基于4151例日间白内障手术的安全性和质量评估。
Evaluation of the safety and quality of day-case cataract surgery based on 4151 cases.
作者信息
Zhuang Min, Fan Wen, Xie Ping, Yuan Song-Tao, Liu Qing-Huai, Zhao Chen
机构信息
Department of Ophthalmology, the First Affiliated Hospital with Nanjing Medical University, Nanjing 210029, Jiangsu Province, China.
Department of Ophthalmology, the Fourth Affiliated Hospital of Nantong University (Yancheng No.1 People's Hospital), Yancheng 224000, Jiangsu Province, China.
出版信息
Int J Ophthalmol. 2019 Feb 18;12(2):291-295. doi: 10.18240/ijo.2019.02.17. eCollection 2019.
AIM
To evaluate the safety, quality and prospects of day-case cataract surgery performed in a Jiangsu public tertiary hospital.
METHODS
The general and clinical data for patients who underwent day-case cataract surgery between August 1, 2014 and December 31, 2016 at this hospital were collected. The incidences of intraoperative and postoperative complications, preoperative and postoperative best-corrected visual acuities (BCVAs), delayed discharge rate, rate of unplanned re-admission to hospital, and patient satisfaction were analyzed.
RESULTS
A total of 4151 patients received cataract phacoemulsification surgery to correct age-related, congenital, traumatic, or complicated cataracts. Of these, age-related cataracts were the most frequently occurring. Patient age ranged from 18 to 101y and the vast majority of patients were between 60 and 80 years old. Of the 4151 patients, 64.73% (2687/4151) had a systemic disease. The number of patients increased over the years, with the average number of patients per month being 90.4, 124.83, and 183.42 in 2014, 2015 and 2016, respectively. The average preoperative BCVA was 0.102±0.057 and average postoperative BCVAs at 1d, 1wk, and 1mo post-surgery were 0.453±0.264, 0.657±0.285, and 0.734±0.244, respectively. For intraoperative complications, 4.12% (171/4151) had posterior capsule rupture, 0.79% (33/4151) had iris or ciliary body injury, and 0.048% (2/4151) had suprachoroidal hemorrhage. For postoperative complications, 4.38% (182/4151) had cornea edema, 7.78% (323/4151) had intraocular hypertension, 0.096% (4/4151) had IOL toxicity syndrome, 0.28% (12/4151) had retained lens cortex, and 0.048% (2/4151) had hyphema. The delayed discharge rate was 0.82% (44/4151) and the unplanned re-admission to the hospital was 0 (0/4151). The patient satisfaction rate was 91.42% (3795/4151).
CONCLUSION
Day-case cataract surgery is safe and effective with good prospects for development.
目的
评估在江苏一家公立三级医院开展日间白内障手术的安全性、质量及前景。
方法
收集2014年8月1日至2016年12月31日在本院接受日间白内障手术患者的一般资料和临床数据。分析术中及术后并发症的发生率、术前及术后最佳矫正视力（BCVA）、延迟出院率、非计划再次入院率及患者满意度。
结果
共有4151例患者接受白内障超声乳化手术以矫正年龄相关性、先天性、外伤性或并发性白内障。其中，年龄相关性白内障最为常见。患者年龄范围为18至101岁，绝大多数患者年龄在60至80岁之间。4151例患者中，64.73%（2687/4151）患有全身性疾病。患者数量逐年增加，2014年、2015年和2016年每月平均患者数量分别为90.4例、124.83例和183.42例。术前平均BCVA为0.102±0.057，术后1天、1周和1个月的平均BCVA分别为0.453±0.264、0.657±0.285和0.734±0.244。术中并发症方面，4.12%（171/4151）发生后囊破裂，0.79%（33/4151）发生虹膜或睫状体损伤，0.048%（2/4151）发生脉络膜上腔出血。术后并发症方面，4.38%（182/4151）发生角膜水肿，7.78%（323/4151）发生高眼压，0.096%（4/4151）发生人工晶状体毒性综合征，0.28%（12/4151）发生晶状体皮质残留，0.048%（2/4151）发生前房积血。延迟出院率为0.82%（44/4151），非计划再次入院率为0（0/4151）。患者满意度为91.42%（3795/4151）。
结论
日间白内障手术安全有效，具有良好的发展前景。
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