Trends in the EUREQUO cataract database during a 10-year period
Session Details
Session Title: Cataract Surgery Special Cases
Session Date/Time: Monday 09/10/2017 | 14:30-16:00
Paper Time: 15:48
Venue: Meeting Center Room I
First Author: : M.Lundström SWEDEN
Co Author(s): : U. Stenevi P. Rosen Y. Henry S. Manning M. Tassignon M. Dickman
Abstract Details
Purpose:
To analyze trends in the EUREQUO database for cataract extractions reported between 2007 and 2016.
Setting:
Observational registry study. Data on consecutive cataract extractions was entered by 200 sites connected to EUREQUO in 18 countries over a ten-year period.
Methods:
Clinics connected to the EUREQUO database entered all their cataract extractions into the database. The data should represent consecutive cases and respect the coding guidelines for inclusion of data. The parameters include demography data, risk factors, preoperative visual acuity, type of surgery including type of intraocular lens (IOL) and follow up data; best corrected visual acuity (BCVA) and refractive outcome. Surgical and postoperative complications are reported.
Results:
The EUREQUO database contains 2,210,888 cataract extractions. Trends in preoperative data show younger patients, better preoperative visual acuity and less risk factors. The most common procedure was phacoemulsification with IOL in 99% of the cases and the complications include a capsular tear in around 1%. The commonest IOL material has been hydrophobic acrylic in increasing frequency (89.6% in 2016). The outcome trends show better final BCVA and better refractive precision. An average final BCVA of 1.0 (6/6) or better has gone from 58.1% to 70.5% over the period. A refractive prediction error within ±0.5D has gone from 67.3% to 73.2%.
Conclusions:
The EUREQUO ten-year database shows a trend of better preoperative visual acuity, younger patients and less risk factors. The surgical technique is constant over the period although the proportion of hydrophobic acrylic IOL have increased. Posterior capsule tear is lower (1%) than the one accepted in literature (2%). The visual outcome has improved over time as well as the refractive outcomes with the refractive prediction error diminishing.
Financial Disclosure:
NONE