| Increased intraocular pressure on the first postoperative day following resident-performed cataract surgery. | |
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MedLine Citation:
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PMID: 21527959 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: The aim of this study was to investigate the incidence of intraocular pressure (IOP) elevation after resident-performed cataract surgery and to determine variables, which influence postoperative day 1 (POD1) IOP. METHODS: In all, 1111 consecutive cataract surgeries performed only by training residents between 1 July 2001 and 30 June 2006 were included. Elevated IOP was defined as ≥23 mm Hg. Surgeries were classified according to the presence of POD1-IOP elevation. Fisher's exact test and Student t-test were used to compare both groups. Multivariate analyses using generalized estimating equations were performed to investigate predictor variables associated with POD1-IOP elevation. RESULTS: The average preoperative IOP was 16.0±3.2 mm Hg and the average POD1-IOP was 19.3±7.1 mm Hg, reflecting a significant increase in IOP (P<0.001, paired t-test). The incidence of POD1-IOP elevation ≥23 mm Hg was 22.0% (244/1111). Presence of glaucoma and ocular hypertension, higher preoperative IOP, and longer axial length were frequently encountered variables in the POD1-IOP elevation group (all P<0.05). Using a multivariate analysis, presence of glaucoma (P=0.004, OR=2.38; 95% confidence interval (95% CI)=1.31-4.30), presence of ocular hypertension (P=0.003, OR=6.09; 95% CI=1.81-20.47), higher preoperative IOP (P<0.001, OR=3.73; 95% CI=1.92-7.25), and longer axial length (P=0.01, OR=1.15; 95% CI=1.03-1.29) were significant predictive factors for POD1-IOP elevation. CONCLUSIONS: IOP elevation on the first postoperative day following resident-performed cataract surgery occurred frequently (22.0%). Increased early postoperative IOP was associated with presence of glaucoma and ocular hypertension, higher preoperative IOP, and longer axial length. |
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Authors:
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J Y Kim; M-W Jo; S C Brauner; Z Ferrufino-Ponce; R Ali; S L Cremers; B An Henderson |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't Date: 2011-04-29 |
Journal Detail:
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Title: Eye (London, England) Volume: 25 ISSN: 1476-5454 ISO Abbreviation: Eye (Lond) Publication Date: 2011 Jul |
Date Detail:
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Created Date: 2011-07-14 Completed Date: 2011-11-08 Revised Date: 2012-09-19 |
Medline Journal Info:
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Nlm Unique ID: 8703986 Medline TA: Eye (Lond) Country: England |
Other Details:
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Languages: eng Pagination: 929-36 Citation Subset: IM |
Affiliation:
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Department of Ophthalmology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Republic of Korea. jykim2311@amc.seoul.kr |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Aged, 80 and over Cataract Extraction / adverse effects*, education Female Humans Incidence Internship and Residency* Intraocular Pressure / physiology* Male Multivariate Analysis Ocular Hypertension / complications Risk Factors Tonometry, Ocular |
| Comments/Corrections | |
Comment In:
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Eye (Lond). 2012 Jul;26(7):1026; author reply 1026-7
[PMID:
22538213
]
Eye (Lond). 2012 Feb;26(2):332; author reply 332-3 [PMID: 22079966 ] |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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