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Lundström, M., Kugelberg, M., Zetterberg, M., Nilsson, I., Viberg, A., Bro, T. & Behndig, A. (2024). Ten-year trends of immediate sequential bilateral cataract surgery (ISBCS) as reflected in the Swedish National Cataract Register. Acta Ophthalmologica, 102(1), 68-73
Open this publication in new window or tab >>Ten-year trends of immediate sequential bilateral cataract surgery (ISBCS) as reflected in the Swedish National Cataract Register
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2024 (English)In: Acta Ophthalmologica, ISSN 1755-375X, E-ISSN 1755-3768, Vol. 102, no 1, p. 68-73Article in journal (Refereed) Published
Abstract [en]

Purpose: To analyse trends of ISBCS reported to the Swedish National Cataract Register (NCR) over a 10-year period.

Methods: Since 2010 the NCR contains social security number of all individuals in the list of parameters reported to NCR after each cataract procedure. Bilateral surgeries were mapped out using social security numbers. When dates of both-eye surgeries are identical for an individual it is classified as an immediate sequential bilateral cataract surgery (ISBCS). This study includes all data reported during the period 1st of January 2010 to 31st of December 2019. During the study period 113 cataract surgery clinics affiliated to the NCR reported their data on consecutive cataract cases.

Results: For the whole period 54 194 ISBCS were reported. The total number of bilateral cataract extractions was 422 300. There was a significant trend of increasing ISBCS over time with linear regression (Beta = 1.75, p < 0.001). In ISBCS the occurrence of an ocular comorbidity decreased over time. The use of a capsular tension ring was significantly more common in ISBCS than in delayed sequential bilateral cataract surgery (DSBCS). All other measures taken during surgery were more common in DSBCS. The use of multifocal IOL was significantly more frequent in ISBCS compared to DSBCS (p < 0.001).

Conclusions: The use of ISBCS has increased over the study period. The operated eyes have less risk factors than eyes going through a DSBCS, but both ocular comorbidities and surgical complications occur in ISBCS eyes.

Place, publisher, year, edition, pages
John Wiley & Sons, 2024
Keywords
bilateral cataract surgery, cataract, cataract extraction, immediate sequential bilateral cataract surgery
National Category
Ophthalmology
Identifiers
urn:nbn:se:umu:diva-208962 (URN)10.1111/aos.15688 (DOI)000981646300001 ()2-s2.0-85158134431 (Scopus ID)
Note

Presented in part at the 40th Congress of the ESCRS, 17 September 2022, Milan, Italy.

Available from: 2023-06-02 Created: 2023-06-02 Last updated: 2024-01-15Bibliographically approved
Pålsson, S., Pivodic, A., Grönlund, M. A., Lundström, M., Viberg, A., Behndig, A. & Zetterberg, M. (2023). Cataract surgery in patients with uveitis: data from the Swedish National Cataract Register. Acta Ophthalmologica, 101(4), 376-383
Open this publication in new window or tab >>Cataract surgery in patients with uveitis: data from the Swedish National Cataract Register
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2023 (English)In: Acta Ophthalmologica, ISSN 1755-375X, E-ISSN 1755-3768, Vol. 101, no 4, p. 376-383Article in journal (Refereed) Published
Abstract [en]

Purpose: To investigate the surgical and pharmacological management and outcomes of patients with cataract and concurrent uveitis.

Methods: Data from the Swedish National Cataract Register, 2018–2019, were collected and analysed. Uveitic eyes were identified and eyes without uveitis were used as controls. Generalized estimating equations were used to adjust for intra-individual correlation.

Results: The study included 719 eyes with and 256 360 without uveitis. The mean age was 66.0 ± 13.5 (standard deviation [SD]) years in the uveitis group and 74.3 ± 8.7 years in the control group (p < 0.001). Surgery was associated with more intraoperative difficulties in eyes with uveitis (27.0%) than in control eyes (7.1%; p < 0.001). Posterior capsule rupture/zonular complications were registered in nine eyes with uveitis (1.3%) and in 1464 eyes without uveitis (0.6%; p = 0.02). Hydrophilic acrylic intraocular lenses (uveitis 3.6%, controls 1.2%) and subconjunctival steroids (uveitis 17.4%, controls 6.1%) were more frequently used in eyes with uveitis (p < 0.001). post-operative best-corrected visual acuity (BCVA) was 0.16 ± 0.38 logarithm of the minimum angle of resolution (logMAR, mean ± SD) in eyes with uveitis (n = 52) and 0.08 ± 0.20 in control eyes (n = 14 489; p = 0.008).

