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Incidence of unplanned visits after cataract surgery in two large cohorts with different anti‐inflammatory treatment protocols

Acta ophthalmologica (Oxford, England), 2023-05, Vol.101 (3), p.310-318 [Peer Reviewed Journal]

2022 The Authors. published by John Wiley & Sons Ltd on behalf of Acta Ophthalmologica Scandinavica Foundation. ;2022 The Authors. Acta Ophthalmologica published by John Wiley & Sons Ltd on behalf of Acta Ophthalmologica Scandinavica Foundation. ;2022. This article is published under http://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. ;ISSN: 1755-375X ;ISSN: 1755-3768 ;EISSN: 1755-3768 ;DOI: 10.1111/aos.15265 ;PMID: 36200168

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Title:
Incidence of unplanned visits after cataract surgery in two large cohorts with different anti‐inflammatory treatment protocols
Author: Gärdin, Jan ; Johansson, Björn
Subjects: Anti-Inflammatory Agents, Non-Steroidal - therapeutic use ; cataract ; Cataract - complications ; Clinical Protocols ; Cohort analysis ; cohort study ; Comorbidity ; cystoid macular oedema ; Diabetes mellitus ; Edema ; Eye surgery ; Humans ; Incidence ; Inflammation ; Macular Edema - drug therapy ; Macular Edema - epidemiology ; Macular Edema - etiology ; Medical records ; Nonsteroidal anti-inflammatory drugs ; non‐steroidal anti‐inflammatory drugs ; Patients ; phacoemulsification ; postoperative complications ; Postoperative Complications - epidemiology ; Retrospective Studies ; Review Literature as Topic ; Steroid hormones ; Steroids ; Surgery
Is Part Of: Acta ophthalmologica (Oxford, England), 2023-05, Vol.101 (3), p.310-318
Description: Purpose To compare incidences and reasons for unplanned extra visits after phacoemulsification surgery in two unselected clinical populations with different postoperative treatment protocols. Design Retrospective cohort study. Methods We reviewed medical records of 1000 patients that underwent cataract surgery at two adjacent clinics in Sweden. At each clinic, 500 consecutive surgeries were included. Preoperatively recorded comorbidities were registered. One clinic used a non‐steroidal anti‐inflammatory drug (NSAID) in combination with steroids as postoperative treatment, the other used steroids in monotherapy. Main outcome was the number of patients that returned within 6 months after surgery for at least one unplanned visit. Reasons for unplanned visits were secondary outcomes. Results Among patients receiving combined treatment 84 cases (16.8%) returned for at least 1 extra visit, compared with 63 cases (12.6%) in the group treated with steroids only (RR = 1.33 [95% CI 0.99–1.80, p = 0.061]). No significant differences were found regarding any underlying reasons for the visits, including cystoid macular oedema (CME). We found increased risks for CME in patients with diabetes mellitus (RR = 3.83 [95% CI 1.18–12.41, p = 0.016]) and patients with epiretinal membrane (ERM) (RR = 10.76 [95% CI 3.14–36.89, p < 0.0001]). Conclusions Postoperative anti‐inflammatory treatment with NSAID in combination with steroids did not reduce need for unplanned postoperative visits or incidence of visually disturbing CME after cataract surgery compared with steroids alone. Patient groups with elevated risks for CME are of interest in future research regarding benefits and optimal use of NSAID treatment after cataract surgery.
Publisher: England: Wiley Subscription Services, Inc
Language: English
Identifier: ISSN: 1755-375X
ISSN: 1755-3768
EISSN: 1755-3768
DOI: 10.1111/aos.15265
PMID: 36200168
Source: SWEPUB Freely available online

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Incidence of unplanned visits after cataract surgery in two large cohorts with different anti‐inflammatory treatment protocols

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