scholarly journals Intra-operative and Immediate Post-operative Complications in a High Volume Cataract Surgery Center

2020 ◽  
Vol 36 (4) ◽  
Author(s):  
Muhammad Ali Haider ◽  
Uzma Sattar ◽  
Muhammad Amjad
Keyword(s):  
Cataract Surgery ◽  
Anterior Chamber ◽  
Tertiary Care ◽  
Corneal Edema ◽  
High Volume ◽  
Ocular Lens ◽  
Operative Complications ◽  
Quasi Experimental ◽  
Capsular Rupture ◽  
Post Operative Complications

Purpose:  To find out the frequency of complications in a high volume phacoemulsification set up at a tertiary care eye hospital in Lahore. Study Design:  Quasi experimental study. Place and Duration of Study:  Al-Ehsan Eye Hospital, Lahore, from July 2017 to June 2019. Methods:  Surgical outcomes of 6902 patients who had undergone phacoemulsification were included. Patients were excluded if they had ocular infections, lid margin diseases, adnexal diseases, those requiring a secondary anterior chamber surgery and those unfit for the procedure due to medical grounds. Every patient underwent a detailed history and complete clinical examination. All patients underwent the standard phacoemulsification technique and at the end of each surgery, subconjunctival injections of dexamethasone and gentamycin were given to the patients. Complications encountered during high volume cataract surgery were recorded and their percentages were calculated. Results:  A total of 6902 patients underwent cataract surgery with 2.66% intra-operative and 6.94% immediate post-operative complications. The most common intra-operative complication was posterior capsular rupture (1.15%).  In patients with capsular rupture the intra ocular lens was implanted within the sulcus in 61 cases (0.88%) while in 12 cases (0.17%) anterior chamber lens was implanted because of lack of capsular support. During the surgery intra ocular lens could not be implanted in 7 cases (0.10%) and they were left aphakic. The commonest immediate post-operative adverse outcome was corneal edema with striate keratopathy and decements folds in 197 cases (2.85%). Conclusion:  High volume cataract surgery using appropriate techniques and sterilization does not compromise the quality of outcomes. Key Words:  Cataract, Phacoemulsification, Vitreous loss.

scholarly journals Continuous Curvilinear Capsulorhexis in Cataract Surgery Using a Modified 3-Bend Cystotome

2015 ◽  
Vol 2015 ◽  
pp. 1-5
Author(s):  
Yuan Zeng ◽  
Jian-hua Gao
Keyword(s):  
Cataract Surgery ◽  
Anterior Chamber ◽  
Intraocular Lens ◽  
Completion Time ◽  
Anterior Chamber Depth ◽  
Corneal Edema ◽  
Group A ◽  
Capsular Rupture ◽  
Phacoemulsification Cataract Surgery ◽  
Capsular Bag

We modified a 2-bend cystotome for continuous curvilinear capsulorhexis (CCC) in manual or phacoemulsification cataract surgery to improve the safety and ease of performance. A 26G needle was converted into a cystotome with 3 bends. In this retrospective study, the performance of modified 3-bend cystotome was compared with conventional 2-bend cystotome. During cataract surgery, in the 3-bend cystotome group, mean completion time of CCC was shorter, mean times of viscoelastic agent supplement were less, and CCC success rate was higher than that in 2-bend group. Complication incidence, such as postoperative transient corneal edema and irreparable V-shaped tear, was also lower in 3-bend group. No posterior capsular rupture or no other complication was observed in either group. A polymethyl methacrylate intraocular lens or a hydrogel intraocular lens was implanted in the capsular bag in all eyes. We conclude that it is safe and efficient to accomplish a CCC using the 3-bend cystotome due to its ability to sustain the anterior chamber depth (ACD) and keep the posterior lip intact. Using the 3-bend cystotome also allowed for an adequate view into the anterior chamber from lack of wound deformation.

scholarly journals Study of Outcome of High Volume Manual Small Incision Cataract Surgery and Complications in Garhwal Himalayan Region

