Risk of endophthalmitis after cataract extraction: results from the International Cataract Surgery Outcomes study

Nørregaard, Jens Christian; Thoning, Henrik; Bernth‐Petersen, Peter; Andersen, Tavs Folmer; Javitt, Jonathan C.; Anderson, Gerard F.

doi:10.1136/bjo.81.2.102

Cited by 106 publications

(67 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Although previous studies showed that incidence of postoperative endophthalmitis was associated with case mix such as patients demographic characteristics, 12,13 ophthalmic comorbidities, 14 medical comorbidities 1,12 including diabetes mellitus, immune deficiency, patients surgical factors such as surgical methods 11,13,15 and different kinds of IOL implantation, 16,17 the hospital and surgeon volume associated with the incidence of postoperative endophthalmitis was seldom evaluated or even revealed without controlling other confounders. 10 The lower risk of postoperative endophthalmitis in the high hospital volume group may be due to the bigger proportion of younger patients (r50 years old, 5.7%) than the other hospital volume groups (r50 years old, 2.7-3.7%) ( Table 2).…”

Section: Discussionmentioning

confidence: 99%

“…11,13,15 Before adjusting the parameters of surgical methods and the type of IOL, these parameters looked in the study may have influence on the incidence of endophthalmitis in Table 2. After adjusting the parameters by stepwise Cox regression, the hospital and surgeon volume did have influences on the risk of postoperative endophthalmitis (Table 5).…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Association of hospital and surgeon operation volume with the incidence of postoperative endophthalmitis: Taiwan experience

Fang

Chien²,

et al. 2005

Eye

View full text Add to dashboard Cite

Purpose To determine the association between hospital and surgeon volume with the incidence of postoperative endophthalmitis. Methods A prospective cohort study was conducted to analyse the national health insurance claims data of those patients receiving cataract surgery in 2000 in Taiwan. A total of 108 705 patients who received cataract surgery by 1004 surgeons at 494 hospitals were followed to the end of 2002. Stepwise Cox regression was used to analyse the effects of hospital and surgeon volume of cataract surgery on postoperative endophthalmitis after adjustment for patient's age, gender, education, ophthalmic comorbidities, general comorbidities, and surgical factors including operative methods, different types of intraocular lenses, and surgeon's age. Results The 2-year incidence of postoperative endophthalmitis at high-volume hospitals (0.90%) was lower than low-volume hospitals (1.16%). The incidence of postoperative endophthalmitis by highvolume surgeons (0.59%) was lower than those by middle-high-volume (0.73%), middle-lowvolume (0.80%), or low-volume surgeons (1.16%). After controlling for case mix, the risk of postoperative endophthalmitis of the lowvolume hospitals (hazard ratio (HR) ¼ 1.39) was higher than that of the high-volume hospitals. The risk of postoperative endophthalmitis of low-volume surgeons (HR ¼ 1.67) was higher than that of the highvolume surgeons. ConclusionsThe provider volume (hospital and surgeon volume) is associated with the risk of postoperative endophthalmitis. The patients who receive cataract surgery at lowvolume hospitals or by low-volume surgeons have significantly higher risk of postoperative endophthalmitis than at high-volume hospitals or by high-volume surgeons. Provider volume can be considered in further postoperative endophthalmitis study as a risk factor. Eye (2006) 20, 900-907.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Association of hospital and surgeon operation volume with the incidence of postoperative endophthalmitis: Taiwan experience

Fang

Chien²,

et al. 2005

Eye

View full text Add to dashboard Cite

show abstract

“…1 Also in the same period, in Scotland, 2 a hospital infection control team reported more acute PE than expected after cataract surgery, according to the normal incidence. 3 Among the many risk factors involved in the PE pathogenesis, [4][5][6][7][8][9][10][11] it is difficult to assess the weight of climatic influence; however, as conjunctival bacteria are the main source of contamination in cataract surgery, 12,13 it is quite logical to expect that the prevalence of conjunctival bacteria determines the prevalence of the infectious PE. Today, the world-wide use of povidona iodine solution as a preoperative prophylaxis in cataract extraction 14 could provide homogeneity in the kind of bacteria that produce PE all over the world, which was impossible to detect when a great number of different prophylactic techniques were used.…”

Section: Introductionmentioning

confidence: 99%

Climatic influence on conjunctival bacteria of patients undergoing cataract surgery

Rubio

2004

Eye

View full text Add to dashboard Cite

show abstract

“…A devastating early postoperative complication of cataract surgery is bacterial endophthalmitis (0.08%). 8,9 Late postoperative complications of cataract surgery comprise CME (Irvine-Gass syndrome), opacification of the posterior capsule, and retinal detachment. Extremely rare complications are epithelial ingrowth, a filtering bleb, corneal edema due to vitreo-endothelial contact, and dislocation of the IOL.…”

Section: Introductionmentioning

confidence: 99%

Refractive lens exchange combined with pars plana vitrectomy to correct high myopia

Uhlmann

Wiedemann

2005

Eye

View full text Add to dashboard Cite

Purpose To describe the results of refractive lens exchange (RLE) combined with simultaneous pars plana vitrectomy (PPV) in the management of severe myopia. Methods This retrospective study comprised 14 eyes of eight patients who had RLE to treat myopia of À19.075.4 diopters (D). Phacoemulsification, posterior chamber intraocular lens (IOL) implantation, and standard three-port vitrectomy were performed. Mean postoperative follow-up time was 30 months (range 12-49).Results The postoperative best-corrected visual acuity (BCVA) was 0.6870.23 compared to 0.3770.24 preoperatively. There was no postoperative decrease in visual acuity in any eye. Mean postoperative spherical equivalent was À0.7 D (71.6). At 30 months mean followup time, the spherical equivalents of nine eyes (64.3%) were within 71 D of emmetropia. There was no significant change in astigmatism due to operative procedures. During the 30 months follow-up period three eyes (21.4%) required neodymium : yttrium-aluminiumgarnet (Nd : YAG) capsulotomy for posterior capsule opacification. No retinal detachments or cases of cystoid macular oedema (CME) were observed during the follow-up. Conclusion RLE was effective in correcting severe myopia. The simultaneously performed PPV may reduce the risk of postoperative retinal detachment. This was a pilot study, to draw definitive conclusions a prospective study has to be initiated.

show abstract

Risk of endophthalmitis after cataract extraction: results from the International Cataract Surgery Outcomes study

Cited by 106 publications

References 10 publications

Association of hospital and surgeon operation volume with the incidence of postoperative endophthalmitis: Taiwan experience

Association of hospital and surgeon operation volume with the incidence of postoperative endophthalmitis: Taiwan experience

Climatic influence on conjunctival bacteria of patients undergoing cataract surgery

Refractive lens exchange combined with pars plana vitrectomy to correct high myopia

Contact Info

Product

Resources

About