Evidence-based Approach in Cataract Surgery

2004 ◽  
Author(s):  
Jay Bhopi
Keyword(s):  
Cataract Surgery ◽  
Evidence Based

scholarly journals Cataract surgery practice patterns worldwide: a survey

2021 ◽  
Vol 6 (1) ◽  
pp. e000464
Author(s):  
Tommaso Rossi ◽  
Mario R Romano ◽  
Danilo Iannetta ◽  
Vito Romano ◽  
Luca Gualdi ◽  
...  
Keyword(s):  
Cataract Surgery ◽  
Practice Patterns ◽  
Scientific Evidence ◽  
Public Hospitals ◽  
P Value ◽  
Evidence Based ◽  
Surgical Volume ◽  
Significant Difference ◽  
Type Of Institution ◽  
Surgical Setting

ObjectiveTo report the results of a global survey on cataract practice patterns related to preoperative, intraoperative and postoperative care, surgical setting and personnel allocation.Methods and analysisAn online 28 questions survey was sent to 240 ophthalmologists asking to describe prevailing trends in their institutions across 38 countries and 5 continents. Questions inquired country, institution, surgical volume and setting, anaesthesia, preoperative and intraoperative examination and postsurgical care. Statistical analysis used crosstabs lambda statistics for non-parametric nominal variables. P value less than 0.05 was considered statistically significant.Results209/240 (87%) ophthalmologists responded: 38% representing public hospitals, 36% private practices and 26% academic sites; overall surgical volume was between 241 700 and 410 500 cataracts per year. There was a significant correlation between type of institution and surgical volume. Complete results available in online (https://freeonlinesurveys.com/r/W6BcLLxy).ConclusionCataract surgery related patterns of perioperative care showed significant difference among respondents, regardless to type of institution, surgical volume and country. Many evidence-based procedures are unevenly practiced around the world and some widespread and expensive habits lack solid scientific evidence while consuming enormous amount of resources both monetary and human. There is a need to reach consensus and share evidence-based practice patterns.

scholarly journals Incidence and Impact of Reported Infectious Endophthalmitis Events Following Cataract Surgery in Pennsylvania Ambulatory Surgery Centers

2019 ◽  
pp. 30-39
Author(s):  
Lynette Hathaway ◽  
Shawn Kepner ◽  
Rebecca Jones
Keyword(s):  
Cataract Surgery ◽  
Infection Prevention ◽  
Reporting System ◽  
Ambulatory Surgery ◽  
Evidence Based ◽  
Healthcare Staff ◽  
Ambulatory Surgery Centers ◽  
Safety Reporting ◽  
Eye Infection ◽  
Infectious Endophthalmitis

Infectious endophthalmitis is a severe eye infection that can occur following cataract surgery. In this study, we sought to explore post-cataract infectious endophthalmitis events reported by ambulatory surgery centers (ASCs) in Pennsylvania. We queried the Pennsylvania Patient Safety Reporting System (PA-PSRS) database for post-cataract endophthalmitis events that occurred between 2009 and 2018. In the 10 calendar years analyzed, we identified 174 reports of post-cataract endophthalmitis, with rates per 1000 cataract procedures ranging from 0.05 in 2009 to 0.19 in 2018. The vast majority of these events were classified as serious (93%; n = 162 of 174), reflecting harm to patients, with one resulting in enucleation (the need to remove the affected eye). Healthcare staff and all involved stakeholders should act now by identifying sources of potential perioperative contamination, adhering to evidence-based infection prevention practices, and prioritizing areas of opportunity for improvement.

scholarly journals Immediate Sequential Bilateral Cataract Surgery: A Systematic Review and Meta-Analysis

