A system for preoperative stratification of cataract patients according to risk of intraoperative complications: a prospective analysis of 1441 cases

The British Journal of Ophthalmology
M MuhtasebA Ionides

Abstract

To devise a simple, robust scoring system for assessing the risk of intraoperative complications in patients undergoing cataract surgery. 1441 consecutive patients undergoing phacoemulsification cataract surgery were assessed preoperatively according to weighted criteria. According to the points of risk they accumulated using this system, the patients were preoperatively allocated to one of four risk groups. Data were prospectively collected on the occurrence of intraoperative complications and entered into a computerised database. The total rate of intraoperative complications for each risk group as well as the rate of each reported complication for each risk group were calculated. The rate of intraoperative complications increased in frequency through the risk groups: 1 = 4.32%, 2 = 7.45%, 3 = 13.48%, and 4 = 32.00% (p<0.001). Furthermore, the following complications also increased in frequency through the risk groups in their own right (p<0.05 in each case): posterior capsule rupture, vitreous loss, incomplete capsulorrhexis, zonule dehiscence, wound burn/leak, and lost nuclear fragment into vitreous cavity. These results suggest that candidates for cataract surgery can be simply and uniformly assessed preoperatively and cat...Continue Reading

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Citations

Apr 11, 2008·International Ophthalmology·Ali A MearzaSimon Horgan
Jul 7, 2005·Eye·S P Kelly, N J Astbury
Aug 11, 2006·The British Journal of Ophthalmology·S J RobbieA Ionides
Dec 3, 2005·BMJ : British Medical Journal·Catherine GulyKeith Bates
Apr 22, 2006·BMC Ophthalmology·Ioannis MavrikakisChristopher S C Liu
Aug 12, 2009·Clinical Ophthalmology·Guadalupe Cervantes-CosteCecilio Velasco-Barona
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Oct 1, 2013·Aging Clinical and Experimental Research·Ali Riza Cenk Celebi
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Nov 28, 2012·Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Für Klinische Und Experimentelle Ophthalmologie·Gian Maria CavalliniMatteo Forlini
Apr 7, 2016·Journal of Ophthalmic & Vision Research·Zhaleh RajaviKourosh Sheibani
Oct 3, 2013·Ophthalmology·Robin G AbellBrendan J Vote
Jul 23, 2013·Journal of Cataract and Refractive Surgery·Hassan HashemiHadi Ghadimi
May 4, 2012·Ophthalmology·Gianluca Carifi
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