scholarly journals Profile of intraoperative complications in cataract surgery SEHEDS: Sitapur eye hospital eye disease study

2020 ◽  
Vol 8 (1) ◽  
pp. 318
Author(s):  
Nikita Jaiswal ◽  
Rahul Bhardwaj ◽  
Vijay Pratap Singh Tomar ◽  
Sandeep Sharma ◽  
Niraj Kapoor ◽  
...  
Keyword(s):  
Cataract Surgery ◽  
Intraoperative Complications ◽  
Major Complication ◽  
Eye Disease ◽  
Small Incision Cataract Surgery ◽  
The Past ◽  
Yearly Incidence ◽  
Operative Complications ◽  
Disease Study ◽  
Age Range

Background: Over the past several decades there have been many advances in the equipment, instrumentation and techniques of performing cataract surgery. This article will address the profile of intraoperative complications in cataract surgery.Methods: In this retrospective study all cataract procedures performed (n=18775) during the two years period (i.e. 2017 and 2018) were analysed and total 1401 (7.46%) valid cases (those having complications) were seen with 686 (49.0%) and 715 (51.0%) cases in the year 2017 and 2018 respectively. The age, gender, and side of the eye operated on were noted. The yearly incidence of the profile of complications was analysed. Results: Out of the total 1401 cases of eventful cataract surgery majority of the cases were of the age range of 51-70 years 1140 (6.07%) males were slightly higher in number i.e. 710 (3.78%) whereas females were 691 (3.68%), right eye was majorly operated for cataract i.e. 760 (4.05%). Manual small incision cataract surgery (MSICS) was done in the majority of the patients followed by phaco. The patients faced the complications due to cataract surgery in which posterior capsular rent- vitreous disturbance was the major complication occurred in majority of the patients 965 (5.15%).  Conclusions: Patients who underwent eventful cataract surgery the most common intra-operative complications which were mainly posterior capsular rent- with vitreous disturbance and iridodialysis. Patients with higher risk factor should be identified and appropriate measures must be taken to minimize intraoperative complications to get better visual outcomes.

scholarly journals Intraoperative Complications of High Volume Sutureless Cataract Surgery in Nepal: A Prospective Study

2015 ◽  
Vol 12 (3) ◽  
pp. 194-197 ◽  
Author(s):  
B Limbo ◽  
HC Jha
Keyword(s):  
Developing Countries ◽  
Visual Acuity ◽  
Prospective Study ◽  
Cataract Surgery ◽  
Intraoperative Complications ◽  
High Volume ◽  
Vision 2020 ◽  
Small Incision Cataract Surgery ◽  
Uncorrected Visual Acuity ◽  
Operative Complications

BackgroundWith high backlog of cataract blindness in the developing countries sutureless high volume cataract surgery is preferred surgical technique.ObjectiveTo report the intraoperative complications of high volume sutureless cataract surgery at secondary level eye care centre of Nepal.MethodThis prospective study consisting 1087 eyes that underwent manual small incision cataract surgery from 2nd to 28th December 2007 at Shree Janaki Eye Hospital, Janakpur, Nepal and operated by a single eye surgeon. Preoperative and postoperative ocular findings together with intraoperative complications were carefully noted in every individual case. At post operative day one each patient was examined including uncorrected visual acuity and post operative complications which were subsequently recorded in Performa. Data were analysed using SPSS 11.5.ResultSixty-three eyes (5.8%) of 1087 eyes developed intraoperative complications. Out of 63 eyes that had intra operative complications, posterior capsular rupture were seen in 42 (3.9%), sclera corneal tunnel suturing in 12 eyes (1.1%), iridodialysis 5 eyes (0.5%) and Descemet stripping in 4 eyes (0.4%). 62.1% of patients attained uncorrected visual acuity 6/18 or better and in 91.7% of eyes, there were no post operative complications.ConclusionHigh volume suture less cataract surgery is safe surgery and should be continue in developing countries to achieve the goal of vision 2020, where there is huge backlog of cataract blindness.Kathmandu University Medical Journal Vol.12(3) 2014; 194-197

STUDY OF INTRAOPERATIVE COMPLICATIONS IN PATIENTS UNDERGOING SMALL INCISION CATARACT SURGERY AT A TERTIARY CARE CENTRE: A DESCRIPTIVE STUDY

2021 ◽  
pp. 73-76
Author(s):  
Uday S. Mohite ◽  
Aayushi Anil Agrawal
Keyword(s):  
Cataract Surgery ◽  
Intraoperative Complications ◽  
Tertiary Care ◽  
Age Group ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Small Incision Cataract Surgery ◽  
Female Ratio ◽  
Small Incision ◽  
Operative Complications

