Changing practice patterns in European cataract surgery as reflected by the European Registry of Quality Outcomes in Cataract and Refractive Surgery: a long-term study 2008–2017
Session Details
Session Title: Combined Cataract Surgery & Practice Styles
Session Date/Time: Sunday 15/09/2019 | 14:00-16:00
Paper Time: 15:16
Venue: Free Paper Forum: Podium 2
First Author: : S.Manning IRELAND
Co Author(s): : M. Dickman Y. Henry P. Rosen M. Tassignon U. Stenevi M. Lundstrom
Abstract Details
Purpose:
To describe changes over time in the indications, practice patterns, outcomes and complications of cataract surgery over a 10 year period.
Setting:
Database study of all cataract extractions entered in the European Registry of Quality Outcomes for Cataract and Refractive Surgery between 2008 and 2017.
Methods:
Type of surgery, anaesthesia and intraocular lens, visual outcome, refractive outcome and complications were analysed per year over a 10-year period.
Results:
Over 1,440,000 cataract extractions were analysed. The patients’ age decreased and the preoperative visual acuity increased over the 10-year period. Phacoemulsifcation remained the main method of cataract extraction at 99% of cases. Topical anaesthesia increased from 28.2 to 73.5% and acrylic hydrophopic intraocular lenses remained the predominant type of lens, used in over 80% of cases. Capsule complication rate decreased from 1.24 to 0.61%. Cases achieving postoperative visual outcome of logMAR 0.0 or better increased from 59.2 to 76.1%. Biometry prediction error within 0.5 and 1.0 D of target increased from 67.3 to 73.7% and from 89.9 to 93.8%, respectively.
Conclusions:
Cataract surgery occured at increasingly younger age and better preoperative visual acuity overtiem. . Topical anaesthesia has become the routine form of anaesthesia. Visual and refractive outcomes have improved year by year over the last 10 years.
Financial Disclosure: None of the authors have any financial disclosures.
Financial Disclosure:
None
