Practice patterns of Canadian Ophthalmological Society members in cataract surgery: 2011 survey

Ong-Tone, Lindsay; Bell, Ali; Tan, Yin Yin

doi:10.1016/j.jcjo.2012.01.012

Cited by 17 publications

(23 citation statements)

References 2 publications

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“…According to the practice pattern studies published by ASCRS (American Society of Cataract Refractive Surgery , practice pattern study), Canadian Ophthalmological Society members study 2011 (Ong‐Tone et al. ) and ESCRS (European Society of Cataract Refractive Surgery , practice pattern study), there are variations in postoperative drug therapy provided to individual patients and between different countries. In the United States and Canada, postoperative topical corticosteroids are used in 92% and 89% of the surgeries, respectively, but no corresponding data seem to be available from Europe.…”

Section: Review Of the Literaturementioning

confidence: 99%

“…The duration of the topical postoperative drug therapy was 4 weeks in most cases (47%), 3 weeks (20%) or 2 weeks (15%) according to the Canadian practice pattern study (Ong‐Tone et al. ). In Europe, dexamethasone was the most commonly used steroidal anti‐inflammatory drug chosen as the preferred drug by 71% of ophthalmological surgeons, followed by prednisolone (19% of surgeons) and betamethasone with the proportion of 7%.…”

Section: Review Of the Literaturementioning

confidence: 99%

“…When one considers postoperative topical antibiotic agents, then it seems that in North America the fourth‐generation fluoroquinolones were the most extensively prescribed antibiotics being chosen by 93% of the American respondents and by 87% of the Canadians, respectively (ACRS , practice pattern study, Ong‐Tone et al. ). The most widely used drugs in Europe were tobramycin (25%), moxifloxacin (17%) and chloramphenicol (17%) according to the ESCRS () study report.…”

Section: Review Of the Literaturementioning

confidence: 99%

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Recovery after cataract surgery

Porela‐Tiihonen

Kokki

Kaarniranta

et al. 2016

Acta Ophthalmologica

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Cataract surgery is the most common ophthalmological surgical procedure, and it is predicted that the number of surgeries will increase significantly in the future. However, little is known about the recovery after surgery. The first aim of this study was to evaluate the prevalence, severity and duration of pain and other ocular discomfort symptoms experienced after cataract surgery. The other objectives were to identify the factors associated with lower postoperative patient satisfaction and to measure the effect of cataract surgery on patients’ health‐related quality of life (HRQoL) and visual function in everyday life. The study design was a prospective follow‐up study. The course of the recovery and the presence of ocular symptoms were evaluated by interviewing the patients via a questionnaire at 1 day, 1 week, 6 weeks and one year after surgery The visual functioning in everyday life was measured with Visual Functioning Index VF‐7 and Catquest‐9SF‐questionnaires and furthermore the HRQoL was measured with the 15D‐instrument before surgery and at 12 months after surgery. The patients returned the questionnaires by mail and were interviewed in the hospital on the day of the surgery. The same patients filled‐in all the questionnaires. The patient reports were used to collect the data on medical history. A total of 303 patients were approached at Kuopio University Hospital in 2010–2011 and of these 196 patients were eligible and willing to participate, with postoperative data being available from 186 (95%) patients. A systematic review article was included in the study procedure and it revealed the wide range in the reported incidence of postoperative ocular pain. Some of the identified randomized controlled studies reported no or only minor pain whereas in some studies significant pain or pain lasting for several weeks has been described in more than 50% of the study patients. In the present study setting, pain was reported by 34% during the first postoperative hours and by approximately 10% of patients during the first six weeks after surgery. During the early recovery in the hospital, only a minority of the patients reporting pain were provided with pain medication. The ocular discomfort symptoms such as itchiness, burning, foreign‐body sensation and tearing were common both before (54%) and after surgery (38–52%). These symptoms can also be described as painful symptoms and are often difficult to distinguish from ocular pain. The symptoms are also typical of ocular surface disease, and some patients may benefit from the postoperative administration of tear substitutes. The patients reporting postoperative ocular symptoms were less satisfied with the treatment outcome at 12 months after surgery (p = 0.001) compared to the patients who experienced no symptoms. Those patients reporting less disability in visual functioning before surgery were more satisfied than patients with more reported disability. The HRQoL improved significantly after cataract surgery (p = 0.002). However, when compared to an age‐...

