Surgical-induced astigmatism in cataract surgery: resident trainees vs staff surgeons

Session Details

Session Title: Moderated Poster Session: Cataract
Session Date/Time: Friday 15/02/2019 | 14:00-15:00
Paper Time: 14:40
Venue: Poster Area


First Author: C.Oliveira-Ferreira PORTUGAL
Co Author(s): S. Perestrelo  J. Tavares-Ferreira  P. Freitas-Costa  J. Macedo  F. Falcão-Reis     

Abstract Details

Purpose:

To estimate the incidence and analyze factors that may play a role in the etiology of ptosis after cataract surgery.

Setting:

In this study we have included 143 patients undergone cataract surgeries in American Vision Eye Center in Prizren, Kosovo

Methods:

We observed 143 patient for a period of 3 months after cataract extraction. Epidemiologic data, preoperative and postoperative palpebral fissure height, marginal reflex distance, levator function and lid height crease were recorded. Post-cataract ptosis was defined as a 2 mm or greater lid drop in the lid margin compared with fellow eye.Intraoperative surgical techniques, anesthetic methods, volume of anesthetic agents, lid akinesia, eyelid opening instrument, bridle suture usage, complication, surgeon and operative time were recorded at 1 week, 1 month, and 3 months postoperative period and calculated to determine the risk factors for ptosis development.

Results:

Incidence of postoperative ptosis following cataract surgery was 8.3 % at 3 months. Significant risk factors that affected ptosis incidence were underlying diabetes mellitus, extracapsular cataract extraction, bridle suture and volume of anesthetic agents.

Conclusions:

Postoperative ptosis can be defined as significant postoperative complication that is often overlooked. This form of ptosis is often transient, although persistent ptosis mayrequire surgical intervention. Several factors are involved in the development of postcataract ptoses.

Financial Disclosure:

None