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Factors associated with complications and postoperative visual outcomes of cataract surgery; A study of 1,632 cases

Purpose: Cataract surgery is the most common intraocular surgery performed all over the world and has advanced technically in recent years. As in all surgeries, complications are unavoidable. Herein we report factors associated with complications and visual outcomes of cataract surgery. Methods:...

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Main Authors: Thevi, Thanigasalam, Rafdzah, Ahmad Zaki, Sagili Chandrashekara, Reddy
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2015
Subjects:
R Medicine (General)
Online Access:http://eprints.unisza.edu.my/7068/1/FH02-FP-16-05469.jpg
http://eprints.unisza.edu.my/7068/
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spelling my-unisza-ir.70682022-09-13T04:52:12Z http://eprints.unisza.edu.my/7068/ Factors associated with complications and postoperative visual outcomes of cataract surgery; A study of 1,632 cases Thevi, Thanigasalam Rafdzah, Ahmad Zaki Sagili Chandrashekara, Reddy R Medicine (General) Purpose: Cataract surgery is the most common intraocular surgery performed all over the world and has advanced technically in recent years. As in all surgeries, complications are unavoidable. Herein we report factors associated with complications and visual outcomes of cataract surgery. Methods: This retrospective cohort study included data of 1,632 cataract surgeries performed from 2007 to 2010 which was obtained from the cataract registry of the Malaysian National Eye Database. Demographic features, ocular and systemic comorbidites, grade of surgeon expertise and duration of surgery, type of anesthesia, intraoperative and postoperative complications, and the type of intraocular lens were recorded. Best corrected visual acuities were compared before and after the operation. Results: Mean patient age was 66.9 years with equal gender distribution. The majority of subjects had age related cataracts. Phacoemulsification was done faster than other surgeries, especially by specialist surgeons. History of prior ocular surgery and operations performed under general anesthesia were associated with greater complications. Phacoemulsification was associated with less complications and better visual outcomes. The age and etiology of cataract did not affect complications. Malays, absence of ocular comorbidities, left eyes and eyes operated under local anesthesia were more likely to experience more visual improvement. Gender, age, cause of cataract, systemic comorbidities and surgeon expertise as well as intra and postoperative complications did not affect the visual outcomes. Conclusion: Phacoemulsification had good visual outcomes in cataract surgery. Duration of surgery, expertise of the surgeon and complications did not affect the visual outcomes. Wolters Kluwer Medknow Publications 2015-10 Article PeerReviewed image en http://eprints.unisza.edu.my/7068/1/FH02-FP-16-05469.jpg Thevi, Thanigasalam and Rafdzah, Ahmad Zaki and Sagili Chandrashekara, Reddy (2015) Factors associated with complications and postoperative visual outcomes of cataract surgery; A study of 1,632 cases. Journal of Ophthalmic and Vision Research, 10 (4). pp. 375-384. ISSN 20082010
institution Universiti Sultan Zainal Abidin
building UNISZA Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Sultan Zainal Abidin
content_source UNISZA Institutional Repository
url_provider https://eprints.unisza.edu.my/
language English
topic R Medicine (General)
spellingShingle R Medicine (General)
Thevi, Thanigasalam
Rafdzah, Ahmad Zaki
Sagili Chandrashekara, Reddy
Factors associated with complications and postoperative visual outcomes of cataract surgery; A study of 1,632 cases
description Purpose: Cataract surgery is the most common intraocular surgery performed all over the world and has advanced technically in recent years. As in all surgeries, complications are unavoidable. Herein we report factors associated with complications and visual outcomes of cataract surgery. Methods: This retrospective cohort study included data of 1,632 cataract surgeries performed from 2007 to 2010 which was obtained from the cataract registry of the Malaysian National Eye Database. Demographic features, ocular and systemic comorbidites, grade of surgeon expertise and duration of surgery, type of anesthesia, intraoperative and postoperative complications, and the type of intraocular lens were recorded. Best corrected visual acuities were compared before and after the operation. Results: Mean patient age was 66.9 years with equal gender distribution. The majority of subjects had age related cataracts. Phacoemulsification was done faster than other surgeries, especially by specialist surgeons. History of prior ocular surgery and operations performed under general anesthesia were associated with greater complications. Phacoemulsification was associated with less complications and better visual outcomes. The age and etiology of cataract did not affect complications. Malays, absence of ocular comorbidities, left eyes and eyes operated under local anesthesia were more likely to experience more visual improvement. Gender, age, cause of cataract, systemic comorbidities and surgeon expertise as well as intra and postoperative complications did not affect the visual outcomes. Conclusion: Phacoemulsification had good visual outcomes in cataract surgery. Duration of surgery, expertise of the surgeon and complications did not affect the visual outcomes.
format Article
author Thevi, Thanigasalam
Rafdzah, Ahmad Zaki
Sagili Chandrashekara, Reddy
author_facet Thevi, Thanigasalam
Rafdzah, Ahmad Zaki
Sagili Chandrashekara, Reddy
author_sort Thevi, Thanigasalam
title Factors associated with complications and postoperative visual outcomes of cataract surgery; A study of 1,632 cases
title_short Factors associated with complications and postoperative visual outcomes of cataract surgery; A study of 1,632 cases
title_full Factors associated with complications and postoperative visual outcomes of cataract surgery; A study of 1,632 cases
title_fullStr Factors associated with complications and postoperative visual outcomes of cataract surgery; A study of 1,632 cases
title_full_unstemmed Factors associated with complications and postoperative visual outcomes of cataract surgery; A study of 1,632 cases
title_sort factors associated with complications and postoperative visual outcomes of cataract surgery; a study of 1,632 cases
publisher Wolters Kluwer Medknow Publications
publishDate 2015
url http://eprints.unisza.edu.my/7068/1/FH02-FP-16-05469.jpg
http://eprints.unisza.edu.my/7068/
_version_ 1744358579906805760
score 13.211869

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