Risk factors affecting cataract surgery outcome: The Malaysian cataract surgery registry

This is a 5 years multicentre database study that recruited subjects from the Malaysian Ministry of Health Cataract Surgery Registry (MOH CSR), aimed to determine risk factors that affect cataract surgery visual outcome and evaluates post-cataract surgery vision. All age-related cataract surgeries w...

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Main Authors: Geng-Yi Yong, Jelinar Mohamed-Noor, Mohamad Aziz Salowi, Tassha Hilda Adnan, Mimiwati Zahari
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2022-01-01
Series:PLoS ONE
Online Access:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9491522/?tool=EBI
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author Geng-Yi Yong
Jelinar Mohamed-Noor
Mohamad Aziz Salowi
Tassha Hilda Adnan
Mimiwati Zahari
author_facet Geng-Yi Yong
Jelinar Mohamed-Noor
Mohamad Aziz Salowi
Tassha Hilda Adnan
Mimiwati Zahari
author_sort Geng-Yi Yong
collection DOAJ
description This is a 5 years multicentre database study that recruited subjects from the Malaysian Ministry of Health Cataract Surgery Registry (MOH CSR), aimed to determine risk factors that affect cataract surgery visual outcome and evaluates post-cataract surgery vision. All age-related cataract surgeries with primary intraocular lens (IOL) implantation were included. Cases with secondary cataract, previous ocular surgeries and incomplete data were excluded. A total of 131425 cases were included in the study. Amongst all types of cataract surgery, 92.9% attained post-operative best-corrected visual acuity better than 6/18 and the outcome improved to 97.1% when ocular comorbidities were excluded. Factors with Odds Ratio (OR) >1.5 associated with an impaired visual outcome included: elderly patients of 80 years old and above; systemic disease such as renal failure; ocular co-morbidities; pre-operative vision worse than 6/60; general anaesthesia, retrobulbar anaesthesia or subconjunctival anaesthesia; extracapsular cataract extraction (ECCE), intracapsular cataract extraction (ICCE), anterior chamber intraocular lens (ACIOL) implantation or combined cataract surgery; the presence of intra- and post-operative complications. In conclusion, a good visual outcome was achieved after cataract surgery in most cases. This large multicentre study provides information about risk factors for poor visual outcome post-cataract surgery and may serve as a basis for evidence-based guidelines.
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spelling doaj.art-56ae815ea9cb48398a12eb8c85daf25b2022-12-22T04:26:01ZengPublic Library of Science (PLoS)PLoS ONE1932-62032022-01-01179Risk factors affecting cataract surgery outcome: The Malaysian cataract surgery registryGeng-Yi YongJelinar Mohamed-NoorMohamad Aziz SalowiTassha Hilda AdnanMimiwati ZahariThis is a 5 years multicentre database study that recruited subjects from the Malaysian Ministry of Health Cataract Surgery Registry (MOH CSR), aimed to determine risk factors that affect cataract surgery visual outcome and evaluates post-cataract surgery vision. All age-related cataract surgeries with primary intraocular lens (IOL) implantation were included. Cases with secondary cataract, previous ocular surgeries and incomplete data were excluded. A total of 131425 cases were included in the study. Amongst all types of cataract surgery, 92.9% attained post-operative best-corrected visual acuity better than 6/18 and the outcome improved to 97.1% when ocular comorbidities were excluded. Factors with Odds Ratio (OR) >1.5 associated with an impaired visual outcome included: elderly patients of 80 years old and above; systemic disease such as renal failure; ocular co-morbidities; pre-operative vision worse than 6/60; general anaesthesia, retrobulbar anaesthesia or subconjunctival anaesthesia; extracapsular cataract extraction (ECCE), intracapsular cataract extraction (ICCE), anterior chamber intraocular lens (ACIOL) implantation or combined cataract surgery; the presence of intra- and post-operative complications. In conclusion, a good visual outcome was achieved after cataract surgery in most cases. This large multicentre study provides information about risk factors for poor visual outcome post-cataract surgery and may serve as a basis for evidence-based guidelines.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9491522/?tool=EBI
spellingShingle Geng-Yi Yong
Jelinar Mohamed-Noor
Mohamad Aziz Salowi
Tassha Hilda Adnan
Mimiwati Zahari
Risk factors affecting cataract surgery outcome: The Malaysian cataract surgery registry
PLoS ONE
title Risk factors affecting cataract surgery outcome: The Malaysian cataract surgery registry
title_full Risk factors affecting cataract surgery outcome: The Malaysian cataract surgery registry
title_fullStr Risk factors affecting cataract surgery outcome: The Malaysian cataract surgery registry
title_full_unstemmed Risk factors affecting cataract surgery outcome: The Malaysian cataract surgery registry
title_short Risk factors affecting cataract surgery outcome: The Malaysian cataract surgery registry
title_sort risk factors affecting cataract surgery outcome the malaysian cataract surgery registry
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9491522/?tool=EBI
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