Journal
OPHTHALMIC EPIDEMIOLOGY
Volume 30, Issue 2, Pages 173-178Publisher
TAYLOR & FRANCIS INC
DOI: 10.1080/09286586.2022.2063338
Keywords
Cataract surgery duration; post-operative outcomes; visual acuity; Nd; YAG capsulotomy; post-operative inflammation; cystoid macular edema; corneal edema
Categories
Ask authors/readers for more resources
The study aimed to investigate the relationship between surgical duration and post-operative outcomes in patients undergoing simple cataract surgery. The results showed that long surgeries were associated with an increased need for Nd:YAG capsulotomy and poorer post-operative visual acuity. However, there was no association between prolonged postoperative inflammation and long surgeries.
Purpose To describe the relationship between surgical duration and post-operative outcomes in patients undergoing simple cataract surgery. Methods This was a retrospective cohort study using data from the University of Colorado Department of Ophthalmology Cataract Outcomes Database. We studied eyes which underwent uncomplicated and non-complex cataract extraction via phacoemulsification between January 1, 2014 and December 31, 2018. Surgery duration was defined as long when greater than one standard deviation above the mean surgery time for a given surgeon. Post-operative variables were collected and outcomes were compared between the long surgery group and the non-long surgery group in univariate and multivariate analysis. Results A total of 5839 eyes met criteria, of which 768 (13.2%) were classified as long surgeries. Multivariable analysis showed no association between prolonged postoperative inflammation and long surgeries (odds ratio [OR] 1.10, 95% Confidence Interval [CI] 0.64-1.91, p = .720). Long surgeries were associated with increased need for Nd:YAG capsulotomy (OR 1.42, 95% CI 1.10-1.82, p = .006). Post-operative day 1 visual acuity was poorer in the long surgery group (logMAR difference 0.03, 95% CI 0.01-0.06, p = .018) as was best-corrected visual acuity at post-operative month 1 through 3 (logMAR difference 0.02, 95% CI 0.01-0.04, p = .009). Conclusion It may be beneficial for patients who have undergone long cataract surgery to be counseled on a slower visual recovery and on the greater likelihood of posterior capsular opacification. However, most outcomes of non-complex, non-complicated surgeries more than one standard deviation above the mean surgery length can be expected to be similar to surgeries of shorter length.
Authors
I am an author on this paper
Click your name to claim this paper and add it to your profile.
Reviews
Recommended
No Data Available