Abstract
Methods Our center's database was used to identify all isolated cataract procedures performed during 2017. The electronic records were reviewed to collect the preoperative information, presence of intra- or postsurgical complications, and visual and refractive outcomes one month after surgery. Results In 2017, 2714 eyes of 1543 patients underwent cataract surgery in our center. Mean patient age was 70.42 years. 775 eyes (28.55%) had prior ophthalmic pathologies, and 113 eyes (4.16%) had undergone previous surgical procedures. Surgical complications developed in 35 eyes (1.29%), including 9 posterior capsule tears (0.33%) and 3 cases of dropped lens fragments (0.11%). A toric or multifocal intraocular lens was implanted in 45.6% of eyes. As regards postoperative complications, 59 eyes (2.17%) required a return to the operating theater, including 29 eyes (1.07%) requiring reinterventions due to an unexpected refractive result. There were no cases of endophthalmitis. Mean LogMAR-corrected distance visual acuity (CDVA) improved from 0.25 (SD 0.34) preoperatively to 0.04 (SD 0.17) postoperatively; 86.5% of eyes achieved a CDVA ≤0.0, with 97.5% achieving ≤0.3. In 86.4% of eyes, the difference between target and residual spherical equivalent difference was of 0.50 D or lower; 88% of eyes had a spherical equivalent ±0.50 D. Conclusions The visual and refractive outcomes of cataract surgery in a private practice setting were excellent, well over the benchmarks set by the ESCRS. The safety profile was also within expected standards. This study provides information for ophthalmologists in private practice on expected outcomes.
Highlights
Available outcome data for cataract surgery include mostly patients from public health systems. e purpose of this study was to report the visual and refractive outcomes of cataract procedures performed during one year in a private practice center, which may include a different spectrum of patients
Reporting outcomes after cataract surgery is important in order to establish benchmarks for one of the most frequently performed surgical interventions worldwide [1, 5]. e advances in data collection and analyses have led to the creation of several registries, such as the European Registry of Quality Outcomes for Cataract and Refractive Surgery (EUREQUO) and the American Academy of Ophthalmology Intelligent Research in Sight (IRIS) Registry
Landmark studies have been the EUREQUO report on the results of 368 256 cataracts performed in 15 European countries [6], the EUROQUO report focused on refractive outcomes in 282 811 procedures [7], or the more recent IRIS report on the rates of endophthalmitis in 8 542 838 cataract surgeries performed in the United States [8]
Summary
Available outcome data for cataract surgery include mostly patients from public health systems. e purpose of this study was to report the visual and refractive outcomes of cataract procedures performed during one year in a private practice center, which may include a different spectrum of patients. Available outcome data for cataract surgery include mostly patients from public health systems. E purpose of this study was to report the visual and refractive outcomes of cataract procedures performed during one year in a private practice center, which may include a different spectrum of patients. Publication of surgical outcomes is vital for quality improvement and can help patients take decisions about their care. Studying their own outcome data can let surgeons know how they are doing compared with their peers worldwide and learn in what areas they must improve [1].
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