Background: In India,Cataract is the leading cause of avoidable blindness.2 and cataract surgery forms the major workload of most ophthalmic units in the country. An estimated 4 million people become blind because of cataract every year,3 which is added to a backlog of 10 million operable cataracts in India, whereas only 5 million cataract surgeries are performed annually in the country.4 Thus, a technique of cataract surgery that is not only safe and effective but also economical and easy for the majority of ophthalmologists. It is estimated that about 25% of poor outcomes of cataract operations performed in developing countries annually are due to surgical complications.19 Minimizing intraoperative complications of cataract surgery is an important step towards eliminating visual impairment caused by such complications. Aim & Objective:1. To study intra-operative complications of manual small incision cataract surgery. 2. To study the visual outcome in patients of intra-operative complications following its management. Methods: Prospective cross sectional study, Study setting: Ophthalmology Department of tertiary care centre Study Duration: 2 years (October 2018 to December 2020).Study population: All patients with cataract requiring surgery admitted in tertiary care center Sample Size: 700 Results: Majority of study subjects belongs to age group 41 -40 years contributing 511 cases (73%) followed by age group 65 yrs and more 133 (19%),16-40 age group 35 (5%) and 15 years or less 21 (3%) respectively. males contributing 390 cases (55.71%) followed by females 310 cases (44.29%).Male: Female ratio is 1.25: 1. preoperative visual acuity in operated eye is in the range of < 3 /60 - Perception to light (PLPR) in majority of subjects contributing 497 cases (71%) followed by 161 cases (23%) in between < 6/ 60 - 3 /60 group, 35 cases (5%) in < 6 /18 to 6 /60 group and 7 cases (1 %) in 6 /18 or better group respectively. most common intraoperative complication was posterior capsular rent contributing 19 cases (2.71%) followed by iris prolapse 14 cases (2%), premature entry 10(1.43%), Descemet's membrane stripping 10 (1.43%), intraoperative hyphaema 8 (1.14%), capsular extension in 7 cases(1%) Iridodialysis in 5 (0.71%) and zonular dialysis in 5(0.57%) respectively Conclusions: Rate of complication was higher in hypermature type of cataract .There was no statistical signicant association between age and intraoperative complications.

scholarly journals Risk of Advanced Age-Related Macular Degeneration after Cataract Surgery in the Age-Related Eye Disease Study

Ophthalmology ◽  
2009 ◽  
Vol 116 (2) ◽  
pp. 297-303 ◽  
Author(s):  
Emily Y. Chew ◽  
Robert D. Sperduto ◽  
Roy C. Milton ◽  
Traci E. Clemons ◽  
Gary R. Gensler ◽  
...  
Keyword(s):  
Cataract Surgery ◽  
Macular Degeneration ◽  
Age Related Macular Degeneration ◽  
Advanced Age ◽  
Eye Disease ◽  
Age Related ◽  
Disease Study

Percutaneous Placement of Ventriculoatrial Shunts: Four-Year Case Experience

Neurosurgery ◽  
1986 ◽  
Vol 18 (3) ◽  
pp. 348-349 ◽  
Author(s):  
Mark Carol ◽  
Walker Robinson ◽  
Bruce S. Harris
Keyword(s):  
Operative Time ◽  
Intraoperative Complications ◽  
Venous Access ◽  
The Past ◽  
Atrial Catheter ◽  
Adolescents And Adults ◽  
Sheath Introducer ◽  
Average Operative Time ◽  
Age Range

Abstract During the past 4 years, we have used percutaneous placement of the atrial catheter in 39 patients who have undergone ventriculoatrial shunting. The age range of our patients has been from 9 to 74 years of age, with routine indications existing. Both subclavian and internal jugular venous access have been utilized, with the latter being our preferred route of access for reasons of safety. Average operative time has been approximately 35 to 40 minutes. Both traditional and split-sheath introducer catheters have been used. Patient follow-up has been up to 4 years. Intraoperative complications have been limited to puncture of the carotid artery on two occasions; neither affected the ultimate performance of the procedure. Postoperative complications have been limited to those peculiar to shunt procedures in general and have required revision in four instances. One patient suffered an infection secondary to shunting. The benefits of this procedure seem to include safety, decreased operative site exposure, and decreased operative time, all factors that may contribute to a lower than normal infection rate and may warrant consideration of this procedure in adolescents and adults for whom ventriculoatrial shunting is indicated.

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