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First postoperative day review after uneventful phacoemulsification cataract surgery: is it necessary?

Chatziralli IP, Sergentanis TN, Kanonidou E, Papazisis L - BMC Res Notes (2012)

Bottom Line: The difference was not statistically significant (p = 0.791).The most frequent complications were: elevated intraocular pressure, allergy to postoperative treatment, corneal abrasion, punctuate epitheliopathy, iris prolapse and postoperative hyphema, whose rates did not differ between the two groups.The rate of patients seeking non-scheduled medical consultation up to postoperative day 14, presence of any inflammation-related sign, as well as BCVA on day 28 did not exhibit any significant differences between the study groups.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Ophthalmology, General Hospital of Veroia, Veroia, Greece. eirchat@yahoo.gr

ABSTRACT

Background: Our purpose was to examine the value of the first postoperative day review after uneventful phacoemulsification cataract surgery.

Methods: 291 patients who underwent uneventful phacoemulsification were randomized into two groups (ClinicalTrials.gov Identifier: NCT01247155): i) Next day review (NDR group, n = 146) and ii) No next day review (NNDR group, n = 145). The rate of complications, percentage of patients seeking non-scheduled medical consultation up to postoperative day 14, presence of any inflammation-related sign and best corrected visual acuity (BCVA) on postoperative day 28 were analyzed.

Results: In the NDR group, 5.5% of patients developed a postoperative complication, whereas the respective rate was 6.2% in the NNDR group. The difference was not statistically significant (p = 0.791). The most frequent complications were: elevated intraocular pressure, allergy to postoperative treatment, corneal abrasion, punctuate epitheliopathy, iris prolapse and postoperative hyphema, whose rates did not differ between the two groups. The rate of patients seeking non-scheduled medical consultation up to postoperative day 14, presence of any inflammation-related sign, as well as BCVA on day 28 did not exhibit any significant differences between the study groups.

Conclusions: First postoperative day review could be omitted in cases of uneventful cataract surgery.

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Related in: MedlinePlus

Flow chart depicting the exclusion criteria and randomization of patients. NDR: next day review; NNDR: non next day review; PCR: posterior capsule rupture; IOC: intra-operative complications.
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Figure 1: Flow chart depicting the exclusion criteria and randomization of patients. NDR: next day review; NNDR: non next day review; PCR: posterior capsule rupture; IOC: intra-operative complications.

Mentions: The study design, as well as the randomization of patients in the two groups, is depicted in the respective flow chart (Figure 1). Table 1 represents the baseline demographic, clinical features and lifestyle habits of the study groups. The postoperative complications with their statistical significance are illustrated in Table 2. Of the 146 patients randomized to NDR group, eight (5.5%; 95%CI: 2.4%-10.5%) developed a postoperative complication vs. nine (6.2%; 95%CI: 2.9%-11.5%) of 145 patients in the NNDR group. The difference was not statistically significant (p = 0.791, Chi-square test). Two patients (one in the NDR group and one in the NNDR group) presented with coexistent corneal abrasion and punctuate epitheliopathy; as a result, the total number of complications in the NDR and NNDR group were nine and ten, respectively.


First postoperative day review after uneventful phacoemulsification cataract surgery: is it necessary?

Chatziralli IP, Sergentanis TN, Kanonidou E, Papazisis L - BMC Res Notes (2012)

Flow chart depicting the exclusion criteria and randomization of patients. NDR: next day review; NNDR: non next day review; PCR: posterior capsule rupture; IOC: intra-operative complications.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3403973&req=5

Figure 1: Flow chart depicting the exclusion criteria and randomization of patients. NDR: next day review; NNDR: non next day review; PCR: posterior capsule rupture; IOC: intra-operative complications.
Mentions: The study design, as well as the randomization of patients in the two groups, is depicted in the respective flow chart (Figure 1). Table 1 represents the baseline demographic, clinical features and lifestyle habits of the study groups. The postoperative complications with their statistical significance are illustrated in Table 2. Of the 146 patients randomized to NDR group, eight (5.5%; 95%CI: 2.4%-10.5%) developed a postoperative complication vs. nine (6.2%; 95%CI: 2.9%-11.5%) of 145 patients in the NNDR group. The difference was not statistically significant (p = 0.791, Chi-square test). Two patients (one in the NDR group and one in the NNDR group) presented with coexistent corneal abrasion and punctuate epitheliopathy; as a result, the total number of complications in the NDR and NNDR group were nine and ten, respectively.

Bottom Line: The difference was not statistically significant (p = 0.791).The most frequent complications were: elevated intraocular pressure, allergy to postoperative treatment, corneal abrasion, punctuate epitheliopathy, iris prolapse and postoperative hyphema, whose rates did not differ between the two groups.The rate of patients seeking non-scheduled medical consultation up to postoperative day 14, presence of any inflammation-related sign, as well as BCVA on day 28 did not exhibit any significant differences between the study groups.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Ophthalmology, General Hospital of Veroia, Veroia, Greece. eirchat@yahoo.gr

ABSTRACT

Background: Our purpose was to examine the value of the first postoperative day review after uneventful phacoemulsification cataract surgery.

Methods: 291 patients who underwent uneventful phacoemulsification were randomized into two groups (ClinicalTrials.gov Identifier: NCT01247155): i) Next day review (NDR group, n = 146) and ii) No next day review (NNDR group, n = 145). The rate of complications, percentage of patients seeking non-scheduled medical consultation up to postoperative day 14, presence of any inflammation-related sign and best corrected visual acuity (BCVA) on postoperative day 28 were analyzed.

Results: In the NDR group, 5.5% of patients developed a postoperative complication, whereas the respective rate was 6.2% in the NNDR group. The difference was not statistically significant (p = 0.791). The most frequent complications were: elevated intraocular pressure, allergy to postoperative treatment, corneal abrasion, punctuate epitheliopathy, iris prolapse and postoperative hyphema, whose rates did not differ between the two groups. The rate of patients seeking non-scheduled medical consultation up to postoperative day 14, presence of any inflammation-related sign, as well as BCVA on day 28 did not exhibit any significant differences between the study groups.

Conclusions: First postoperative day review could be omitted in cases of uneventful cataract surgery.

Show MeSH
Related in: MedlinePlus