European trends in surgery

EUREQUO finds cataract severity and patient age declining, outcomes improving. Howard Larkin reports

European trends in surgery
Howard Larkin
Howard Larkin
Published: Monday, February 1, 2021
Mats Lundström MD, PhD Cataract patients are being treated earlier, while surgical complications have dropped and visual outcomes have improved in the past decade, Mats Lundström MD, PhD, Karlskrona, Sweden, told the 38th Congress of the ESCRS. These findings reflect surgical trends across Europe drawn from more than 3.1 million cases reported to EUREQUO, the European Registry of Quality Outcomes for Cataract and Refractive Surgery, since its founding in 2007. Data in 2019 came from 330,202 cases reported from 16 countries. Demographically, more men are now having cataract surgery, with women making up 56.7% of all patients in 2019, down from 60.6% in 2008. Mean age is dropping as well, to 73.4 years from 74.5 years 11 years earlier. Ocular comorbidities were reported in 27.9% of cases and a surgical difficulty in 9.8%. Patient severity at the time of surgery trended down over the period, with mean CDVA falling to a mean value of 0.41 LogMAR from 0.46. Visual outcomes improved as well, to a mean CDVA of 0.04 LogMAR, with 78.4% at 0 LogMAR, or 6/6, and 96% at 0.3 LogMAR, or 6/12. Biometry prediction error stood at a mean of 0.39D and median of 0.28D with 74.4% within ±0.5D of target, Dr Lundström reported. In terms of surgery, phacoemulsification made up 98-to-99% of procedures during the entire period with topical anaesthesia gaining ground to 77.9% of procedures in 2019. Hydrophobic acrylic lenses are also gaining favour, making up 78.5% of implants. Surgical complications also continue to decline over time, Dr Lundström said. In 2019, intraoperative complications and postoperative complications both stood at 1.2%. “Altogether it is a very bright picture of improving quality of cataract surgery.” >Refractive outcomes Based on 12,192 cases reported from 65 sites, mean age of refractive surgery patients in 2019 was 42.0 years with 48.7% female, Dr Lundström reported. Mean preoperative manifest refraction was -3.1D (-0.12D to – 16.75D) for myopia, and +1.75D (+0.10 to +11.75D) for hyperopia. In this sample, refractive lens exchange dominated, accounting for 46.6%, including 38% receiving trifocal IOLs; followed by LASIK at 33.9%, including 32% with laser-cut flaps; LASEK at 7.5% and PRK at 6.0%. EUREQUO allows surgeons to monitor their own results and compare them anonymously with other colleagues, clinics and countries, Dr Lundström said. A new feature supports audit reports based on surgeons’ own data. For more information, please visit https://www.eurequo.org Mats Lundström: mats.lundstrom@karlskrona.mail.telia.com
Tags: EUREQUO
Latest Articles
Beyond the Numbers

Empowering patient participation fosters continuous innovation in cataract surgery.

Read more...

Thinking Beyond the Surgery Room

Practice management workshop focuses on financial operations and AI business applications.

Read more...

Picture This: Photo Contest Winners

ESCRS 2025 Refractive and Cataract Photo Contest winners.

Read more...

Aid Cuts Threaten Global Eye Care Progress

USAID closure leads retreat in development assistance.

Read more...

Supplement: ESCRS Clinical Trends Series: Presbyopia

Read more...

Nutrition and the Eye: A Recipe for Success

A look at the evidence for tasty ways of lowering risks and improving ocular health.

Read more...

New Award to Encourage Research into Sustainable Practices

Read more...

Sharing a Vision for the Future

ESCRS leaders update Trieste conference on ESCRS initiatives.

Read more...

Extending Depth of Satisfaction

The ESCRS Eye Journal Club discuss a new study reviewing the causes and management of dissatisfaction after implantation of an EDOF IOL.

Read more...

Conventional Versus Laser-Assisted Cataract Surgery

Evidence favours conventional technique in most cases.

Read more...