Official ESCRS | European Society of Cataract & Refractive Surgeons


Cataract surgery with systemic co-morbidity: is perioperative management necessary?

Search Title by author or title

Session Details

Session Title: Ocular Infections & Other Topics

Session Date/Time: Sunday 15/09/2019 | 08:00-10:00

Paper Time: 09:00

Venue: Free Paper Forum: Podium 4

First Author: : D.Joshi INDIA

Co Author(s): :    S. Joshi   S. Marathe                          

Abstract Details


To assess the perioperative management (monitoring and interventions) required for patients who have undergone cataract surgeries with respect to specific systemic co-morbidities and to suggest preferred practices for managing systemic co-morbidity or illness while performing cataract surgeries in patients at nuclear facilities and tertiary hospitals.


Eye Department of a City-Based Tertiary Care Multispeciality Hospital


Hospital records of 2022 patients undergoing cataract surgery over a period of two years were analyzed retrospectively. Of these, 519 were found to have systemic co morbidities & were included in this study. Data was analyzed to determine the perioperative management (monitoring and interventions) required for these patients with respect to their specific systemic co morbidity.


The mean age in this study group was 68 years of which 199 patients (38.3%) were females & 320(61.7%) were males. A wide spectrum of comorbidities was observed which included Cardiovascular disease(most common) & Hypertension,Malignancies,Renal disorders, Respiratory disorders, etc. Among these patients, 511 (98.5%) did not require any preoperative interventions.30 patients(5.8%) required intra-operative interventions like Intravenous Injection Metoprolol, Midazolam, Atropine etc. Only 02 patients (0.2%) required post op intervention relevant to the comorbidity. 17 patients (3.3%)required sedation during the surgery. None of the patients required overnight hospitalisation for monitoring or intervention of the comorbidity.


Most patients with systemic disorders do not require perioperative interventions pertinent to these and can easily undergo safe cataract surgery under local anaesthesia at standalone or nuclear centres in a resource limited setup.

Financial Disclosure:


Back to previous