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Cataract surgery practice patterns worldwide: a survey.

Tommaso Rossi1, Mario R Romano2, Danilo Iannetta3

  • 1Ophthalmology, Ospedale Policlinico San Martino Istituto di Ricovero e Cura a Carattere Scientifico per l'Oncologia, Genova, Italy.

BMJ Open Ophthalmology
|January 27, 2021
PubMed
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This summary is machine-generated.

Global cataract surgery practices vary significantly worldwide. This survey highlights disparities in perioperative care, emphasizing the need for evidence-based consensus to optimize resource use and patient outcomes.

Area of Science:

  • Ophthalmology
  • Global Health
  • Surgical Practices

Background:

  • Cataract surgery is a leading procedure globally.
  • Variations in perioperative care may impact outcomes and resource allocation.
  • Understanding current practice patterns is crucial for improvement.

Purpose of the Study:

  • To survey global ophthalmologists on cataract surgery practice patterns.
  • To investigate variations in preoperative, intraoperative, and postoperative care.
  • To analyze surgical setting and personnel allocation trends.

Main Methods:

  • An online survey with 28 questions was distributed to 240 ophthalmologists across 38 countries.
  • Respondents described institutional trends in anesthesia, examinations, and postsurgical care.
Keywords:
epidemiologylens and zonulespublic healthtreatment surgery

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  • Statistical analysis included crosstabs and lambda statistics; P<0.05 was significant.

    • Main Results:

    • 87% of ophthalmologists responded, representing diverse institutions (public, private, academic).
    • Significant correlation found between institution type and surgical volume (241,700–410,500 cataracts/year).
    • Perioperative care patterns differed significantly among respondents globally.

    Conclusions:

    • Cataract surgery perioperative care shows global variation irrespective of institution, volume, or country.
    • Uneven practice of evidence-based procedures and costly, unproven habits are prevalent.
    • A global consensus on evidence-based practice patterns is urgently needed to standardize care and conserve resources.