2015 ◽  
Vol 2015 ◽  
pp. 1-11 ◽  
Author(s):  
Line Kessel ◽  
Jens Andresen ◽  
Ditte Erngaard ◽  
Per Flesner ◽  
Britta Tendal ◽  
...  
Keyword(s):  
Systematic Review ◽  
Cataract Surgery ◽  
Meta Analysis ◽  
Cochrane Review ◽  
Visual Outcome ◽  
Evidence Based ◽  
Bilateral Cataract ◽  
Grade Method ◽  
Meta Analyses

The aim of the present systematic review was to examine the benefits and harms associated with immediate sequential bilateral cataract surgery (ISBCS) with specific emphasis on the rate of complications, postoperative anisometropia, and subjective visual function in order to formulate evidence-based national Danish guidelines for cataract surgery. A systematic literature review in PubMed, Embase, and Cochrane central databases identified three randomized controlled trials that compared outcome in patients randomized to ISBCS or bilateral cataract surgery on two different dates. Meta-analyses were performed using the Cochrane Review Manager software. The quality of the evidence was assessed using the GRADE method (Grading of Recommendation, Assessment, Development, and Evaluation). We did not find any difference in the risk of complications or visual outcome in patients randomized to ISBCS or surgery on two different dates. The quality of evidence was rated as low to very low. None of the studies reported the prevalence of postoperative anisometropia. In conclusion, we cannot provide evidence-based recommendations on the use of ISBCS due to the lack of high quality evidence. Therefore, the decision to perform ISBCS should be taken after careful discussion between the surgeon and the patient.

scholarly journals A Financial Evaluation of the Centralized Repackaging of Intracameral Moxifloxacin for Cataract Surgery and Its Impact on Cost Reduction

2018 ◽  
Vol 53 (5) ◽  
pp. 321-325 ◽  
Author(s):  
Alexander J. Radish ◽  
Chad Smith ◽  
Ann M. Parks ◽  
Anne Graff LaDisa
Keyword(s):  
Cataract Surgery ◽  
Cost Reduction ◽  
Cost Savings ◽  
Evidence Based ◽  
Significant Cost ◽  
Health Records ◽  
Sterile Technique ◽  
Validation Criteria ◽  
And Storage ◽  
States Pharmacopeia

Background: Extensive evidence-based literature supports the use of intracameral (IC) moxifloxacin for the prevention of postoperative endophthalmitis after cataract surgery. The Aurora Pharmacy Packaging Center (APPC) has developed a process for centrally preparing IC moxifloxacin. Purpose: The aim of this study was to evaluate the centralized preparation of IC moxifloxacin production for quality assurance and to quantify a potential reduction in costs. Methods: The APPC’s compounding procedure of IC moxifloxacin was evaluated using United States Pharmacopeia (USP) Convention 797 standard and compared with practices described in evidence-based literature. Patients who received IC moxifloxacin intraoperatively from one of 3 ophthalmologists during cataract surgery performed between February 15, 2016, and August 15, 2016, were identified using electronic health records. Cost savings were calculated by reviewing costs associated with drug supplies used by the APPC. Results: The APPC process for the centralized preparation of IC moxifloxacin was deemed compliant with USP 797’s sterile compounding standards. USP 797 validation criteria included proper sterile technique, equipment, room sterility and pressure, beyond use dating, and storage. Implementation of the centralized production of moxifloxacin reduced the direct product cost per surgery from $140 to $20 (a cost savings of $120 per surgery). There were 459 cataract surgeries analyzed during the study period, resulting in a savings of $55 080 over 6 months. Conclusion: The APPC’s centralized compounding procedure was found to be compliant with pharmacy compounding standards and to yield significant cost savings.

scholarly journals Cataract surgery and age‐related macular degeneration. An evidence‐based update

2015 ◽  
Vol 93 (7) ◽  
pp. 593-600 ◽  
Author(s):  
Line Kessel ◽  
Ditte Erngaard ◽  
Per Flesner ◽  
Jens Andresen ◽  
Britta Tendal ◽  
...  
Keyword(s):  
Cataract Surgery ◽  
Macular Degeneration ◽  
Age Related Macular Degeneration ◽  
Evidence Based ◽  
Age Related

scholarly journals Pengaruh konseling dengan pendekatan thinking, feeling dan acting (tfa) terhadap tekanan darah pasien pre operasi katarak

