Bro Tomas, Lundström Mats, Kugelberg Maria, Nilsson Ingela, Zetterberg Madeleine, Viberg Andreas, Thorburn William, Stenevi Ulf, Behndig Anders
med dr, Linköpings universitet; Memira EHC, Jönköping.
adj professor emeritus, Karlskrona.
Lakartidningen. 2024 Feb 14;121:23158.
This review summarizes data collected by the Swedish National Cataract Register (NCR), which by the end of 2022 contained data on more than 2.6 million cataract surgeries between 1992-2022. During these 31 years, the cataract surgery rate (CSR) rose from 3 700 to 14 407. The coverage of NCR is very high, including 93% of all cataract procedures in Sweden during the last decade. A clear trend is that the procedure is performed in eyes with increasingly high visual acuity. The proportion of patients with Snellen 0.5 or worse in the first eye at surgery has decreased from 88% in 2007 to 69% in 2022. Patient Reported Outcome Measures (PROM) have been registered with the Catquest-9SF questionnaire since 2008, demonstrating stable favorable outcomes. Surgical complications have decreased; endophthalmitis has decreased from 0.10% to below 0.02%, and posterior capsule rupture from 2.8% to 0.6%.
本综述总结了瑞典国家白内障登记处（NCR）收集的数据，截至2022年底，该登记处包含了1992年至2022年间超过260万例白内障手术的数据。在这31年中，白内障手术率（CSR）从3700上升至14407。NCR的覆盖率非常高，包括过去十年瑞典所有白内障手术的93%。一个明显的趋势是，该手术在视力越来越高的眼睛中进行。手术时第一眼Snellen视力为0.5或更差的患者比例已从2007年的88%降至2022年的69%。自2008年以来，患者报告结局量表（PROM）已通过Catquest-9SF问卷进行登记，显示出稳定的良好结果。手术并发症有所减少；眼内炎从0.10%降至0.02%以下，后囊破裂从2.8%降至0.6%。
