J Korean Ophthalmol Soc.
2001 Mar;42(3):420-427.
Variation in Cataract Surgery Practice and Clinical Outcomes
- Affiliations
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- 1Department of Ophthalmology, College of Medicine, Yonsei University, Seoul, Korea.
- 2Department of Preventive Medicine, College of Medicine, Yonsei University, Seoul, Korea.
- 3Graduate School of Public Health, Yonsei University, Seoul, Korea.
- 4Department of Ophthalmology, College of Medicine, Chungang University, Seoul, Korea.
- 5Department of Ophthalmology, College of Medicine, Hanllym University, Seoul, Korea.
- 6Department of Ophthalmology, College of Medicine, Aju University, Suwon, Korea.
- 7Department of Ophthalmology, College of Medicine, The Catholic University of Korea, Seoul, Korea.
- 8Department of Ophthalmology, College of Medicine, Korea University, Seoul, Korea.
Abstract
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PURPOSE: The purpose of this study was to examine the variations of the clinical outcomes of cataract surgery according to the characteristics of patients and surgeons and surgical technique.
METHODS
The survey was conducted at 4 stages : preoperative period(389), perioperative period(344, 88.4%), postoperative 3~4 months(343, 88.2%), and postoperative 12 months(281, 72.2%).
RESULTS
Eighty-five percent of surgery was performed by phacoemulsification and 14% by standard extracapsular (ECCE) techniques. The performance of phacoemulsification was associated with years of practice(11 years or more) and annual volume of cataract surgery(201 cases or more). The reported occurrence of posterior capsular opacification within 12 months of surgery was decreased in the patients operated by surgeons with years of practice(11 years or more).
CONCLUSIONS
The factors influencing to better outcomes at 12 months after surgery were visual acuity of baseline operated eye(20/200 or less) and the absence of ocular morbidity. In this study, although there were some variations with cataract surgery practice, but the variations with cataract surgery practice did 434not give much influence to the patient's outcomes.
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