Wound Dehiscence as a Cataract Surgery–Associated Postoperative Complication in Patients Previously Treated With Alpha-1 Blocker Tamsulosin—A Population-Based Study in Taiwan

When is a complication a complication in contemporary cataract surgery?

“…Analysis of the published literature over the last 5 years reveals some trends in the contemporary reporting of adverse outcomes in cataract surgery. In this period, of 69 cataract surgery‐related studies published in English language journals, only 11 large studies (with ≥500 participants) reported comprehensive outcomes in terms of commonly reported intraoperative and/or postoperative complications …”

“…Intraoperative complications that were commonly described in 10 large studies included: capsular tears, dropped or retained nucleus fragment, choroidal, suprachoroidal or vitreous haemorrhage, zonular dehiscence, IOL issues (including IOL drop and exchange) and vitreous loss . However, only two (20%) of these studies reported all six of the most common intraoperative complications: posterior capsular rupture, dropped or retained nucleus fragment, vitreous loss, zonular dehiscence, IOL issues and haemorrhage.…”

“…The commonly discussed postoperative complications in eight large studies included: endophthalmitis, retinal detachment, cystoid macular oedema, persistent corneal oedema, raised intraocular pressure and IOL displacement or dislocation . Similarly in respect to intraoperative complications, only two (25%) studies actually reported all six of the most common postoperative complications.…”

“…[7][8][9][10][11][12][13][14][15][16][17] Intraoperative complications that were commonly described in 10 large studies included: capsular tears, dropped or retained nucleus fragment, choroidal, suprachoroidal or vitreous haemorrhage, zonular dehiscence, IOL issues (including IOL drop and exchange) and vitreous loss. [7][8][9][10][11][12][13][14][15][16] However, only two (20%) of these studies 7,12 reported all six of the most common intraoperative complications: posterior capsular rupture, dropped or retained nucleus fragment, vitreous loss, zonular dehiscence, IOL issues and haemorrhage. Less frequently described complications included: central corneal oedema, corneal epithelial abrasion, Descemet's membrane detachment, endothelial trauma, acute intraoperative hypertension, iris herniation or trauma, incision or phaco burn, hyphaema and 'wound problems'.…”

“…The commonly discussed postoperative complications in eight large studies included: endophthalmitis, retinal detachment, cystoid macular oedema, persistent corneal oedema, raised intraocular pressure and IOL displacement or dislocation. [7][8][9][10][11][12]14,17 Similarly in respect to intraoperative complications, only two (25%) studies 8,10 actually reported all six of the most common postoperative complications. Other less frequently described complications included: wound dehiscence, posterior capsular opacification, hypotony with choroidal effusion, vitreous haemorrhage, hyphaema, choroidal detachment, retention of crystalline lens fragments, toxic anterior segment syndrome, vitreous wick syndrome and 'abnormal incision'.…”