Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus · 2019
Unplanned returns to the operating room within three months of pediatric cataract-related intraocular surgery: indications and risk factors.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Jackson Colette M, Bickford Matthew, Trivedi Rupal H, Wilson M Edward
Аннотация
PURPOSE: To evaluate the indications and associated risk factors for unplanned returns to the operating room within 90 days of pediatric cataract-related surgery.
METHODS: The medical records patients undergoing either cataract extraction or secondary intraocular lens (IOL) implantation at a single center from 1991 to 2018 were reviewed retrospectively.
RESULTS: A total of 1,392 eyes of 989 patients were included, with 48 unplanned reoperations in 46 eyes of 43 patients, yielding a reoperation rate of 3.3% (46/1392) for one reoperation and 0.14% (2/1392) for two within 90 days of surgery. Of the 48 reoperations, indications for reoperation were as follows: lens cortex reproliferation (n = 14), elevated intraocular pressure (n = 11), inflammatory pupillary membranes (n = 7), vitreous wick to the cataract surgery wound (n = 6), synechiae (n = 3), uveitis (n = 3), posterior capsule opacification in an eye with intact posterior capsule (n = 1), retained cortex (n = 1), traumatic iris prolapse (n = 1), and foreign body in anterior chamber (n = 1). Risk factors for an unplanned reoperation included a history of traumatic cataract (relative risk, 2.55) or age <1 year at time of first surgery (relative risk, 3.02). In the absence of these risk factors, the reoperation rate was 1.1%.
CONCLUSIONS: Unplanned reoperations after pediatric cataract surgery are uncommon, but when they occur it is often in the setting of trauma or surgery performed before the age of 1 year.
METHODS: The medical records patients undergoing either cataract extraction or secondary intraocular lens (IOL) implantation at a single center from 1991 to 2018 were reviewed retrospectively.
RESULTS: A total of 1,392 eyes of 989 patients were included, with 48 unplanned reoperations in 46 eyes of 43 patients, yielding a reoperation rate of 3.3% (46/1392) for one reoperation and 0.14% (2/1392) for two within 90 days of surgery. Of the 48 reoperations, indications for reoperation were as follows: lens cortex reproliferation (n = 14), elevated intraocular pressure (n = 11), inflammatory pupillary membranes (n = 7), vitreous wick to the cataract surgery wound (n = 6), synechiae (n = 3), uveitis (n = 3), posterior capsule opacification in an eye with intact posterior capsule (n = 1), retained cortex (n = 1), traumatic iris prolapse (n = 1), and foreign body in anterior chamber (n = 1). Risk factors for an unplanned reoperation included a history of traumatic cataract (relative risk, 2.55) or age <1 year at time of first surgery (relative risk, 3.02). In the absence of these risk factors, the reoperation rate was 1.1%.
CONCLUSIONS: Unplanned reoperations after pediatric cataract surgery are uncommon, but when they occur it is often in the setting of trauma or surgery performed before the age of 1 year.