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The Royal College of Ophthalmologists’ National Ophthalmology Database study of cataract surgery: Report 7, immediate sequential bilateral cataract surgery in the UK: Current practice and patient selection
Eye ( IF 2.8 ) Pub Date : 2020-01-07 , DOI: 10.1038/s41433-019-0761-z John C Buchan 1, 2 , Paul H J Donachie 3, 4 , Andy Cassels-Brown 5, 6 , Christopher Liu 7 , Andrew Pyott 6 , Jennifer L Y Yip 1 , Mehran Zarei-Ghanavati 8 , John M Sparrow 3, 9
Eye ( IF 2.8 ) Pub Date : 2020-01-07 , DOI: 10.1038/s41433-019-0761-z John C Buchan 1, 2 , Paul H J Donachie 3, 4 , Andy Cassels-Brown 5, 6 , Christopher Liu 7 , Andrew Pyott 6 , Jennifer L Y Yip 1 , Mehran Zarei-Ghanavati 8 , John M Sparrow 3, 9
Affiliation
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Background Cataract extraction is the most frequently performed surgical intervention in the world and demand is rising due to an ageing demography. One option to address this challenge is to offer selected patients immediate sequential bilateral cataract surgery (ISBCS). This study aims to investigate patient and operative characteristics for ISBCS and delayed bilateral cataract surgery (DSCS) in the UK. Methods Data were analysed from the Royal College of Ophthalmologists’ National Ophthalmology Database Audit (NOD) of cataract surgery. Eligible patients were those undergoing bilateral cataract extraction from centres with a record of at least one ISBCS operation between 01/04/2010 and 31/08/2018. Variable frequency comparison was undertaken with chi-square tests. Results During the study period, 1073 patients had ISBCS and 248,341 DSCS from 73 centres. A higher proportion of ISBCS patients were unable to lie flat (11.3% vs. 1.8%; p < 0.001), unable to cooperate (9.7% vs. 2.7%; p < 0.001); underwent general anaesthesia (58.7% vs. 6.6% ( p < 0.001)); had brunescent/white/mature cataracts (odds ratio (OR) 5.118); no fundal view/vitreous opacities (OR 8.381); had worse pre-operative acuity 0.60 LogMAR ISBCS vs. 0.50 (first) and 0.40 (second eye) DSCS and were younger (mean ages, 71.5 vs. 75.6 years; p < 0.001). Posterior capsular rupture (PCR) rates adjusted for case complexity were comparable (0.98% ISBCS and 0.78% DSCS). Conclusions ISBCS was performed on younger patients, with difficulty cooperating and lying flat, worse pre-operative vision, higher rates of known PCR risk factors and more frequent use of general anaesthesia than DSCS in centres recorded on NOD.
中文翻译：
英国皇家眼科医学院国家眼科数据库对白内障手术的研究：报告 7，英国立即序贯双侧白内障手术：当前实践和患者选择
背景白内障摘除是世界上最常进行的外科手术，由于人口老龄化，需求正在上升。应对这一挑战的一种选择是为选定的患者提供立即序贯双侧白内障手术 (ISBCS)。本研究旨在调查英国 ISBCS 和延迟双侧白内障手术 (DSCS) 的患者和手术特征。方法 数据来自皇家眼科医师学院的白内障手术国家眼科数据库审计 (NOD)。符合条件的患者是那些在 01/04/2010 和 31/08/2018 之间从至少有一次 ISBCS 手术记录的中心接受双侧白内障摘除术的患者。使用卡方检验进行变频比较。结果 在研究期间，1073 名患者患有 ISBCS，248 名，来自 73 个中心的 341 个 DSCS。较高比例的 ISBCS 患者无法平躺（11.3% 对 1.8%；p < 0.001）、无法合作（9.7% 对 2.7%；p < 0.001）；接受全身麻醉（58.7% vs. 6.6% (p < 0.001)）；有棕褐色/白色/成熟白内障（比值比 (OR) 5.118）；无眼底视图/玻璃体混浊（OR 8.381）；术前视力更差 0.60 LogMAR ISBCS 与 0.50（第一只眼）和 0.40（第二只眼）DSCS，并且更年轻（平均年龄，71.5 与 75.6 岁；p < 0.001）。根据病例复杂性调整的后囊膜破裂 (PCR) 率相当（0.98% ISBCS 和 0.78% DSCS）。结论 ISBCS 用于年轻患者，合作困难，平躺，术前视力较差，
更新日期：2020-01-07
中文翻译：
英国皇家眼科医学院国家眼科数据库对白内障手术的研究：报告 7，英国立即序贯双侧白内障手术：当前实践和患者选择
背景白内障摘除是世界上最常进行的外科手术，由于人口老龄化，需求正在上升。应对这一挑战的一种选择是为选定的患者提供立即序贯双侧白内障手术 (ISBCS)。本研究旨在调查英国 ISBCS 和延迟双侧白内障手术 (DSCS) 的患者和手术特征。方法 数据来自皇家眼科医师学院的白内障手术国家眼科数据库审计 (NOD)。符合条件的患者是那些在 01/04/2010 和 31/08/2018 之间从至少有一次 ISBCS 手术记录的中心接受双侧白内障摘除术的患者。使用卡方检验进行变频比较。结果 在研究期间，1073 名患者患有 ISBCS，248 名，来自 73 个中心的 341 个 DSCS。较高比例的 ISBCS 患者无法平躺（11.3% 对 1.8%；p < 0.001）、无法合作（9.7% 对 2.7%；p < 0.001）；接受全身麻醉（58.7% vs. 6.6% (p < 0.001)）；有棕褐色/白色/成熟白内障（比值比 (OR) 5.118）；无眼底视图/玻璃体混浊（OR 8.381）；术前视力更差 0.60 LogMAR ISBCS 与 0.50（第一只眼）和 0.40（第二只眼）DSCS，并且更年轻（平均年龄，71.5 与 75.6 岁；p < 0.001）。根据病例复杂性调整的后囊膜破裂 (PCR) 率相当（0.98% ISBCS 和 0.78% DSCS）。结论 ISBCS 用于年轻患者，合作困难，平躺，术前视力较差，
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