2019 ◽  
pp. 1-7
Author(s):  
Achyut N. Pandey ◽  
Manoj Tyagi
Keyword(s):  
Cataract Surgery ◽  
High Volume ◽  
T Test ◽  
Himalayan Region ◽  
P Value ◽  
Care Hospital ◽  
Small Incision ◽  
Operative Complications ◽  
Low Volume ◽  
Post Operative Complications

Aim of the Study: To compare High Volume with Low Volume Cataract Surgery Outcomes in a tertiary eye care hospital in Garhwal Himalayan Region, over a 30-day period, in terms of Quality as gauged in terms of Intra-operative complications and their management and Post-operative complications and their management (on day 1 and day 30). Materials and Methods: A prospective, randomized, observational study conducted on 300 eyes of 300 patients at a tertiary hospital, total duration of 4 months was taken for data collection. Patients were divided into 2 groups: A) those coming in the low volume season (summer months) and B) those coming in the high volume season (winter months). Normal standard protocols were followed pre/per/post operatively. Results: Intra-operative complications between the two months (settings) by independent t-test the p value was 1.00 which was not statistically significant (mean of complication: August=0.86+1.83; December=0.86 + 1.29). 1 month post-operative complications between the two months (settings) by independent t-test the p value was 0.56 which was not statistically significant (mean of complication: August=0.09 + 0.30; December=0.18 + 0.4). Conclusion: Intra-operative, post-operative complications on 1st day and at one month follow up, High Volume Cataract Surgery (greaterthan 40 Manual Small Incision Cataract surgeries) does not affect the quality when compared with Low Volume Cataract Surgery over a 30-days period in a tertiary institute in Central India.

Postoperative Complications after Phacoemulsification and Implantation of Foldable Acrylic Intraocular Lenses in Dogs

2021 ◽  
Author(s):  
Babita Das ◽  
Apra Shahi ◽  
Vishnu Pratap Chandrapuria ◽  
Shobha Jawre ◽  
Madhu Swamy ◽  
...  
Keyword(s):  
Postoperative Complications ◽  
Cataract Surgery ◽  
Postoperative Complication ◽  
Corneal Opacity ◽  
Intraocular Lenses ◽  
Major Postoperative Complication ◽  
Ophthalmic Pathology ◽  
Cataractous Lens ◽  
Operative Complications ◽  
Post Operative Complications

Background: Despite significant advances in canine cataract surgery over the years, many post-operative complications persist and reduces the success rate of phacoemulsification procedure. The aim of current study was to evaluate post-operative complications encountered till 90 days after bimanual phacoemulsification with implantation of different acrylic Intraocular Lenses.Methods: The study was conducted on 24 canine eyes. All the clinical cases were subjected to detailed ocular, ultrasonography and neuro-ophthalmic tests for ascertaining cataract and associated neuro-ophthalmic pathology. Dogs were divided in four groups with 6 eyes in each group and subjected to phacoemulsification procedure for removal of cataractous lens and implanted with square edge or round edge hydrophilic or hydrophobicintra ocular lenses.Result: Statistically non-significant (p£0.05) variations were found for all the post- operative complications among the groups. Within the groups initially higher values were recorded and on subsequent days a declining trend of varying degrees were observed. The corneal opacity was a major postoperative complication leading to failure to achieve vision with other coinciding neuro-ophthalmic conditions.

scholarly journals The Anterior Chamber Injection of Moxifloxacin Injection to Prevent Endophthalmitis after Cataract Surgery: A Meta-analysis

2020 ◽  
Vol 2020 ◽  
pp. 1-8 ◽  
Author(s):  
Xiao-lei Wang ◽  
Xiao-yong Huang ◽  
Zhen Wang ◽  
Wei Sun
Keyword(s):  
Cataract Surgery ◽  
Anterior Chamber ◽  
Meta Analysis ◽  
Corneal Edema ◽  
Intraventricular Injection ◽  
Cochrane Library ◽  
Study Selection ◽  
Computer Based ◽  
The Difference ◽  
The Cochrane Library

