Official ESCRS | European Society of Cataract & Refractive Surgeons


Changing practice patterns in European cataract surgery as reflected by the European Registry of Quality Outcomes in Cataract and Refractive Surgery: a long-term study 2008–2017

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Session Details

Session Title: Combined Cataract Surgery & Practice Styles

Session Date/Time: Sunday 15/09/2019 | 14:00-16:00

Paper Time: 15:16

Venue: Free Paper Forum: Podium 2

First Author: : S.Manning IRELAND

Co Author(s): :    M. Dickman   Y. Henry   P. Rosen   M. Tassignon   U. Stenevi   M. Lundstrom              

Abstract Details


To describe changes over time in the indications, practice patterns, outcomes and complications of cataract surgery over a 10 year period.


Database study of all cataract extractions entered in the European Registry of Quality Outcomes for Cataract and Refractive Surgery between 2008 and 2017.


Type of surgery, anaesthesia and intraocular lens, visual outcome, refractive outcome and complications were analysed per year over a 10-year period.


Over 1,440,000 cataract extractions were analysed. The patients’ age decreased and the preoperative visual acuity increased over the 10-year period. Phacoemulsifcation remained the main method of cataract extraction at 99% of cases. Topical anaesthesia increased from 28.2 to 73.5% and acrylic hydrophopic intraocular lenses remained the predominant type of lens, used in over 80% of cases. Capsule complication rate decreased from 1.24 to 0.61%. Cases achieving postoperative visual outcome of logMAR 0.0 or better increased from 59.2 to 76.1%. Biometry prediction error within 0.5 and 1.0 D of target increased from 67.3 to 73.7% and from 89.9 to 93.8%, respectively.


Cataract surgery occured at increasingly younger age and better preoperative visual acuity overtiem. . Topical anaesthesia has become the routine form of anaesthesia. Visual and refractive outcomes have improved year by year over the last 10 years. Financial Disclosure: None of the authors have any financial disclosures.

Financial Disclosure:


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