Document Detail


Increased intraocular pressure on the first postoperative day following resident-performed cataract surgery.
MedLine Citation:
PMID:  21527959     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
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:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2011-04-29
Journal Detail:
Title:  Eye (London, England)     Volume:  25     ISSN:  1476-5454     ISO Abbreviation:  Eye (Lond)     Publication Date:  2011 Jul 
Date Detail:
Created Date:  2011-07-14     Completed Date:  2011-11-08     Revised Date:  2013-06-30    
Medline Journal Info:
Nlm Unique ID:  8703986     Medline TA:  Eye (Lond)     Country:  England    
Other Details:
Languages:  eng     Pagination:  929-36     Citation Subset:  IM    
Affiliation:
Department of Ophthalmology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Republic of Korea. jykim2311@amc.seoul.kr
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MeSH Terms
Descriptor/Qualifier:
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:
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 ]

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