Factors associated with elevated complication rates after partial-thickness or full-thickness glaucoma surgical procedures in the United States during 1994

Ophthalmology
A L ColemanS Greenland

Abstract

The purpose of the study was to identify factors associated with an increased risk of complications after partial-thickness or full-thickness glaucoma surgery. A retrospective, cohort analysis. A total of 24,206 Medicare patients who were older than 65 years of age and who were enrolled in Medicare in 1994 underwent partial-thickness or full-thickness glaucoma surgical procedures in 1994. The authors obtained data on all glaucoma surgery claims to the Health Care Finance Administration in 1994 and analyzed complication rates using hierarchical logistic regression, separately smoothing four sets of regression coefficients (state-level effects, systemic and ocular diagnoses, prior ocular surgeries, and concomitant ocular surgeries). Patients were classified as having complications if their records showed at least one of the following occurrences after surgery: retinal detachment repair, endophthalmitis, scleral fistula revision-repair, or cyclodestruction. The risk of complications was greater for full-thickness procedures than for partial-thickness procedures (odds ratio [OR] = 1.51; 95% confidence interval [CI] = 1.07, 2.12). Compared to glaucoma surgeries performed without an additional intraocular procedure, glaucoma surgery ...Continue Reading

References

Feb 1, 1992·American Journal of Public Health·E S FisherD C Hsia
Dec 1, 1991·Ophthalmology·J A MenikoffE M Raskin
Jul 1, 1990·Ophthalmology·J B CarterS De Bustros
May 1, 1995·Ophthalmology·S S ParkD J D'Amico
Apr 1, 1993·Journal of Glaucoma·M R Wilson
Oct 1, 1993·Journal of Glaucoma·M R Wilson, R Baker

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Citations

Feb 5, 2016·Survey of Ophthalmology·Antony ClarkJames B Semmens
Jan 28, 2010·Alcoholism, Clinical and Experimental Research·Matthew J BurdenSandra W Jacobson
Jan 10, 2001·Current Opinion in Ophthalmology·A Storr-Paulsen, P Bernth-Petersen
Oct 28, 1999·Current Opinion in Ophthalmology·N S BorisuthT Krupin

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