Phacoemulsification cataract surgery: is routine review necessary on the first post-operative day?
| Autor: | Robert L Burton, C Klunker, Douglas K Newman, Jennifer H Y Tan, S E Watts |
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| Rok vydání: | 2000 |
| Předmět: |
Male
medicine.medical_specialty genetic structures medicine.medical_treatment Aftercare Postoperative Complications Clinical investigation medicine Humans Postoperative Period Prospective Studies Post operative Intraoperative Complications Postoperative Care Phacoemulsification business.industry Cataract surgery eye diseases Surgery Ophthalmology Ambulatory Surgical Procedures England Female Complication business |
| Zdroj: | Eye. 14:53-55 |
| ISSN: | 1476-5454 0950-222X |
| DOI: | 10.1038/eye.2000.11 |
| Popis: | To determine the value of routine review on the first post-operative day following phacoemulsification cataract surgery.A prospective study was performed of 238 consecutive patients who underwent phacoemulsification cataract surgery. Local anaesthesia was used for 97% of patients and surgery was performed as a day-case procedure for 93% of patients. The findings at the first day post-operative review were analysed separately for patients who had undergone uncomplicated surgery and patients who had suffered an intraoperative complication. Four patients were excluded because of incomplete data collection.A total of 227 patients underwent uncomplicated phacoemulsification cataract surgery. Thirteen (5.7%, 95% confidence interval (CI) 3.1-9.6%) of these were found to have post-operative complications at their first day review which comprised corneal oedema (4.4%, 95% CI 2.1-8.0%), raised intraocular pressureor = 30 mmHg (1.3%, 95% CI 0.3-3.8%), hyphaema (0.9%, 95% CI 0.1-3.1%), corneal abrasion (0.4%, 95% CI 0.0-2.4%) and anterior uveitis (0.4%, 95% CI 0.0-2.4%). These findings led to the standard post-operative management being altered for 5 (2.2%) patients. Intraoperative complications occurred in 7 (2.9%) patients during phacoemulsification cataract surgery. Five (71%) of these patients had post-operative complications at their first day review.Routine review on the first post-operative day following uncomplicated phacoemulsification cataract surgery could safely be withdrawn. A single post-operative review at 1-2 weeks after surgery would then be required, supplemented by patient-initiated post-operative review in the interim. |
| Databáze: | OpenAIRE |
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