gros-Otero

et al. 2020

Journal of Ophthalmology

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Introduction. Currently available outcome data for cataract surgery include mostly patients from public health systems. The purpose of this study was to report the visual and refractive outcomes of cataract procedures performed during one year in a private practice center, which may include a different spectrum of patients. Methods. Our center’s database was used to identify all isolated cataract procedures performed during 2017. The electronic records were reviewed to collect the preoperative information, presence of intra- or postsurgical complications, and visual and refractive outcomes one month after surgery. Results. In 2017, 2714 eyes of 1543 patients underwent cataract surgery in our center. Mean patient age was 70.42 years. 775 eyes (28.55%) had prior ophthalmic pathologies, and 113 eyes (4.16%) had undergone previous surgical procedures. Surgical complications developed in 35 eyes (1.29%), including 9 posterior capsule tears (0.33%) and 3 cases of dropped lens fragments (0.11%). A toric or multifocal intraocular lens was implanted in 45.6% of eyes. As regards postoperative complications, 59 eyes (2.17%) required a return to the operating theater, including 29 eyes (1.07%) requiring reinterventions due to an unexpected refractive result. There were no cases of endophthalmitis. Mean LogMAR-corrected distance visual acuity (CDVA) improved from 0.25 (SD 0.34) preoperatively to 0.04 (SD 0.17) postoperatively; 86.5% of eyes achieved a CDVA ≤0.0, with 97.5% achieving ≤0.3. In 86.4% of eyes, the difference between target and residual spherical equivalent difference was of 0.50 D or lower; 88% of eyes had a spherical equivalent ±0.50 D. Conclusions. The visual and refractive outcomes of cataract surgery in a private practice setting were excellent, well over the benchmarks set by the ESCRS. The safety profile was also within expected standards. This study provides information for ophthalmologists in private practice on expected outcomes.

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Systematic Overview on Secondary Intraocular Lenses

Muth¹,

Mayer²

2023

Cataract and Lens Surgery

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The Malaysian Cataract Surgery Registry: risk Indicators for posterior capsular rupture

Abstract: ABSTRACT

Cited by 32 publications

References 16 publications

Incidence and characteristics of cataract surgery in South Korea from 2011 to 2015: A nationwide population‐based study

Incidence and characteristics of cataract surgery in South Korea from 2011 to 2015: A nationwide population‐based study

Visual and Refractive Outcomes of Cataract Surgeries Performed in One Year in a Private Practice Setting: Review of 2714 Procedures

Systematic Overview on Secondary Intraocular Lenses

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