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

Abstract

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.

Clinical Safety and Efficacy of a Preloaded Monofocal Hydrophobic Acrylic Intraocular Lens in a Real-world Population

“…The mean CDVA of all eyes in our study improved from 0.43 ± 0.43 logMAR pre-operatively, to 0.05 ± 0.11 logMAR post-operatively (p < 0.05). Again, this result is comparable to those in recent studies involving similar IOLs [11][12][13][14] . A marginally superior post-operative mean CDVA result has been reported in the EUREQUO 2018 annual report for Cataract and Refractive Surgery 15 .…”

“…Again, this result is comparable to those in recent studies involving similar IOLs[11][12][13][14] . A marginally superior post-operative mean CDVA result has been reported in the EUREQUO 2018 annual report for Cataract and Refractive Surgery 15 .However, the smaller percentage of eyes with concomitant ocular pathologies included in this report is a noteworthy factor.…”

Visual Outcomes After Phacoemulsification in Sanjiwani Hospital Gianyar, Bali, Indonesia

“…Previous studies in Africa, Nigeria, and India showed that the average age of patients was 60-65 years old [8]- [10]. Meanwhile, a study in Spain in 2017 had a similar average age of cataract patients with this study, which is 70 years old [11]. Postoperative visual acuity showed gradual improvements.…”

Comparison of Refractive Changes Following Pseudophakic Vitrectomy with or without Gas Tamponade

“…Advances in technical equipment, surgical procedures, and lens design have improved outcomes. However, reports declared that a postoperative spherical equivalent of ≤ 1.0 diopters can be achieved in 72%-95% of patients, and a spherical equivalent ≤ 0.5 diopters can be achieved in only 45%-80% of the patients (Hamoudi et al, 2013;Rementeria-Capelo et al, 2020). After cataract surgery, a vitrectomy may be required for rhegmatogenous RD, epiretinal membrane, macular hole, or vitreous hemorrhage (Jahn et al, 2001;Patterson et al, 2001;Qureshi and Steel, 2020).…”