Hashemi Hassan, Rezvan Farhad, Etemad Koroush, Gilasi Hamidreza, Asgari Soheila, Mahdavi Alireza, Mohazab-Torabi Saman, Yekta Abbasali, Khabazkhoob Mehdi
*MD †MD, PhD ‡PhD §MD, MPH Noor Research Center for Ophthalmic Epidemiology, Noor Eye Hospital, Tehran, Iran (HH, SM-T); Noor Ophthalmology Research Center, Noor Eye Hospital, Tehran, Iran (FR, AM); Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran (SA); Department of Epidemiology, Faculty of Public Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran (KE, MK); Department of Public Health and Biostatistics, Faculty of Health, Kashan University of Medical Sciences, Kashan, Iran (HG); and Department of Optometry, School of Paramedical Sciences, Mashhad University of Medical Sciences, Mashhad, Iran (AY).
Optom Vis Sci. 2016 Mar;93(3):266-71. doi: 10.1097/OPX.0000000000000795.
To determine the prevalence and types of intraoperative complications of cataract surgery and examine potential risk factors.
Data were obtained from the 2011 Iranian Cataract Surgery Survey in which information about cataract surgeries throughout the nation was collected. In the Province of Tehran, 55 centers and 1 week per season per center were randomly selected for sampling. In each center, the charts of all patients who underwent cataract surgery during the selected weeks (total of 20 weeks per center) were reviewed for data extraction. The prevalence of different types of intraoperative cataract surgery complications were determined, and their relationships with age, sex, surgical method, surgeon, and hospitalization time were examined.
The prevalence of intraoperative complications of cataract surgery was 4.15% (95% confidence interval, 0.94 to 7.36). The prevalence of posterior capsular rupture with vitreous loss, posterior capsular rupture without vitreous loss, retrobulbar hemorrhage, suprachoroidal effusion/hemorrhage, intraocular lens drop, and nucleus drop was 2.86, 0.69, 0.06, 0.39, 0.03, and 0.11%, respectively. The prevalence of cataract surgery complications decreased from 6.95% in 2006 to 3.07% in 2010. The results of multiple logistic regression showed that surgery by residents, nonphacoemulsification methods of surgery, and patient age less than 10 years and more than 70 years were the risk factors for complications.
This study evaluated the prevalence of intraoperative complications of cataract surgery for the first time in Tehran Province. The prevalence of complications was high in this study. To achieve the goals of the Vision 2020 Initiative and improve surgical quality, it is necessary to minimize complication rates. Factors to note for decreasing complication rates include type of surgery, surgeon experience, and patient age.
确定白内障手术术中并发症的发生率及类型，并探讨潜在危险因素。
数据来自2011年伊朗白内障手术调查，该调查收集了全国白内障手术的相关信息。在德黑兰省，随机选取55个中心，每个中心每个季节选取1周进行抽样。在每个中心，回顾所选周内（每个中心共20周）所有接受白内障手术患者的病历以提取数据。确定白内障手术术中不同类型并发症的发生率，并检查其与年龄、性别、手术方法、手术医生及住院时间的关系。
白内障手术术中并发症的发生率为4.15%（95%置信区间，0.94至7.36）。后囊膜破裂伴玻璃体脱出、后囊膜破裂不伴玻璃体脱出、球后出血、脉络膜上腔积液/出血、人工晶状体脱位及晶状体核脱位的发生率分别为2.86%、0.69%、0.06%、0.39%、0.03%和0.11%。白内障手术并发症的发生率从2006年的6.95%降至2010年的3.07%。多因素logistic回归结果显示，住院医生手术、非超声乳化手术方法以及年龄小于10岁和大于70岁的患者是并发症的危险因素。
本研究首次评估了德黑兰省白内障手术术中并发症的发生率。本研究中并发症的发生率较高。为实现“视觉2020”倡议的目标并提高手术质量，有必要将并发症发生率降至最低。降低并发症发生率需注意的因素包括手术类型、手术医生经验及患者年龄。
