Short‐term outcomes of small incision cataract surgery provided by a regional population in the Pacific

Bhikoo, Riyaz; Vellara, Hans; Lolokabaira, Salome; Murray, Neil; Sikivou, Biu; McGhee, Charles N J

doi:10.1111/ceo.12965

Cited by 6 publications

(8 citation statements)

References 28 publications

(66 reference statements)

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“…The details of significant intra and short‐term post‐operative complications for this cohort have been reported previously . All cases of significant pseudophakic macular oedema (≥40% increase baseline central macula thickness), where BSCVA <6/12, had resolved by 12 months with topical steroids and anti‐inflammatory eye drops, with one patient requiring intravitreal triamcinolone.…”

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confidence: 72%

“…There is a paucity of information regarding the long‐term stability of refractive outcomes and surgical complications following small incision cataract surgery (SICS). A prospective longitudinal cohort study from the Pacific Eye Institute in Fiji noted that 94% of eyes achieved the World Health Organization definition of good vision (best corrected ≥6/18) at 3 months, with acceptable rates of vitreous loss . In this follow‐up article, we describe the visual and surgical outcomes from the same cohort of eyes at 12 months.…”

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confidence: 91%

“…The methods and patient demographic results have been described and analysed in a previous publication . Between September 2014 and January 2015, 156 patients underwent SICS by consultant and trainee ophthalmologists.…”

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confidence: 99%

“…The intra‐ocular lens (IOL) was implanted within the capsular bag in 95% (148) at the time of surgery; however, in 29% (46) the IOL was subsequently identified as displaced into the ciliary sulcus. An anterior chamber (AC) IOL was used in 5% (7) and ciliary sulcus in 1% …”

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confidence: 99%

“…Measures that minimize post‐operative refractive error are critical, as the cost of prescription spectacle lenses is prohibitive for many Fijians . Sources of error include inaccuracies in biometry as well as capsulotomy technique, with fewer IOLs secured in‐the‐bag following can opener methods compared to continuous capsulorhexis …”

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confidence: 99%

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Small incision cataract surgery provided by a regional population in the Pacific: a 12‐month follow‐up

Bhikoo

Vellara

Lolokabaira

et al. 2017

Clinical Exper Ophthalmology

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confidence: 72%

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confidence: 91%

mentioning

confidence: 99%

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confidence: 99%

mentioning

confidence: 99%

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Small incision cataract surgery provided by a regional population in the Pacific: a 12‐month follow‐up

Bhikoo

Vellara

Lolokabaira

et al. 2017

Clinical Exper Ophthalmology

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Efficacy of intracameral antibiotics following manual small incision cataract surgery in reducing the rates of endophthalmitis: A meta‐analysis

Rana

Bahrami

Zyl

et al. 2021

Clinical Exper Ophthalmology

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Background Manual small incision cataract surgery (MSICS) is a widely used technique for cataract surgery in the developing world. Higher rates of postoperative endophthalmitis have been reported with this technique compared with phaco‐emulsification. The purpose of this study was to evaluate the efficacy of prophylactic intracameral (IC) antibiotics in reducing the rates of postoperative endophthalmitis following MSICS. Methods Systematic review and meta‐analysis of patients undergoing MSICS. A literature search in PubMed and EMBASE databases was performed to identify studies published from October 1992 to April 2020 evaluating MSICS with a minimum of 500 eyes reported. Two authors independently assessed eligibility, extracted data and assessed the risk of bias. Heterogeneity was assessed using the I2 test. Results Twelve studies enrolling 1 494 307 eyes were included. IC antibiotics were used in 725 324 (48.5%) eyes. The risk ratio of developing endophthalmitis was 2.94 (95% CI, 1.07‐8.12; P = .037) in eyes that did not receive IC antibiotics. Conclusions Routine use of IC antibiotics may help to reduce the rates of endophthalmitis following MSICS and significantly improve the safety of this effective form of cataract surgery.

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Preloaded vs manually loaded IOL delivery systems in cataract surgery in the largest ambulatory surgery center of northwestern China: an efficiency analysis

Yan

2020

BMC Ophthalmol

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Background To compare the efficiency of preloaded vs manually loaded IOL (P-IOL vs M-IOL, respectively) delivery systems in cataract surgery in the largest ambulatory surgery center of Northwestern China. Methods A total of 200 cases were included in this prospective, observational study. Time and motion data were collected in a one- or two-operating room (1-OR or 2-OR, respectively) scenario. A model of the efficiency and revenue implications of introducing a preloaded delivery system for IOLs in cataract surgery was used to estimate the changes in cataract throughput and hospital revenue through transitioning from the M-IOL delivery system to the P-IOL system. Results In the 1-OR scenario, the mean total case time was 16.9 min using P-IOL, which was a 7.7% reduction compared with M-IOL (P < 0.01). In the 2-OR scenario, the mean total surgeon time was 10.8 min using P-IOL, which was a 7.8% reduction compared with M-IOL (P < 0.05). By switching from M-IOL to P-IOL, annual throughput will increase by 5.2% (960 cases) in the 1-OR scenario and 7.7% (1440 cases) in the 2-OR scenario, accompany by an increase in revenue of approx. 284,352 USD in the 1-OR scenario and approx. 426,528 USD in the 2-OR scenario. Conclusion This report is the first of a comparison of two IOL delivery systems in China using different settings in the scenario. IOL delivery with preloaded systems is time saving in both the 1-OR scenario and the 2-OR scenario. Moreover, switching from the M-IOL delivery system to the P-IOL system holds potential to increase cataract throughput and hospital revenue.

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Short‐term outcomes of small incision cataract surgery provided by a regional population in the Pacific

Cited by 6 publications

References 28 publications

Small incision cataract surgery provided by a regional population in the Pacific: a 12‐month follow‐up

Small incision cataract surgery provided by a regional population in the Pacific: a 12‐month follow‐up

Efficacy of intracameral antibiotics following manual small incision cataract surgery in reducing the rates of endophthalmitis: A meta‐analysis

Preloaded vs manually loaded IOL delivery systems in cataract surgery in the largest ambulatory surgery center of northwestern China: an efficiency analysis

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