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Section: Review Of the Literaturementioning

confidence: 99%

Section: Review Of the Literaturementioning

confidence: 99%

Section: Review Of the Literaturementioning

confidence: 99%

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Recovery after cataract surgery

Porela‐Tiihonen

Kokki

Kaarniranta

et al. 2016

Acta Ophthalmologica

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“…Topical anaesthesia was the common practice pattern for cataract surgery among United States Veteran Health Administration [44] and Canadian ophthalmologists [45] . Palte opinioned that with the changing paradiagm of regional blocks, in future Anaesthesiologists will have to perform blocks and in the holding area and Residents would have to become skilled in performing blocks due to larger patient volumes [3] .…”

Section: Trendsmentioning

confidence: 99%

Local Anaesthesia in Cataract Surgery

Reddy

Thevi

2017

International Journal of Ophthalmic Research

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nerves of the cornea and the conjunctiva (long and short ciliary nerves, nasociliary nerves). This technique eliminates the possible complications of injectable anesthesia. However, it does not eliminate pain sensitivity of the iris, the zonule, and the ciliary body which is achieved by intracameral technique of anesthesia with preservative free 1% lidocaine. In a constantly evolving arena, the sub-Tenon's block has gained popularity while the deep angulated intraconal (retrobulbar) block has been largely superseded by the shallower extraconal (peribulbar) approach. Hyaluronidase is a useful adjuvant because it promotes local anesthetic diffusion and hastens block onset time but there is a possibility of getting an allergic reaction. Ultrasound-guided eye blocks afford real-time visualization of needle position and local anesthetic spread. An advantage of sonic guidance is that it may eliminate the hazard of globe perforation by identifying abnormal anatomy, such as staphyloma. INTRODUCTIONThe ideal anaesthesia would be one that provides adequate pain relief during surgery and postoepratively, be easy to administer and have minimal complications. For doing cataract surgery, the anaesthesia could be local or general. Majority of cataract patients are operated under local anaesthesia (infiltration, topical, intracameral). The infiltration anaesthesia is given as retrobulbar or peribulbar or subTenon's block. Carl Koller first used cocaine as a topical anaesthetic for eye surgery in 1884 [1] . The general anaesthesia has its own complications in elderly cataract patients and most of them may have diabetes or hypertension or heart diseases or combination of them. No need of fasting before or after surgery, no need of intubation, no need of using any systemic medications are the advantages of local anaesthesia. However, cataract in children, patients with parkinsonism, deaf mute patients, mental retardation patients, patients ABSTRACTThere has been a significant evolution in surgical technique of cataract extraction. The technical advances in phaco machines, phacotips, and availability of ophthalmic viscoelastic devices have played a great role in cataract surgery to be faster and more controlled now than before. Similarly, local anesthesia techniques in cataract surgery have also advanced significantly from retrobulbar, peribulbar, sub-Tenon's, to topical anaesthesia. Even though, the sub-Tenon's anesthesia technique reduced the risk of complications of peribulbar/ retrobulbar anesthesia but the technique is still associated with a possibility of damage to optic nerve, retrobulbar hemorrhage, and ocular muscle injury. Topical anesthesia is used to block the afferent EDITORIAL

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“…[1][2][3][4][5] The response rate was 36.6%. A similar number of respondents (35.3%) performed between 25 and 49 and 50 and 99 cataract surgeries per month.…”

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confidence: 93%

Practice patterns of Canadian Ophthalmological Society members in cataract surgery: 2011 survey

Cited by 17 publications

References 2 publications

Recovery after cataract surgery

Recovery after cataract surgery

Local Anaesthesia in Cataract Surgery

Practice patterns of Canadian Ophthalmological Society members in cataract surgery—2014 survey

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