| Popis: |
Objectives To report visual and surgical outcomes of phacoemulsification cataract surgery from 5,018 consecutive cases from Western Sydney. A review of the Australian and New Zealand literature was undertaken to provide a benchmark of outcomes from the region. Methods The Electronic Medical Record system was used to retrospectively review three time-points for all phacoemulsification cataract surgeries at a tertiary-referral centre between May 2017 and August 2020: preoperative, intraoperative and one-month postoperatively. Variables collected included uncorrected (UDVA) and pinhole (PHVA) visual acuities, surgeon seniority, and ocular pathology. Results Of the 5,018 eyes, 37.3% were operated on by consultants, 47.1% by trainees, and 15.6% by fellows. Ocular pathology was seen in 52.5% of eyes (n = 1,709). The mean preoperative and one-month postoperative UDVA was 6/48 and 6/12 respectively. There was an intraoperative complication in 7.6% of eyes (n = 379) and posterior capsular rupture (PCR) occurred in 2.7% (n = 136). Logistic regression analyses demonstrated advanced cataract and use of alpha-2 antagonists to be strongly associated with PCR. Conclusions We present visual and surgical outcomes from the largest study on phacoemulsification cataract surgery in Australia and New Zealand. Our findings were comparable to regional and international benchmarks despite a high rate of ocular pathology and trainee case load. The lack of a regional cataract surgery registry represents a critical need in assessing and claiming key performance indicators, capturing emerging trends, and identifying region-specific risk factors to deliver the best patient outcomes. |
