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Related Concept Videos

Angle Closure Glaucoma: Treatment01:28

Angle Closure Glaucoma: Treatment

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Angle-closure glaucoma, or closed-angle glaucoma, is an eye condition where the iris bulges out and blocks the iridocorneal angle, resulting in a buildup of aqueous humor and increased intraocular pressure. Immediate medical attention is necessary due to the sudden onset of symptoms. The treatment for angle-closure glaucoma includes short-term and long-term approaches. Short-term treatment involves using eye drops like pilocarpine to lower intraocular pressure by increasing aqueous humor...
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Open Angle Glaucoma: Treatment01:27

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In open-angle glaucoma, the iridocorneal angle remains open, but the trabecular meshwork becomes stiff, slowing down the outflow of aqueous humor. This causes a buildup of aqueous humor in the anterior chamber, leading to a sudden increase in intraocular pressure. The treatment for open-angle glaucoma focuses on reducing the elevated intraocular pressure by either decreasing the secretion of aqueous humor or increasing its outflow.
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Updated: Jul 27, 2025

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Safety of office-based lens surgery: U.S. multicenter study.

Lance J Kugler1, Matthew J Kapeles, Daniel S Durrie

  • 1From the Kugler Vision, Omaha, Nebraska (Kugler, Kapeles); iOR Partners, Kansas City, Missouri (Durrie).

Journal of Cataract and Refractive Surgery
|June 5, 2023
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Summary

Office-based lens surgery demonstrates low adverse event rates, comparable to or better than ambulatory surgery centers. This study evaluated complications in 18,005 cases of cataract or refractive lens surgery.

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Area of Science:

  • Ophthalmology
  • Surgical Outcomes
  • Patient Safety

Background:

  • Office-based lens surgery is an emerging alternative to traditional ambulatory surgery centers.
  • Evaluating the safety profile of these procedures is crucial for patient care and practice guidelines.

Purpose of the Study:

  • To assess the incidence of adverse events following office-based lens surgery.
  • To compare complication rates with those reported for ambulatory surgery centers.

Main Methods:

  • A retrospective multicenter study analyzed 18,005 office-based lens surgeries across 36 U.S. private practices.
  • Data included intraoperative and postoperative complications, unplanned return to the operating room, hospital referral, and emergency service calls.

Main Results:

  • Postoperative endophthalmitis, toxic anterior segment syndrome, and corneal edema rates were low (0.028%, 0.022%, 0.027%).
  • Unplanned anterior vitrectomy occurred in 0.177% of cases, with 0.067% requiring return to the operating room.

Conclusions:

  • Adverse event rates for office-based lens surgery are comparable to or lower than those in ambulatory surgery centers.
  • Office-based lens surgery appears to be a safe alternative for cataract and refractive lens procedures.