2018 ◽  
Vol 5 (2) ◽  
pp. 090-096
Author(s):  
Ani Widayati ◽  
Yeni Kartika Sari ◽  
Bisepta Prayogi
Keyword(s):  
Blood Pressure ◽  
Cataract Surgery ◽  
Evidence Based Practice ◽  
T Test ◽  
P Value ◽  
Test Design ◽  
Evidence Based ◽  
Paired Sample ◽  
Purposive Sampling ◽  
Post Test

Abstract: Anxiety is a nursing problem that requires nursing intervention. The phenomenon that occurs, often found preoperative patients experience anxiety without specific intervention from nurses to re- duce anxiety, resulting in an increase in blood pressure which can lead to delayed operation plan. This study aimed to determine the effectiveness of counseling of thinking, feeling and acting (TFA) approach to blood pressure in patients with pre-cataract surgery at the Central Surgical Installation of Kanjuruhan Hospital Malang Regency The design in this study was experimental with one group pre-test and post- test design, the sample was 16 people taken by purposive sampling technique. The data analysis used a paired sample T-Test statistical test. The results showed that there was an effect of counseling of the thinking, feeling and acting (TFA) approach to the patient’s blood pressure of pre cataract surgery, with p value = 0.000 <  (0.05). The effect of counseling with the approach of thinking, feeling and acting (TFA) to the patient’s blood pressure pre cataract surgery, was due to the TFA approach counseling, the Client was able to express his feelings correctly, had more rational thoughts, and prioritized useful actions so that anxiety could be reduced or even eliminated. Decreased and even lno anxiety could keep the patient’s blood pressure stable. This research was evidence based practice, to make standard oper- ating procedures (SOP) of counseling Keywords: Counseling, blood pressure, pre cataract surgery. Abstrak:Kecemasan merupakan salah satu masalah keperawatan yang memerlukan intervensi keperawatan. Fenomena yang terjadi, sering ditemukan pasien preoperasi mengalami kecemasan tanpa intervensi spesifik dari perawat untuk mengurangi kecemasannya, sehingga berakibat pada peningkatan tekanan darah yang bias mengakibatkan ditundanya rencana operasi. Penelitian ini bertujuan untuk mengetahui pengaruh konseling dengan pendekatan thinking, feeling dan acting (TFA) terhadap tekanan darah pasien pre operasi katarak di Instalasi Bedah Sentral RSUD Kanjuruhan Kabupaten Malang Desain dalam penelitian ini adalah eksperimental dengan one group pre-test and post-test design, menggunakan teknik purposive sampling, diperoleh sampel sebanyak 16 orang. Analisais data menggunakan uji statistik paired sample T- Test. Hasil penelitian menunjukkan ada pengaruh konseling dengan pendekatan thinking, feeling dan acting (TFA) terhadap tekanan darah pasien pre operasi katarak, dengan p value = 0, 000 <   (0,05). Adanya pengaruh konseling dengan pendekatan thinking, feeling dan acting (TFA) terhadap tekanan darah pasien pre operasi katarak, disebabkan karena Dalam konseling pendekatan TFA, Klien lebih mampu mengekspresikan perasaannya dengan benar, memiliki pemikiran yang lebih rasional, dan lebih mengutamakan tindakan yang bermanfaat sehingga kecemasan lebih dapat dikurangi bahkan dihilangkan. Kecemasan yang menurun bahkan hilang dapat mempertahankan tekanan darah pasien tetap stabil. Pene- litian ini sebagai evidence based practice, untuk membuat standar prosedur operasional (SOP) konseling Kata kunci: Konseling, tekanan darah, pre operasi katarak

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