Posters

The economic impact of intraoperative floppy iris syndrome in cataract surgery

Poster Details

First Author: A.Tzamalis GREECE

Co Author(s):    C. Christou   I. Mylona   M. Samouilidou   I. Tsinopoulos   N. Ziakas        

Abstract Details

Purpose:

To evaluate the economic impact of Intraoperative Floppy Iris Syndrome (IFIS) in cataract surgery

Setting:

2nd Department of Ophthalmology, Aristotle University of Thessaloniki, Papageorgiou General Hospital, Thessaloniki, Greece

Methods:

1295 cases of 1178 cataract patients with or without a recorded IFIS of any severity occurring over the last year in a tertiary care ophthalmic center during phacoemulsification surgery were identified and enrolled in a multivariate analysis. The cost of surgical consumables and surgical duration were recorded in each case. Predisposing risk factors and intraoperative complications were thoroughly reviewed.

Results:

The average cost of surgical consumables among all cataract patients was 361.9±91.1€, while the mean duration of surgery was 21.4±14.8 minutes. No statistically significant differences in cost or surgical time were noted regarding age, gender, medical history, medication intake or other ophthalmic conditions such as pseudoexfoliation, glaucoma and cataract grading (p>0.05). Cases that developed IFIS demonstrated a significantly higher cost of surgical consumables (CostIFIS=420.9±142.8€ vs CostNON-IFIS=359.9±87.5€, p<0.001) as well as a longer duration of surgery. This difference remained significant even when excluding all cases complicated with posterior capsular rupture (CostIFIS=384.2±48.3€ vs CostNON-IFIS=352.8±47.1€, p=0.008, TimeIFIS=23.2±11.6’ vs TimeNON-IFIS=16.7±8.4’, p<0.0001).

Conclusions:

The appearance of IFIS seems to have a significant economic impact in cataract surgery as it increases the cost of surgical consumables and the time needed to complete the procedure.

Financial Disclosure:

None