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Influence of age to the incidence of posterior capsular rupture in phacoemulsification: a cross-sectional study

Poster Details

First Author: G.Karras GREECE

Co Author(s):    A. Tzamalis   A. Haidich   S. Dimitrakos   I. Tsinopoulos     

Abstract Details



Purpose:

The purpose of this study was to assess the existence of the correlation between patients' age undergoing cataract surgery by means of phacoemulsification and the rate of intraoperative posterior capsular rupture.

Setting:

2nd Department of Ophthalmology, Medical School, 'Papageorgiou General Hospital', Aristotle University of Thessaloniki, Thessaloniki, Greece

Methods:

In a cross-sectional retrospective study, a complete census of the intraoperative complications of patients undergoing phacoemulsification procedure over a period of two years (2009-2010) in a tertiary university care centre has been performed. Patients operated only by experienced surgeons were recruited and in case of bilateral cataract surgery one eye was randomly chosen using predetermined randomization protocol. Patients with cataract forms other than senile were excluded from the analysis. All data were retrieved by thorough review of the patients' electronic medical records. The statistical classification model used was Binary Logistic Regression.

Results:

1335 eyes of 1335 patients were enrolled in the statistical analysis meeting the study criteria. All cases were performed by 4 experienced cataract surgeons. Posterior capsular rupture (PCR) was noted as the most common intraoperative complication with a cumulative incidence of 4.7% (63/1335). A statistical significant correlation was demonstrated between patients' age and PCR rate (p<0.05). The odds ratio of PCR was found to increase 3.8% for each year added to patients' age.

Conclusions:

Incidence of posterior capsular rupture increases as patients grow older. The present study emerges patients' age as a risk factor for cataract surgery highlighting the need of concerning the right time of interval in cataract patients. FINANCIAL INTEREST: NONE

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