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Risk factors for posterior capsule rupture in cataract surgery as reflected in the European Registry of Quality Outcomes for Cataract and Refractive Surgery

Segers, Maartje H.M. ; Behndig, Anders ; van den Biggelaar, Frank J.H.M. ; Brocato, Lucia ; Henry, Ype P. ; Nuijts, Rudy M.M.A. ; Rosen, Paul ; Tassignon, Marie José ; Young, David and Stenevi, Ulf , et al. (2022) In Journal of Cataract and Refractive Surgery 48(1). p.51-55
Abstract

PURPOSE: To analyze the incidence and risk factors for posterior capsule rupture (PCR) in cataract surgery. SETTING: European clinics affiliated with the European Registry of Quality Outcomes for Cataract and Refractive Surgery (EUREQUO). DESIGN: Retrospective cross-sectional register-based study. METHODS: Data were obtained from the EUREQUO. The database contains data on demographics, comorbidities, and intraoperative complications, including PCR for the study period from January 1, 2008, to December 31, 2018. Univariate and multivariate logistic regression analyses were performed to estimate the (adjusted) odds ratio (OR) and 95% confidence intervals (CIs). RESULTS: We analyzed EUREQUO registry data of 2,853,376 patients, and 31,749... (More)

PURPOSE: To analyze the incidence and risk factors for posterior capsule rupture (PCR) in cataract surgery. SETTING: European clinics affiliated with the European Registry of Quality Outcomes for Cataract and Refractive Surgery (EUREQUO). DESIGN: Retrospective cross-sectional register-based study. METHODS: Data were obtained from the EUREQUO. The database contains data on demographics, comorbidities, and intraoperative complications, including PCR for the study period from January 1, 2008, to December 31, 2018. Univariate and multivariate logistic regression analyses were performed to estimate the (adjusted) odds ratio (OR) and 95% confidence intervals (CIs). RESULTS: We analyzed EUREQUO registry data of 2,853,376 patients, and 31,749 (1.1%) cataract surgeries were complicated by a PCR. Data were available of 2 853 376 patients, and 31 749 (1.1%) cataract surgeries were complicated by a PCR. The PCR rate ranged from 0.60% to 1.65% throughout the years, with a decreasing trend (P < .001). The mean age of the PCR cohort was 74.8 ± 10.5 years, and 17 29 (55.5%) patients were female. Risk factors most significantly associated with PCR were corneal opacities (OR 3.21, 95% CI, 3.02-3.41, P < .001), diabetic retinopathy (OR 2.74, 95% CI, 2.59-2.90, P < .001), poor preoperative visual acuity (OR 1.98, 95% CI, 1.88-2.07, P < .001), and white cataract (OR 1.87, 95% CI, 1.72-2.03, P < .001). CONCLUSIONS: Risk factors for PCR were identified based on the EUREQUO, and the incidence of this complication is decreasing over time.

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organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Journal of Cataract and Refractive Surgery
volume
48
issue
1
pages
5 pages
publisher
Elsevier
external identifiers
  • pmid:34074994
  • scopus:85117704190
ISSN
1873-4502
DOI
10.1097/j.jcrs.0000000000000708
language
English
LU publication?
yes
id
64b88a9f-46cf-4a4e-a4ce-fc69bc1555b8
date added to LUP
2023-01-02 12:55:13
date last changed
2024-04-18 09:18:53
@article{64b88a9f-46cf-4a4e-a4ce-fc69bc1555b8,
  abstract     = {{<p>PURPOSE: To analyze the incidence and risk factors for posterior capsule rupture (PCR) in cataract surgery. SETTING: European clinics affiliated with the European Registry of Quality Outcomes for Cataract and Refractive Surgery (EUREQUO). DESIGN: Retrospective cross-sectional register-based study. METHODS: Data were obtained from the EUREQUO. The database contains data on demographics, comorbidities, and intraoperative complications, including PCR for the study period from January 1, 2008, to December 31, 2018. Univariate and multivariate logistic regression analyses were performed to estimate the (adjusted) odds ratio (OR) and 95% confidence intervals (CIs). RESULTS: We analyzed EUREQUO registry data of 2,853,376 patients, and 31,749 (1.1%) cataract surgeries were complicated by a PCR. Data were available of 2 853 376 patients, and 31 749 (1.1%) cataract surgeries were complicated by a PCR. The PCR rate ranged from 0.60% to 1.65% throughout the years, with a decreasing trend (P &lt; .001). The mean age of the PCR cohort was 74.8 ± 10.5 years, and 17 29 (55.5%) patients were female. Risk factors most significantly associated with PCR were corneal opacities (OR 3.21, 95% CI, 3.02-3.41, P &lt; .001), diabetic retinopathy (OR 2.74, 95% CI, 2.59-2.90, P &lt; .001), poor preoperative visual acuity (OR 1.98, 95% CI, 1.88-2.07, P &lt; .001), and white cataract (OR 1.87, 95% CI, 1.72-2.03, P &lt; .001). CONCLUSIONS: Risk factors for PCR were identified based on the EUREQUO, and the incidence of this complication is decreasing over time.</p>}},
  author       = {{Segers, Maartje H.M. and Behndig, Anders and van den Biggelaar, Frank J.H.M. and Brocato, Lucia and Henry, Ype P. and Nuijts, Rudy M.M.A. and Rosen, Paul and Tassignon, Marie José and Young, David and Stenevi, Ulf and Lundström, Mats and Dickman, Mor M.}},
  issn         = {{1873-4502}},
  language     = {{eng}},
  number       = {{1}},
  pages        = {{51--55}},
  publisher    = {{Elsevier}},
  series       = {{Journal of Cataract and Refractive Surgery}},
  title        = {{Risk factors for posterior capsule rupture in cataract surgery as reflected in the European Registry of Quality Outcomes for Cataract and Refractive Surgery}},
  url          = {{http://dx.doi.org/10.1097/j.jcrs.0000000000000708}},
  doi          = {{10.1097/j.jcrs.0000000000000708}},
  volume       = {{48}},
  year         = {{2022}},
}