Ocular risk factors and the surgeons experience to manage complications in the cataract surgery

Olga Beatriz Mijenez Villate; Silvia Martínez Quintana; Vivian Aguilar González; Yaíma Rodríguez Ricardo; Sara Santos Veja; José Manuel Sanjurjo Villate

2014, Number 2

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Rev Cub Oftal 2014; 27 (2)

Ocular risk factors and the surgeon's experience to manage complications in the cataract surgery

Mijenez VOB, Martínez QS, Aguilar GV, Rodríguez RY, Santos VS, Sanjurjo VJM

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Language: Spanish
References: 14
Page: 203-211
PDF size: 115.12 Kb.

ABSTRACT

Objective: to determine the influence of ocular risk factors and the surgeon's experience on complications affecting 158 patients operated on for cataract at the Ophthalmologic Center in Holguin from April to October, 2010.
Methods: cross-sectional descriptive study in which variables such as age, sex, ocular risk factors, immediate transoperative and postoperative complications related to risk factors and the surgeon's experience were analyzed.
Results: the 70-79 years-old group prevailed with 38.6 %, and the females accounted for 58.8 % in the group. The most frequent risk factors were the maturity and hypermaturity of the crystalline lens in 51.2 % of cases. The transoperative complication that mostly affected the patients was the rupture of the posterior capsule with vitreous loss in 8.2 % of cases, associated with maturity of the crystalline lens and the small pupil. The corneal edema represented the predominant immediate postoperative complication in 6.3 % of cases, due to insufficient pupil and mature cataract. The complications were more frequent in surgeries performed by residents in 15.8 % of patients.
Conclusions: operating cataracts at maturity and hypermaturity stages due to insufficient pupils meant higher risk of the posterior capsule rupture with or without vitreous loss and of corneal edema. Cataract surgery in patients with ocular risk factors was proner to complications when they are performed by residents or by ophthalmologists with less training and experience in this field.

REFERENCES

Global Initiative for the Elimination of Avoidable Blindness: action plan 2006-2011. World Health Organization. 2007.
Yorston D. Complicaciones en cirugía de catarata. Rev Salud Ocular Comunitaria. 2008;3(6):51-3.
Gogate P, Wood M. El reconocimiento de ojos de alto riesgo antes de la cirugía de catarata. Rev Salud Ocular comunitaria. 2008;3(6):53-5.
Limburg H, Foster A, Gilbert C, Johnson GJ, Kyndt M, Myatt M. Routine monitoring of visual outcome of cataract surgery. Part 2: Results from eight study centres. Br J Ophthalmol. 2005;89:502.
Cook C. ¿Cómo mejorar los resultados de cirugía de catarata? Rev Salud Ocular Comunitaria. 2006;1(1):14-5.
Acosta R. Revisión Sistemática de estudios poblacionales de prevalencia de Catarata. Arch Soc Esp Oftalmol. 2006;81:509-16.
Evans J. Atención Ocular para personas de edad avanzada. Rev Salud Ocular Comunitaria. 2008;3(6):63-5.
Limburg H, Silva J, Foster A. Cataract in Latin America: findings from nine recent surveys. Rev Panam Sal Públ. 2009;25(5):449-55.
García Peraza CA, Gómez Olivera I, Ledesma Boffil Y, Casanova Moreno M. Características clínicas de la catarata senil en Santa Rita, Zulia, julio-noviembre de 2007. Rev de Ciencias Médicas Pinar del Río [Internet]. 2009 [citado 26 abril 2010];13(4). Disponible en: http://scielo.sld.cu/scielo.php?pid=S1561- 31942009000400022&script=sci_arttext
Rodríguez Orozco A, Cuenca Martínez O, Noa Carrasana M, Serrano Ruíz Y, Artiles Martínez K. Características clinicoepidemiológicas de los pacientes operados de catarata senil. Villazón, Bolivia. Enero-noviembre, 2007. Rev Misión Milagro [Internet]. 2007 [citado 26 abril 2010];3(4). Disponible en: http://scielo.sld.cu/pdf/rpr/v13n4/rpr22409.pdf
Fernández Vásquez G, Hernández Silva JR, Río Torres M, Ramos López M, Curbelo Cunill L, Rodríguez Suárez B, Pérez Candelaria E. Estudio comparativo de los resultados anatómicos y funcionales en el manejo quirúrgico de la catarata utilizando dos modalidades diferentes: extracción del cristalino y facoemulsificación. Rev Cubana Oftalmol [Internet]. 2007 [citado 26 abril 2010];20(2). Disponible en: http://bvs.sld.cu/revistas/oft/vol20_2_07/oft06207.html
Carron A, Carron JE, Samudio M. Sistema de estratificación preoperatoria según riesgo de rotura de cápsula posterior en cirugía de cataratas: análisis de 1 000 casos de extracción extracapsular del cristalino. Mem Inst Investig Cienc Salud. 2007;4(2):12-8.
Rodríguez Orozco A, Cuenca Martínez O, Noa Carrasana M, Serrano Ruíz Y, Artiles Martínez K. Perfil clinicoepidemiológico de los pacientes operados de catarata. Copacabana, Bolivia. Marzo- julio, 2009. Rev Misión Milagro [Internet]. 2007 [citado 26 abril 2010];3(4). Disponible en: http://www.misionmilagro.sld.cu/vol3no4/inv3406.php
Graue Wiechers E, Graue Hernández E. El edema de córnea. Una complicación que puede ser evitada. En: Centurión V, editor. El libro del cristalino de las Américas. Livraria Santos: Brasil; 2007. p. 618-9.