Canadian journal of ophthalmology. Journal canadien d'ophtalmologie · 2025
Comparing the rate of cataract surgery complications between a hospital and an independent health facility.
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Bierbrier Joshua, Baxter Stephanie, Johnson Davin
Аннотация
OBJECTIVE: To compare the perioperative complication rates of cataract surgeries performed at a hospital and an independent health facility (IHF) in Ontario following governmental funding changes affecting for-profit private clinics.
DESIGN: Retrospective chart review.
PARTICIPANTS: All patients receiving publicly funded elective cataract surgery in Kingston, Ontario, between January 1, 2023, and December 31, 2023.
METHODS: Electronic medical records were assessed for 3 cataract surgery complications: posterior capsular rupture (PCR), retinal tear/detachment, and endophthalmitis. Age, eye, lens type (spheric, aspheric, premium), intraoperative complication, and postoperative complications were recorded for each chart. Differences between clinical settings were evaluated using Fisher's Exact and χ2 tests (p < 0.05).
RESULTS: A total of 3190 (hospital: 1741; IHF: 1449) charts were reviewed. The hospital had a significantly higher rate of PCRs (1.44% vs 0.21%; p < 0.01). Retinal tears/detachments occurred in 5 hospital cases (0.29%) and none at the IHF, while 2 endophthalmitis cases were reported at the IHF (0.14%) and none at the hospital (both p > 0.05). Lens use patterns significantly differed, with more premium and aspheric lenses used at the IHF and more spheric lenses at the hospital.
CONCLUSIONS: Complication rates at both sites were similar and within expected ranges. Differences in PCR rates may be explained by a tendency to perform more complicated surgeries at the hospital. The findings suggest that cataract surgery at both clinical settings is safe.
DESIGN: Retrospective chart review.
PARTICIPANTS: All patients receiving publicly funded elective cataract surgery in Kingston, Ontario, between January 1, 2023, and December 31, 2023.
METHODS: Electronic medical records were assessed for 3 cataract surgery complications: posterior capsular rupture (PCR), retinal tear/detachment, and endophthalmitis. Age, eye, lens type (spheric, aspheric, premium), intraoperative complication, and postoperative complications were recorded for each chart. Differences between clinical settings were evaluated using Fisher's Exact and χ2 tests (p < 0.05).
RESULTS: A total of 3190 (hospital: 1741; IHF: 1449) charts were reviewed. The hospital had a significantly higher rate of PCRs (1.44% vs 0.21%; p < 0.01). Retinal tears/detachments occurred in 5 hospital cases (0.29%) and none at the IHF, while 2 endophthalmitis cases were reported at the IHF (0.14%) and none at the hospital (both p > 0.05). Lens use patterns significantly differed, with more premium and aspheric lenses used at the IHF and more spheric lenses at the hospital.
CONCLUSIONS: Complication rates at both sites were similar and within expected ranges. Differences in PCR rates may be explained by a tendency to perform more complicated surgeries at the hospital. The findings suggest that cataract surgery at both clinical settings is safe.