Assessment of the duration of surgery and patient turnover after the incorporation of a standardized intracameral combination of mydriatics and anesthetics for cataract surgery.

Journal of Cataract and Refractive Surgery
Wassim Ben Hadj SalahMarc Labetoulle

Abstract

To evaluate changes in clinical outcomes, duration, and workflow of cataract surgery, before and after the introduction of a commercially available intracameral combination of 2 mydriatics (phenylephrine, tropicamide) and 1 anesthetic (lidocaine) (ICMA). Service d'Ophtalmologie, Hôpital Bicêtre, Université Paris Sud., Le Kremlin-Bicêtre, France. Retrospective chart review. Three series of patients who underwent cataract surgery were grouped according to when they had surgery: just before ICMA was approved (early 2016, Series I); just after implementation of ICMA as the standard procedure for surgery (late 2016, Series II); and 21 months after using ICMA routinely for surgery (2018, Series III). Data were collected on patient turnover during the day of surgery and surgical outcomes. The study population comprised of 51, 47, and 51 patients in Series I, II, and III respectively. There were no statistical differences between series in the mean change in corrected distance visual acuity from preoperatively to 1 month postoperatively and in complications (P > .05, all comparisons). The mean duration of surgery was significantly shorter in Series III and II, compared with Series I (13.18 ± 4.05 and 13.62 ± 5.26 vs 15.82 ± 6.01 minute...Continue Reading

References

Mar 5, 2002·Ophthalmology·Brandon G BusbeeSanjay Sharma
Oct 3, 2006·Health and Quality of Life Outcomes·Pirjo RäsänenRisto P Roine
Jul 4, 2013·Journal of Cataract and Refractive Surgery·Heidrun E GolloglyJay C Erie
Jan 7, 2014·Ophthalmology·Jay C Erie
Mar 11, 2015·Journal of Cataract and Refractive Surgery·Sloan W RushRyan B Rush
Nov 5, 2015·The British Journal of Ophthalmology·Marc LabetoulleUNKNOWN Intracameral Mydrane Study 2 Group
Mar 1, 2017·BMJ Quality Improvement Reports·Daniel FletcherJames Berstock
Sep 15, 2017·The British Journal of Ophthalmology·Christopher B SchulzRoger C Humphry
Mar 1, 2018·JAMA Surgery·Christopher P Childers, Melinda Maggard-Gibbons
Apr 29, 2018·Journal of Cataract and Refractive Surgery·Frederic ChiambarettaUNKNOWN Intracameral Mydrane (ICMA) and Ethics Group
May 24, 2019·Clinical Ophthalmology·Jose GuellMarc Labetoulle

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Citations

Jul 23, 2021·Journal of Cataract and Refractive Surgery·William J Dupps
Feb 13, 2021·Journal of Cataract and Refractive Surgery·Rob W P SimonsRudy M M A Nuijts

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