Skip to main content
Journal cover image

Incidence of Management Changes at the Postoperative Week 1 Visit after Cataract Surgery: Results from the Perioperative Care for IntraOcular Lens Study.

Publication ,  Journal Article
Borkar, DS; Laíns, I; Eton, EA; Koulisis, N; Moustafa, GA; van Zyl, T; Kloek, CE; Perioperative Care for IntraOcular Lens Study Group,
Published in: Am J Ophthalmol
March 2019

PURPOSE: To ascertain the incidence of unexpected management changes at the postoperative week 1 visit in asymptomatic patients who have had an uncomplicated cataract surgery and a routine postoperative day 1 examination. DESIGN: Retrospective observational study. METHODS: A retrospective chart review was conducted of all cases of cataract extraction by phacoemulsification with intraocular lens insertion performed by the Comprehensive Ophthalmology Service at Massachusetts Eye and Ear between January 1, 2014 and December 31, 2014. The preoperative consultation, operative report, and postoperative day 1 and week 1 (postoperative days 5-14) visits were reviewed. Cases with intraoperative complications, as well as clinical findings at postoperative day 1 requiring close follow-up, were excluded. The main outcome measure was incidence of unexpected management changes at the postoperative week 1 visit after cataract surgery, defined as an unanticipated change in postoperative drops, additional procedures, or urgent referral to a specialty service. RESULTS: Overall, 1938 surgical cases of 1471 patients were reviewed, and 1510 cases (77.9%) underwent uncomplicated phacoemulsification with intraocular lens implantation with a routine postoperative day 1 examination. Of these 1510 cases, 238 (15.8%) reported symptoms at the postoperative week 1 visit, including flashes, floaters, redness, pain, or decreased vision, which warranted an examination. In total, 1272 cases were asymptomatic, and only 11 of these cases (0.9%) had an unexpected management change at postoperative week 1. Eight of 11 patients were asymptomatic steroid responders requiring alteration of their postoperative drops. Two of these patients had an intraocular pressure >30 mm Hg. CONCLUSIONS: Unexpected management changes at the postoperative week 1 timepoint after cataract surgery are rare in asymptomatic patients who have had uncomplicated cataract surgery and a routine postoperative day 1 examination. Limited data are available to outline an optimal postoperative regimen after cataract surgery. The results of this study suggest that postoperative week 1 examinations could potentially be performed on an as-needed basis in the appropriate subgroup of patients after cataract surgery.

Duke Scholars

Altmetric Attention Stats
Dimensions Citation Stats

Published In

Am J Ophthalmol

DOI

EISSN

1879-1891

Publication Date

March 2019

Volume

199

Start / End Page

94 / 100

Location

United States

Related Subject Headings

  • Retrospective Studies
  • Postoperative Period
  • Postoperative Complications
  • Phacoemulsification
  • Perioperative Care
  • Ophthalmology & Optometry
  • Ocular Hypertension
  • Middle Aged
  • Male
  • Lens Implantation, Intraocular
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Borkar, D. S., Laíns, I., Eton, E. A., Koulisis, N., Moustafa, G. A., van Zyl, T., … Perioperative Care for IntraOcular Lens Study Group, . (2019). Incidence of Management Changes at the Postoperative Week 1 Visit after Cataract Surgery: Results from the Perioperative Care for IntraOcular Lens Study. Am J Ophthalmol, 199, 94–100. https://doi.org/10.1016/j.ajo.2018.10.013
Borkar, Durga S., Inês Laíns, Emily A. Eton, Nicole Koulisis, Giannis A. Moustafa, Tavé van Zyl, Carolyn E. Kloek, and Carolyn E. Perioperative Care for IntraOcular Lens Study Group. “Incidence of Management Changes at the Postoperative Week 1 Visit after Cataract Surgery: Results from the Perioperative Care for IntraOcular Lens Study.Am J Ophthalmol 199 (March 2019): 94–100. https://doi.org/10.1016/j.ajo.2018.10.013.
Borkar DS, Laíns I, Eton EA, Koulisis N, Moustafa GA, van Zyl T, et al. Incidence of Management Changes at the Postoperative Week 1 Visit after Cataract Surgery: Results from the Perioperative Care for IntraOcular Lens Study. Am J Ophthalmol. 2019 Mar;199:94–100.
Borkar, Durga S., et al. “Incidence of Management Changes at the Postoperative Week 1 Visit after Cataract Surgery: Results from the Perioperative Care for IntraOcular Lens Study.Am J Ophthalmol, vol. 199, Mar. 2019, pp. 94–100. Pubmed, doi:10.1016/j.ajo.2018.10.013.
Borkar DS, Laíns I, Eton EA, Koulisis N, Moustafa GA, van Zyl T, Kloek CE, Perioperative Care for IntraOcular Lens Study Group. Incidence of Management Changes at the Postoperative Week 1 Visit after Cataract Surgery: Results from the Perioperative Care for IntraOcular Lens Study. Am J Ophthalmol. 2019 Mar;199:94–100.
Journal cover image

Published In

Am J Ophthalmol

DOI

EISSN

1879-1891

Publication Date

March 2019

Volume

199

Start / End Page

94 / 100

Location

United States

Related Subject Headings

  • Retrospective Studies
  • Postoperative Period
  • Postoperative Complications
  • Phacoemulsification
  • Perioperative Care
  • Ophthalmology & Optometry
  • Ocular Hypertension
  • Middle Aged
  • Male
  • Lens Implantation, Intraocular