TY - JOUR
T1 - Outcomes of cataract surgery complicated by posterior capsule rupture in the European Registry of Quality Outcomes for Cataract and Refractive Surgery
AU - Segers, Maartje H M
AU - Behndig, Anders
AU - van den Biggelaar, Frank J H M
AU - Brocato, Lucia
AU - Henry, Ype P
AU - Nuijts, Rudy M M A
AU - Rosen, Paul
AU - Tassignon, Marie-Jose
AU - Young, David
AU - Stenevi, Ulf
AU - Lundstrom, Mats
AU - Dickman, Mor M
N1 - (C) 2022 Published by Wolters Kluwer on behalf of ASCRS and ESCRS.
PY - 2022/8
Y1 - 2022/8
N2 - PURPOSE: To analyze the outcomes of cataract surgery complicated by posterior capsule rupture (PCR).SETTING: European clinics affiliated to the European Registry of Quality Outcomes for Cataract and Refractive Surgery (EUREQUO).DESIGN: Retrospective cross-sectional register-based study.METHODS: Data was retrieved from the EUREQUO between January 1, 2008, and December 31, 2018. The database consists of demographics, intraoperative complications, including PCR, type of intraocular lens (IOL) material, postoperative refraction, corrected distance visual acuity (CDVA), and postoperative complications.RESULTS: 1,371,743 cataract extractions with complete postoperative data were reported in the EUREQUO. In 12,196 cases (0.9%), a PCR was reported. Following PCR, patients were more likely to receive a PMMA IOL (5.2% vs. 0.4%, respectively) or no IOL (1.1% vs. 0.02%, respectively) compared to patients without PCR. The refractive and visual outcomes following PCR were significantly worse than without PCR (mean CDVA 0.13+/-0.21 versus 0.05+/-0.16 logMAR, P<0.001, mean absolute biometry prediction error 1.15+/-1.60 diopters (D) versus 0.41+/-0.45D, P<0.001). Multivariable linear regression analysis, adjusting for potential explanatory variables, confirmed a statistically significant difference (0.04 logMAR, P<0.001 and 0.70D, P<0.001, respectively). Patients with PCR had significantly more postoperative complications (corneal edema 0.88% vs. 0.17%, adjusted odds ratio (aOR) 2.80 95%CI 2.27-3.45, endophthalmitis 0.11% vs. 0.02%, aOR 4.40 95%CI2.48-7.81, uncontrolled intraocular pressure 0.55% vs. 0.03%, aOR 14.58 95%CI11.16-19.06, P<0.001).CONCLUSION: Patients with PCR have significantly worse visual and refractive outcomes and more postoperative complications than patients without PCR. However, the vast majority of these patients achieved better postoperative visual acuity than before surgery.
AB - PURPOSE: To analyze the outcomes of cataract surgery complicated by posterior capsule rupture (PCR).SETTING: European clinics affiliated to the European Registry of Quality Outcomes for Cataract and Refractive Surgery (EUREQUO).DESIGN: Retrospective cross-sectional register-based study.METHODS: Data was retrieved from the EUREQUO between January 1, 2008, and December 31, 2018. The database consists of demographics, intraoperative complications, including PCR, type of intraocular lens (IOL) material, postoperative refraction, corrected distance visual acuity (CDVA), and postoperative complications.RESULTS: 1,371,743 cataract extractions with complete postoperative data were reported in the EUREQUO. In 12,196 cases (0.9%), a PCR was reported. Following PCR, patients were more likely to receive a PMMA IOL (5.2% vs. 0.4%, respectively) or no IOL (1.1% vs. 0.02%, respectively) compared to patients without PCR. The refractive and visual outcomes following PCR were significantly worse than without PCR (mean CDVA 0.13+/-0.21 versus 0.05+/-0.16 logMAR, P<0.001, mean absolute biometry prediction error 1.15+/-1.60 diopters (D) versus 0.41+/-0.45D, P<0.001). Multivariable linear regression analysis, adjusting for potential explanatory variables, confirmed a statistically significant difference (0.04 logMAR, P<0.001 and 0.70D, P<0.001, respectively). Patients with PCR had significantly more postoperative complications (corneal edema 0.88% vs. 0.17%, adjusted odds ratio (aOR) 2.80 95%CI 2.27-3.45, endophthalmitis 0.11% vs. 0.02%, aOR 4.40 95%CI2.48-7.81, uncontrolled intraocular pressure 0.55% vs. 0.03%, aOR 14.58 95%CI11.16-19.06, P<0.001).CONCLUSION: Patients with PCR have significantly worse visual and refractive outcomes and more postoperative complications than patients without PCR. However, the vast majority of these patients achieved better postoperative visual acuity than before surgery.
U2 - 10.1097/j.jcrs.0000000000000901
DO - 10.1097/j.jcrs.0000000000000901
M3 - Article
C2 - 35179858
SN - 0886-3350
VL - 48
SP - 942
EP - 946
JO - Journal of Cataract and Refractive Surgery
JF - Journal of Cataract and Refractive Surgery
IS - 8
ER -