Trends in health service delivery for cataract surgery at a large Australian ophthalmic hospital

Yi, Qing; Flanagan, Sandra J; McCarty, Daniel J.

doi:10.1046/j.1442-9071.2001.00436.x

Cited by 13 publications

(7 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Leaming documented the transition in the technique of cataract extraction in the United States, in which there was an increasing preference for phacoemulsification, rising from 12% in 1985 to 86% in 1994 1617. A number of surveys have examined the current practice and trends in cataract and refractive surgery worldwide, which show that the transition has taken place later in those countries 18–21. Yi et al 18.…”

Section: Discussionmentioning

confidence: 99%

“…A number of surveys have examined the current practice and trends in cataract and refractive surgery worldwide, which show that the transition has taken place later in those countries 18–21. Yi et al 18. reported that there was an increasing trend in use of phacoemulsification in Australian cataract patients from 55% in 1994 to more than 90% in 1998.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Transition to phacoemulsification at the farabi eye hospital, Iran

Hashemi

Mohammadi

Mazouri

et al. 2011

Middle East Afr J Ophthalmol

View full text Add to dashboard Cite

Purpose:To provide objective evidence on the transition of cataract surgical care at Farabi Eye Hospital, Iran.Materials and Methods:Two separate years, 2003 and 2006, were selected for evaluation. One thousand nine hundred fifty-seven surgical records of age-related cataract cases were randomly selected and reviewed. Three hundred fifty-three patients (405 eyes) in 2006 and 125 patients (153 eyes) in 2003 were selected randomly for a follow-up examination. The two phases were compared in terms of surgical routines, patient characteristics and outcomes for statistical differences. P <0.05 was considered statistically significant.Results:The phacoemulsification rate increased from 25% to greater than 90% between 2003 and 2006, rates of corneal incisions and use of foldable intraocular lenses tripled, administration of general anesthesia dropped from 80% to 12%, the outpatient admission rate rose from 5.2% to 71%, 4% vs. 66% of the operations were performed by a senior phacoemulsification surgeon and the number of advanced surgeons changed from 6% to 38% (all P-values < 0.001). In 2006, more patients at the two extremes of age, more patients with poor systemic conditions and myopes underwent surgery (all P-values < 0.05); the cataract surgery volume increased by 49% and post-operative visual acuity improved (P = 0.03) while patient satisfaction was unchanged.Conclusion:We objectively documented the transition in cataract surgery technique to phacoemulsification at the Farabi Eye Hospital in the mid-2000s. This was accompanied by significant expansion of the spectrum of cataract surgery candidates and remarkable attainment of surgical skill.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Transition to phacoemulsification at the farabi eye hospital, Iran

Hashemi

Mohammadi

Mazouri

et al. 2011

Middle East Afr J Ophthalmol

View full text Add to dashboard Cite

show abstract

“…The rate of cataract surgery has been constantly increasing (Lundstrom et al 2002) and the progression towards fewer postoperative controls (Edwards et al 1997), shorter periods of hospitalization (Oshika et al 2001) and outpatient surgery (Yi et al 2001) at significantly lower cost (Castells et al 2001) have required the improvement of surgical techniques.…”

Section: Introductionmentioning

confidence: 99%

Redilatation with intracameral mydriatics in phacoemulsification surgery

Bäckström

Behndig

2006

Acta Ophthalmologica Scandinavica

View full text Add to dashboard Cite

ABSTRACT.Purpose: To determine whether intracameral mydriatics can redilate pupils that contract during phacoemulsification cataract surgery. Methods: A total of 80 patients were included in this prospective, randomized, double-blind study performed at Ö rnsko¨ldsviks Hospital Eye Clinic. Of these, 60 patients had 0.6 mg/ml of epinephrine added to the balanced salt solution (BSS) used for irrigation and 20 patients did not. The patients in each group were randomized and given either an intracameral mydriatics (ICM) solution or placebo intracamerally after phacoemulsification and cortex cleaning. The pupil size was registered preoperatively, after cortex cleaning, 30 seconds after study injection, 2 mins after study injection and the day after surgery. Results: No clinically relevant differences were found preoperatively. In the epinephrine material a significantly longer operation time (p = 0.023) and more procedures requiring Vision Blue TM and Kelman-type tip in the placebo group might indicate diversity in the grade of cataract. There was a greater degree of contraction in the absence of epinephrine in the irrigation solution (2.3 ± 1.0 mm in the ICM group and 3.2 ± 0.7 mm in the placebo group) compared to in the presence of epinephrine. With no epinephrine ICM significantly redilated the pupils at 30 seconds (p £ 0.001) as well as at 2 mins (p = 0.015). Conclusion: We have shown that in cases with an intraoperative pupil contraction, ICM is effective in redilating the pupil. Insufficient adrenergic stimulation of the pupil dilator appears to be a major factor causing intraoperative pupil contraction during phacoemulsification cataract surgery.

show abstract

“…Surgical techniques in routine cataract surgery have undergone some remarkable developments over the past two decades (Oshika et al. 2001; Yi et al. 2001; Lundström et al.…”

mentioning

confidence: 99%

“…Furthermore, postoperative controls are reduced to a minimum and hospitalization is very seldom called for in modern routine cataract surgery (Oshika et al. 2001; Yi et al. 2001).…”

mentioning

confidence: 99%