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Purpose: The aim of this article is to investigate surgeons' perspectives and practice patterns in the area surgical complications involving cataract surgery. Respondents scaled their likelihood that a GASC could result in postoperative complications and their obligation toward patient disclosure and tracking in the operative study using a Likert scale. Respondents also rated their likelihood of agreement with a series of statements included to measure baseline fear levels and inherent perspectives on disclosure. Female surgeons were more likely than male surgeons to disclose GASCs to their patients and suffer with psychological stress regarding patient outcomes. When compared to attending surgeons, early-stage and late-stage residents were more likely to believe that GASCs could lead to vision-limiting events. Surgeons at academic centers were more likely than community-based surgeons to disclose GASCs in the operative report and experience psychological stress regarding patient outcomes.
Source link: https://europepmc.org/article/MED/35137694
Object: To examine variability in local anaesthesia techniques and complications over a 10-year period for cataract surgery in the United Kingdom. Conclusions: Overall, topical anaesthesia alone was used in 152 321 surgeries, combined topical and intracameral anaesthesia in 522 849, sub-Tenonu2019s in 461 175, and peribulbar/retrobulbar anaesthesia in 59 537 patients. In independent sector treatment centers, 48. 3% of activities were topical with/without intracameral vs 88. 7%. Anaesthesia complication rates decreased from 2. 7% in the 2010 NHS year to 1. 5% in the 2019 NHS year. In patients receiving warfarin rather than immediate oral anticoagulants, patient mortality rates were higher for sharp needle anaesthesia in sharp needle anaesthesia. Conclusions: Together topical and intracameral anaesthesia is the most common form of anesthesia for cataract surgery in the United Kingdom and is associated with lower anaesthetic-related complication rates than sub-Tenonu2019s and peribulbar anaesthesia.
Source link: https://europepmc.org/article/PPR/PPR518522
Objective: To assess the visual effects and risk of intraoperative complications in eyes with and without retinal vein occlusion following phacoemulsification in a real-world clinical setting for 15 years. Cataract surgery in RVO was associated with an increase in the mean VA of 0. 35 logMAR, and a substantial increase was achieved in 55. 1 percent of eyes from 4 to 12 weeks postoperatively. At 4 to 12 weeks, the mean postoperative VA was worse in eyes with RVO than in eyes without RVO. With RVO, the percentage of eyes with eyes achieving a visual boost of u2265 0. 3 logMAR was also lower in eyes. Conclusions Although postoperative vision improved notably in eyes with RVO after cataract surgery, this improvement was much worse than that seen by eyes without RVO.
Source link: https://europepmc.org/article/MED/34653093
Purpose: Although several previous studies have examined the connection between tamsulosin use and surgical complications of cataract surgery, no population-based cohort study has been carried out for the Asian population. In the Korean elderly population, we wanted to investigate the connection between tamsulosin use and surgical complications of cataract surgery. The interaction of tamsulosin use with surgical complications of cataract surgery was investigated by a logistic regression model. Conclusions The incidence of surgical complications of cataract surgery in the non-tamsulosin group was 8. 8% in the non-tamsulosin group and 0. 8 percent in the tamsulosin group, respectively. In the unadjusted model [odds ratio = 0. 946; 95% confidence interval : 0. 737-1. 220], P = 0. 669]], there was no significant difference in the risk of surgical complications of cataract surgery. Conclusions The incidence or risk of surgical complications of cataract surgery does not change with tamsulosin use.
Source link: https://europepmc.org/article/MED/35665322
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