![]() ![]() NCSP codes and dates for vitrectomy procedures and ICD10 codes for endophthalmitis were searched ( online supplemental table 1) for patients who had undergone cataract surgery. The EPR was searched for all Nordic Classification of Surgical Procedures (NCSP) codes for cataract surgery and laterality of surgery ( online supplemental table 1), the dates of cataract surgery codes and corresponding patient identification numbers. In addition to patient care, Tays Eye Centre provides education and training for ophthalmology residents as well as academic research.Īll patients who had undergone cataract surgery during the study period were searched from the electronic patient records (EPR) of Tampere University Hospital. In addition, Tays Eye Centre is responsible for organising all public near eye care services for 0.5 million inhabitants living in Pirkanmaa Hospital District, which is a joint municipal authority owned by 23 municipalities. Tampere University Hospital provides university-level services to 0.9 million Finns within three hospital districts. This is a single-centre report based on complete data collection on all cataract surgeries performed between 1 January 2008 and 31 December 2020 in Tays Eye Centre, Tampere University Hospital, Finland. In the present study, we report outcomes of 56 700 consecutive cataract surgeries including 26 890 ISBCS eyes (47%). 6 Thus, it is important to evaluate real-world outcomes. There are no published RCTs of different intracameral antibiotics to compare efficacy and safety, and no consensus on the optimal antibiotics to prevent postoperative endophthalmitis. 5 However, not only endophthalmitis but also prevention of endophthalmitis may also lead to rare serious vision threatening adverse events. 4 In addition to cefuroxime, moxifloxacin and vancomycin are commonly used intracameral antibiotics both of which have demonstrated reduced prevalence of endophthalmitis compared with no antibiotic administration in several retrospective studies. #SEQUENTIAL TECHNOLOGY INTERNATIONAL TRIAL#4 This pivotal trial demonstrated that the use of intracameral cefuroxime at the end of cataract surgery resulted in an almost fivefold decrease in the rate of endophthalmitis. The European Society of Cataract and Refractive Surgeons study is the only randomised controlled trial (RCT), which has tested endophthalmitis prophylaxis for cataract surgery. ![]() The most dreaded complication of cataract surgery is postoperative endophthalmitis with potential permanent loss of vision. 1 3 In spite of these benefits of ISBCS, concerns have also been raised especially for the fear of postoperative complications. 2 Healthcare providers can offer faster access to surgery, more efficient use of operating capacity and clinic time, and reduced surgery-related costs. 1 Patients will have less hospital visits, less travelling and expenses, no waiting time for the second-eye surgery and less postoperative anisometropia. ISBCS provides benefits for patients and healthcare providers compared with delayed sequential bilateral cataract surgery (DSBCS). Due to development of modern surgical techniques, it has evolved into a safe operation, including adoption of same-day bilateral operations, immediate sequential bilateral cataract surgery (ISBCS). Cataract surgery is among the most frequently performed elective surgical procedures across the world. ![]()
0 Comments
Leave a Reply. |
Details
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |