Document Detail


Why is cataract surgery canceled? A retrospective evaluation.
MedLine Citation:
PMID:  19882522     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: We performed this retrospective study to evaluate and report the reasons for cancellation of elective cataract surgeries in our tertiary care hospital, Kuwait University Hospital, from January 2001 until December 2003. Proportion of elective cataract surgeries canceled on the day of surgery was obtained from the operating theater list and reasons for cancellations were recorded. METHODS: The selected patients for the surgery had gone through preoperative investigations including complete blood count, random blood sugar, coagulation profile, urea and electrolytes, viral serology (hepatitis B, hepatitis C, and human immunodeficiency virus), intraocular lens calculation, and medical condition assessed for chronic diseases. RESULTS: A total of 1952 patients were scheduled for elective cataract surgery. A total of 234 cases (12%) were canceled due to different reasons on the day of surgery. Main reasons for cancellation were poor control of systemic hypertension (77), canceled by patient (46), improper control of diabetes (20), patients did not bring the intraocular lens (18), chest infection or influenza in children (17), local eye infection (13), cardiac problems (11), high intraocular pressure after local anesthesia (8), and uncooperative patients (7). CONCLUSIONS: Postponing elective cataract surgery for patients scheduled for surgery is a stressful situation for the patients and their relatives. Most reasons (80%) for cancelling the surgery were avoidable and efforts to reduce the number of postponed cases should be increased. Medical fitness should be done properly to avoid unexpected rise in blood pressure and blood sugar on the day of surgery.
Authors:
Mahfouth Bamashmus; Talal Haider; Reem Al-Kershy
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  European journal of ophthalmology     Volume:  20     ISSN:  1120-6721     ISO Abbreviation:  Eur J Ophthalmol     Publication Date:    2010 Jan-Feb
Date Detail:
Created Date:  2010-01-04     Completed Date:  2010-04-01     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9110772     Medline TA:  Eur J Ophthalmol     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  101-5     Citation Subset:  IM    
Affiliation:
Eye Department, Sana'a University, Sana'a, Republic of Yemen. bamashmus@y.net.ye
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Appointments and Schedules*
Cataract Extraction / statistics & numerical data*,  utilization
Child
Child, Preschool
Diabetes Complications
Female
Humans
Hypertension / complications
Infant
Infection / complications
Intraocular Pressure
Male
Middle Aged
Operating Rooms / utilization
Patient Compliance
Preoperative Care
Retrospective Studies
Surgical Procedures, Elective / statistics & numerical data*,  utilization
Yemen

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