Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2018 May;126(5):1548-1550.
doi: 10.1213/ANE.0000000000002526.

Patient Harm in Cataract Surgery: A Series of Adverse Events in Massachusetts

Affiliations

Patient Harm in Cataract Surgery: A Series of Adverse Events in Massachusetts

Sarah A Roberto et al. Anesth Analg. 2018 May.

Abstract

Massachusetts state agencies received reports of 37 adverse events (AEs) involving cataract surgery from 2011 to 2015. Fifteen were anesthesia related, including 5 wrong eye blocks, 3 cases of hemodynamic instability, 2 retrobulbar hematoma/hemorrhages, and 5 globe perforations resulting in permanent loss of vision. While Massachusetts' reported AEs likely underrepresent the true number of AEs that occur during cataract surgery, they do offer useful signal data to indicate the types of patient harm occurring during these procedures.

PubMed Disclaimer

Conflict of interest statement

The authors declare no conflicts of interest.

Figures

Figure.
Figure.
Injection position for (A) retrobulbar block and (B) peribulbar block. Illustration by Holly Sullivan.

Comment in

Similar articles

Cited by

References

    1. Ianchulev T, Litoff D, Ellinger D, Stiverson K, Packer M. Office-based cataract surgery: population health outcomes study of more than 21 000 cases in the United States. Ophthalmology. 2016;123:723–728. - PubMed
    1. Kelly SP, Jalil A. Wrong intraocular lens implant; learning from reported patient safety incidents. Eye (Lond). 2011;25:730–734. - PMC - PubMed
    1. Lee RM, Thompson JR, Eke T. Severe adverse events associated with local anaesthesia in cataract surgery: 1 year national survey of practice and complications in the UK. Br J Ophthalmol. 2016;100:772–776. - PubMed
    1. Massachusetts General Law, Chapter 111, Section 51H (M.G.L, ch.111 § 51H).
    1. Kowalczyk L 5 cataract surgeries, 5 people blinded: what went wrong? Boston Globe. August 14, 2016.

MeSH terms