Simultaneous Bilateral Phacoemulsification and Cataract Extraction : A New Operation Method
Järvenpää, Janne J.; Pape, Bernd; Vesti, Eija (2023)
Scholars.Direct
2023
Julkaisun pysyvä osoite on
https://urn.fi/URN:ISBN:2578-7160
https://urn.fi/URN:ISBN:2578-7160
Kuvaus
vertaisarvioitu
© 2023 Järvenpää JJ, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
© 2023 Järvenpää JJ, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Tiivistelmä
Purpose: To investigate the safety of a new simultaneous bilateral phacoemulsification and cataract extraction method.
Setting: Two public hospitals and two private hospitals, Finland.
Design: Four center retrospective cohort study.
Methods: The study group consisted of all simultaneous bilateral phacoemulsification and cataract extraction operations
conducted between 2009-2019 by one senior surgeon at one public hospital (2648 eyes) and at two private hospitals
(1152 and 932 eyes). The control group was immediately sequential bilateral cataract surgeries (ISBCS) performed at one
public hospital by several senior surgeons between 2017-2018 (4854 eyes). The primary outcome was the difference in
incidences of early postoperative complications in individuals. Secondary outcomes included intraoperative complications
and re-operations due to complications.
Results: The study group was non-inferior in all the controlled postoperative complications compared to ISBCS (p < 0.05)
at both the 0-3 months and 0-12 months follow-up, except for cystic macular edema (CME) (p = 0.08) that tended to be
more common in the study group at 0-12 months. There were no differences in intraoperative complications between
the study group and the control group (p = 0.68).
Conclusion: The studied simultaneous bilateral phacoemulsification and cataract extraction method is non-inferior to the
prevailing standard technique of ISBCS.
Setting: Two public hospitals and two private hospitals, Finland.
Design: Four center retrospective cohort study.
Methods: The study group consisted of all simultaneous bilateral phacoemulsification and cataract extraction operations
conducted between 2009-2019 by one senior surgeon at one public hospital (2648 eyes) and at two private hospitals
(1152 and 932 eyes). The control group was immediately sequential bilateral cataract surgeries (ISBCS) performed at one
public hospital by several senior surgeons between 2017-2018 (4854 eyes). The primary outcome was the difference in
incidences of early postoperative complications in individuals. Secondary outcomes included intraoperative complications
and re-operations due to complications.
Results: The study group was non-inferior in all the controlled postoperative complications compared to ISBCS (p < 0.05)
at both the 0-3 months and 0-12 months follow-up, except for cystic macular edema (CME) (p = 0.08) that tended to be
more common in the study group at 0-12 months. There were no differences in intraoperative complications between
the study group and the control group (p = 0.68).
Conclusion: The studied simultaneous bilateral phacoemulsification and cataract extraction method is non-inferior to the
prevailing standard technique of ISBCS.
Kokoelmat
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