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. 2017 Jan;65(1):24-29.
doi: 10.4103/ijo.IJO_452_16.

The Melaka Hospital cataract complications study analysis of 12,992 eyes

Thanigasalam Thevi  1 , Zin Maizura  2 , Adinegara Lutfi Abas  3
Affiliations

The Melaka Hospital cataract complications study analysis of 12,992 eyes

Thanigasalam Thevi et al. Indian J Ophthalmol. 2017 Jan.

Abstract

Introduction: As in all surgeries, complications during cataract surgery are unavoidable and cause distress to the surgeon and the patient. This study was conducted to know the factors contributing to complications in our settings, to be able to counsel patients about complications and outcomes and to reduce litigations.

Materials and methods: The secondary data analysis was conducted using the National Eye Database from 2007 to 2014. Demographic features, ocular comorbidities, technique of surgery, grade of surgeons, types of intraoperative complications, and reasons for not obtaining good visual acuity following intraoperative complications were studied. Statistics was done using Statistical Package for Social Sciences version 20.

Results: Out of 12,992 eyes, 6.1% had intraoperative complications. The highest rate of complications was when more trainees (medical officers [MOs] and gazetting specialists) operated. Posterior capsule rupture (PCR) was the most common complication followed by vitreous loss and zonular dehiscence. Those aged below 40 years had more complications (P < 0.05), and females had more complications. Ethnicity did not affect complications. Pseudoexfoliation was the only comorbidity causing complications (P < 0.05). Phacolytic lenses had 8.118 times the odds of getting intraoperative complications. MOs and gazetting specialists got more complications. Good outcomes were obtained in cases without complications and those operated by specialists. High astigmatism was the main reason for poorer outcomes.

Conclusion: Intraoperative complications were caused mostly by less experienced doctors and had poorer outcomes. Age below 40 years, females, the presence of pseudoexfoliation and phacolytic lenses had more complications. PCR was the most common complication.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Trend of Intraoperative complications (2007–2014)
Figure 2
Figure 2
Number of medical officers/gazetting specialist and Specialists handling cataract surgery
Figure 3
Figure 3
Types of intraoperative complications by year
Figure 4
Figure 4
Reasons for not obtaining good visual acuity among patients with intraoperative complications
See this image and copyright information in PMC

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