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Hedayat Javidi, Sajjad Mahmood; Post-operative complications following uncomplicated cataract surgery in a community hospital treatment centre. Invest. Ophthalmol. Vis. Sci. 2016;57(12):1998.
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Post-operative complications are possible following uncomplicated cataract surgery. These patients may be reviewed in the community and by allied health professionals so it is important that rates are known and measures are taken to minimise problems. We aimed to document the complications seen in an optometric post-op clinic in a day case treatment centre in a community hospital. For patients with post-operative cystoid macular oedema (CMO) we determined rate, risk factors and outcomes.
Data was collected from the optometric post-op clinic lists from 1/1/14 to 31/12/14. The outcomes of each patient were validated using the Medisec hospital software, diabetic retinopathy screening service database and when necessary the original case note.
Overall, 2805 patients were included and the most common complications were; inflammation (7.17%), post-operative CMO (1.57%), ocular surface problems (1.07%) and corneal oedema (0.68%). The majority of post-operative inflammation resolved at only one further review. In total, 44 patients suffered from post-op CMO, of whom 11 were diabetic and 4 had a history of maculopathy or retinopathy. Although the overall CMO rate is comparable to the UK national cataract surgery dataset, we estimate the overall risk in the diabetic population in this study to be 7%.
The rate of inflammation was higher than the national average but the majority of patients settle without sequelae. The rate of cystoid macular oedema appears to be significantly higher in diabetic patients so a more proactive policy of prescribing prophylaxis for these patients needs to be considered.
This is an abstract that was submitted for the 2016 ARVO Annual Meeting, held in Seattle, Wash., May 1-5, 2016.
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