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Evaluation of a clinical prediction model for cataract surgery outcome

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Session Details

Session Title: Presented Poster Session: IOL Power Calculation/Paediatric

Venue: Poster Village: Pod 1

First Author: : E.Oustoglou GREECE

Co Author(s): :    I. Mamais   M. Dermenoudi   I. Tsinopoulos        

Abstract Details

Purpose:

The purpose of this study is to correlate the risk factors identified preoperatively with the number of procedures needed to achieve the best possible final operative outcome.

Setting:

2nd Ophthalmology Department, Aristotle University of Thessaloniki, Thessaloniki, Greece

Methods:

Medical records of patients undergone cataract surgery from January 2014 to December 2015 in Papageorgiou Hospital were retrospectively reviewed and exclusion criteria were applied. The inclusion and exclusion criteria were met by those who were assessed preoperatively and all qualitative and quantitative characteristics of the eligible patients were gathered and processed.

Results:

In 1792 eyes of 1502 patients, white / dense cataract (p=0.002), iridodonesis / phacodonesis (p<0.001), high risk factor score (p<0.001), the use of tamsulosine (p=0.029) and the male gender (p=0.002) are risk factors positively associated with more than one surgeries. The same factors plus age over 88 (p<0.001), difficulties in cooperation with the patient (p=0.034) and resident surgeons (p<0.001) tended to have more often complications. In a multivariate regression analysis, white / dense cataract was associated with 2.94 higher odds of conducting more than one procedures, iridodonesis / phacodonesis had 5.35 odds ratio and the use of tamsulosine 2.71.

Conclusions:

The number of procedures needed for the best possible final operative outcome depends on the risk factors someone has pre-op. These risk factors tend to be prognostic to the complications that might occur during surgery. The stratification method used increases the level of awareness of the surgeon and therefore decreases the number of complications; it is resident friendly, helping them evolve their skills through ‘safe’ practice.

Financial Disclosure:

NONE

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