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Postoperative aphakia in modern cataract surgery - Part 2: Detailed analysis of the cause of aphakia and the visual outcome

Lundstrom, M; Brege, KG; Florén, Ingrid LU ; Lundh, B; Stenevi, U and Thorburn, W (2004) In Journal of Cataract and Refractive Surgery 30(10). p.2111-2115
Abstract
Purpose: To study the incidence of aphakia after cataract surgery, the surgical complications that can lead to it, and the visual outcome. Setting: Six community-run eye clinics participating in the Swedish National Cataract Register. Methods: Data on cataract extractions were collected prospectively from 1997 through 2001. The data also covered the type of surgery and type of intraocular lens, including a "no lens implanted" option. All data were stored in a database. These data were supplemented with data on the intended type of surgery, type of complications, possible second surgery, and visual outcome. Results: The overall incidence of postoperative aphakia was 0.65%. In 87.1% of cases, the aphakia was not planned, corresponding to an... (More)
Purpose: To study the incidence of aphakia after cataract surgery, the surgical complications that can lead to it, and the visual outcome. Setting: Six community-run eye clinics participating in the Swedish National Cataract Register. Methods: Data on cataract extractions were collected prospectively from 1997 through 2001. The data also covered the type of surgery and type of intraocular lens, including a "no lens implanted" option. All data were stored in a database. These data were supplemented with data on the intended type of surgery, type of complications, possible second surgery, and visual outcome. Results: The overall incidence of postoperative aphakia was 0.65%. In 87.1% of cases, the aphakia was not planned, corresponding to an incidence of 0.48%. Unplanned aphakia was significantly related to poor preoperative vision, old age, and the presence of ocular comorbidity. The most frequent reasons for unplanned aphakia were intraoperative capsule problems and vitreous loss. In two thirds of cases, a second operation was performed. In 41% of all cases, the final visual acuity was 0.5 or better and in 27.7%, worse than 0.1. Conclusions: During the study period, 1 of every 200 routine cataract surgeries ended in unplanned aphakia. The incidence of surgical complications leading to unplanned aphakia and a final visual acuity worse than 0.1 (20/200) was 7.8 per 10 000 operations in cases with no ocular comorbidity and 27.6 per 10 000 operations in cases with ocular comorbidity. (C) 2004 ASCRS and ESCRS. (Less)
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type
Contribution to journal
publication status
published
subject
in
Journal of Cataract and Refractive Surgery
volume
30
issue
10
pages
2111 - 2115
publisher
Elsevier
external identifiers
  • pmid:15474823
  • wos:000224719200028
  • scopus:4944264643
ISSN
1873-4502
DOI
10.1016/j.jcrs.2004.01.044
language
English
LU publication?
yes
id
826fd98d-9896-40a1-9e05-6d41d2f8143b (old id 262398)
date added to LUP
2007-10-24 21:18:48
date last changed
2017-01-01 04:39:48
@article{826fd98d-9896-40a1-9e05-6d41d2f8143b,
  abstract     = {Purpose: To study the incidence of aphakia after cataract surgery, the surgical complications that can lead to it, and the visual outcome. Setting: Six community-run eye clinics participating in the Swedish National Cataract Register. Methods: Data on cataract extractions were collected prospectively from 1997 through 2001. The data also covered the type of surgery and type of intraocular lens, including a "no lens implanted" option. All data were stored in a database. These data were supplemented with data on the intended type of surgery, type of complications, possible second surgery, and visual outcome. Results: The overall incidence of postoperative aphakia was 0.65%. In 87.1% of cases, the aphakia was not planned, corresponding to an incidence of 0.48%. Unplanned aphakia was significantly related to poor preoperative vision, old age, and the presence of ocular comorbidity. The most frequent reasons for unplanned aphakia were intraoperative capsule problems and vitreous loss. In two thirds of cases, a second operation was performed. In 41% of all cases, the final visual acuity was 0.5 or better and in 27.7%, worse than 0.1. Conclusions: During the study period, 1 of every 200 routine cataract surgeries ended in unplanned aphakia. The incidence of surgical complications leading to unplanned aphakia and a final visual acuity worse than 0.1 (20/200) was 7.8 per 10 000 operations in cases with no ocular comorbidity and 27.6 per 10 000 operations in cases with ocular comorbidity. (C) 2004 ASCRS and ESCRS.},
  author       = {Lundstrom, M and Brege, KG and Florén, Ingrid and Lundh, B and Stenevi, U and Thorburn, W},
  issn         = {1873-4502},
  language     = {eng},
  number       = {10},
  pages        = {2111--2115},
  publisher    = {Elsevier},
  series       = {Journal of Cataract and Refractive Surgery},
  title        = {Postoperative aphakia in modern cataract surgery - Part 2: Detailed analysis of the cause of aphakia and the visual outcome},
  url          = {http://dx.doi.org/10.1016/j.jcrs.2004.01.044},
  volume       = {30},
  year         = {2004},
}