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Surgical outcomes in only eye cataract surgery
Jennifer Mm Doyle1, Aaminah S Haq1, Sher A Aslam1
1574106Oxford Eye Hospital, John Radcliffe Hospital, Oxford, UK.
European Journal of Ophthalmology
|April 4, 2022
Summary
Cataract surgery on a patient's only seeing eye showed a slightly higher complication risk, including posterior capsule rupture, and fewer achieved optimal vision compared to national data. Surgeon experience did not significantly impact outcomes.
Area of Science:
- Ophthalmology
- Surgical Outcomes
- Patient Safety
Background:
- Cataract surgery on a sole seeing eye offers benefits but carries risks.
- This study examines surgical outcomes for patients with only one functional eye.
Purpose of the Study:
- To investigate the safety and efficacy of cataract surgery in patients with only one seeing eye.
- To compare complication rates and visual outcomes against national data.
Main Methods:
- Retrospective analysis of adult patients undergoing cataract surgery on their only seeing eye.
- Comparison of complication rates and visual acuity with the National Ophthalmology Database (NOD) Audit data.
Main Results:
- The unadjusted complication rate was 4.0% (vs. 2.5% in NOD data), with posterior capsule rupture (PCR) at 1.9% (vs. 1.14% in NOD data).
- 72.5% of patients achieved 0.3 LogMAR or better postoperative vision (vs. 91.5% in NOD data).
- Surgeon grade did not significantly affect complication risk.
Conclusions:
- Cataract surgery in only-eye patients has a slightly elevated risk of complications and lower rates of achieving excellent vision compared to general data.
- Trainee surgeons can operate on these patients under supervision without increasing patient risk.
- Multicenter studies are recommended to validate these findings.