Purpose. A meta-analysis was performed to compare the efficacy of an anterior chamber injection of moxifloxacin in the prevention of endophthalmitis after cataract surgery. Methods. A computer-based search of PubMed, Embase, the Cochrane Library, and the Clinical Trial database for articles related to anterior intraventricular injection of moxifloxacin for the prevention of endophthalmitis after cataract surgery was performed through April 2019. Study selection, data exclusion, and quality assessment were performed by two independent observers. Statistical analysis for the meta-analysis was performed by RevMan5.3 software. Results. Eight studies were included, with a total of 123,819 eyes. The meta-analysis showed that an anterior chamber injection of moxifloxacin can prevent the incidence of endophthalmitis after cataract surgery (OR = 0.29, 95% CI (0.15, 0.56), P=0.0002), and the difference was statistically significant. There were no significant differences between the moxifloxacin injection and nonmoxifloxacin injection groups in regard to UCVA (log MAR) (SMD = −0.13, 95% CI (−0.62, 0.35), P=0.60), BCVA (log MAR) (SMD = −0.27, 95% CI (−1.28, 0.74), P=0.60), IOP (SMD = −0.04, 95% CI (−0.02, 0.01), P=0.22), corneal edema (OR = 1.03, 95% CI (0.23, 4.69), P=0.97), CCT (SMD = −0.01, 95% CI (−0.07, 0.05), P=0.77), or ECD (SMD = 0.00, 95% CI (−0.06, 0.07), P=0.94). Conclusion. An anterior chamber injection of moxifloxacin can effectively prevent the incidence of endophthalmitis after cataract surgery, while the moxifloxacin injection and nonmoxifloxacin injection groups had similar results in regard to UCVA (log MAR), BCVA (log MAR), IOP, corneal edema, CCT, and ECD.

Evaluation of the use of a nurse-administered telephone questionnaire for post-operative cataract surgery review

2014 ◽  
Vol 27 (4) ◽  
pp. 347-354 ◽  
Author(s):  
Petrina Tan ◽  
Fong Yee Foo ◽  
Stephen C. Teoh ◽  
Hon Tym Wong
Keyword(s):  
Cataract Surgery ◽  
General Condition ◽  
Telephone Survey ◽  
Content Type ◽  
Intra Ocular Pressure ◽  
Eye Pain ◽  
Patient Reported ◽  
Operative Complications ◽  
Ocular Pressure ◽  
Post Operative Complications

Purpose – The purpose of this paper is to determine the safety of substituting the first day post-operative review after routine cataract surgery (phacoemulsification) with a telephone survey. Design/methodology/approach – Prospective non-randomised cohort study. A standardised questionnaire of five common ocular symptoms (general condition, vision, eye pain, headache, nausea or vomiting) was administered by a trained nurse on the first post-operative day. The patients were reviewed in clinic two to 14 days later. Patient charts were retrospectively reviewed for complications (endophthalmitis, raised intra-ocular pressure, wound leaks and uveitis) requiring deviation from standard treatment. Findings – Over 13 months, 256 eyes of 238 patients underwent uncomplicated phacoemulsification by four consultant surgeons. Only one patient reported poor general condition, blurred vision and eye pain. She was subsequently found to have corneal oedema and raised intra-ocular pressure when recalled for an earlier review. Best corrected visual acuity better than 20/40 was achieved in 80.5 per cent of patients. There were no other post-operative complications noted from medical records review. Research limitations/implications – Non-randomised nature, skewed surgical expertise, lack of a control group and patient experience data. In all, 22 patients (9.2 per cent) were also uncontactable for the telephone interview. Practical implications – A nurse-administered telephone survey seemed to be a safe and effective alternative to first day post-operative review after routine phacoemulsification. The survey also enabled the detection of serious post-operative complications. The first day post-operative hospital visit may be safely substituted in a selected patient population with greater patient convenience achieved and liberation of clinic resources. Originality/value – This is the first study which utilises a standardised questionnaire as a form of post-operative review in an Asian population.

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