Evaluation of a clinical prediction model for cataract surgery outcome
Session Details
Session Title: Presented Poster Session: IOL Power Calculation/Paediatric
Venue: Poster Village: Pod 1
First Author: : E.Oustoglou GREECE
Co Author(s): : I. Mamais M. Dermenoudi I. Tsinopoulos
Abstract Details
Purpose:
The purpose of this study is to correlate the risk factors identified preoperatively with the number of procedures needed to achieve the best possible final operative outcome.
Setting:
2nd Ophthalmology Department, Aristotle University of Thessaloniki, Thessaloniki, Greece
Methods:
Medical records of patients undergone cataract surgery from January 2014 to December 2015 in Papageorgiou Hospital were retrospectively reviewed and exclusion criteria were applied. The inclusion and exclusion criteria were met by those who were assessed preoperatively and all qualitative and quantitative characteristics of the eligible patients were gathered and processed.
Results:
In 1792 eyes of 1502 patients, white / dense cataract (p=0.002), iridodonesis / phacodonesis (p<0.001), high risk factor score (p<0.001), the use of tamsulosine (p=0.029) and the male gender (p=0.002) are risk factors positively associated with more than one surgeries. The same factors plus age over 88 (p<0.001), difficulties in cooperation with the patient (p=0.034) and resident surgeons (p<0.001) tended to have more often complications. In a multivariate regression analysis, white / dense cataract was associated with 2.94 higher odds of conducting more than one procedures, iridodonesis / phacodonesis had 5.35 odds ratio and the use of tamsulosine 2.71.
Conclusions:
The number of procedures needed for the best possible final operative outcome depends on the risk factors someone has pre-op. These risk factors tend to be prognostic to the complications that might occur during surgery. The stratification method used increases the level of awareness of the surgeon and therefore decreases the number of complications; it is resident friendly, helping them evolve their skills through ‘safe’ practice.
Financial Disclosure:
NONE