Conclusion: In this large registry-based Swedish cohort study, the findings demonstrate that cataract surgery in patients with uveitis poses more challenges and requires special surgical precautions. Eyes with concurrent uveitis had worse BCVA prior to and following surgery. Despite the intraoperative challenges, the visual improvement was greater in the uveitic group.

Place, publisher, year, edition, pages
John Wiley & Sons, 2023
Keywords
anti-inflammatory treatment, cataract, intraocular lens, register, uveitis
National Category
Ophthalmology
Identifiers
urn:nbn:se:umu:diva-202090 (URN)10.1111/aos.15308 (DOI)000900027800001 ()36537142 (PubMedID)2-s2.0-85144335338 (Scopus ID)
Funder
Konung Gustaf V:s och Drottning Victorias FrimurarestiftelseStiftelsen Kronprinsessan Margaretas arbetsnämnd för synskadadeMarcus and Amalia Wallenberg FoundationHjalmar Svensson's Research Foundation
Available from: 2023-01-03 Created: 2023-01-03 Last updated: 2023-06-20Bibliographically approved
Triepels, R. J. M., Segers, M. H. M., Rosen, P., Nuijts, R. M. M., van den Biggelaar, F. J. H., Henry, Y. P., . . . Dickman, M. M. (2023). Development of machine learning models to predict posterior capsule rupture based on the EUREQUO registry. Acta Ophthalmologica, 101(6), 644-650
Open this publication in new window or tab >>Development of machine learning models to predict posterior capsule rupture based on the EUREQUO registry
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2023 (English)In: Acta Ophthalmologica, ISSN 1755-375X, E-ISSN 1755-3768, Vol. 101, no 6, p. 644-650Article in journal (Refereed) Published
Abstract [en]

Purpose: To evaluate the performance of different probabilistic classifiers to predict posterior capsule rupture (PCR) prior to cataract surgery. Methods: Three probabilistic classifiers were constructed to estimate the probability of PCR: a Bayesian network (BN), logistic regression (LR) model, and multi-layer perceptron (MLP) network. The classifiers were trained on a sample of 2 853 376 surgeries reported to the European Registry of Quality Outcomes for Cataract and Refractive Surgery (EUREQUO) between 2008 and 2018. The performance of the classifiers was evaluated based on the area under the precision-recall curve (AUPRC) and compared to existing scoring models in the literature. Furthermore, direct risk factors for PCR were identified by analysing the independence structure of the BN. Results: The MLP network predicted PCR overall the best (AUPRC 13.1 ± 0.41%), followed by the BN (AUPRC 8.05 ± 0.39%) and the LR model (AUPRC 7.31 ± 0.15%). Direct risk factors for PCR include preoperative best-corrected visual acuity (BCVA), year of surgery, operation type, anaesthesia, target refraction, other ocular comorbidities, white cataract, and corneal opacities. Conclusions: Our results suggest that the MLP network performs better than existing scoring models in the literature, despite a relatively low precision at high recall. Consequently, implementing the MLP network in clinical practice can potentially decrease the PCR rate.

Place, publisher, year, edition, pages
John Wiley & Sons, 2023
Keywords
artificial intelligence, Bayesian network, cataract surgery, logistic regression, machine learning, multi-layer perceptron, posterior capsule rupture
National Category
Ophthalmology
Identifiers
urn:nbn:se:umu:diva-205373 (URN)10.1111/aos.15648 (DOI)000935510500001 ()36789777 (PubMedID)2-s2.0-85148295978 (Scopus ID)
Available from: 2023-03-27 Created: 2023-03-27 Last updated: 2023-10-06Bibliographically approved
Segers, M. H. M., Rosen, P., van den Biggelaar, F. J. H., Brocato, L., Henry, Y. P., Nuijts, R. M. M., . . . Dickman, M. M. (2023). Reply: Anesthesia techniques and the risk of complications as reflected in the European registry of quality outcomes for cataract and refractive surgery [Letter to the editor]. Journal of cataract and refractive surgery, 49(9), 1000-1001
Open this publication in new window or tab >>Reply: Anesthesia techniques and the risk of complications as reflected in the European registry of quality outcomes for cataract and refractive surgery
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2023 (English)In: Journal of cataract and refractive surgery, ISSN 0886-3350, E-ISSN 1873-4502, Vol. 49, no 9, p. 1000-1001Article in journal, Letter (Refereed) Published
Place, publisher, year, edition, pages
Wolters Kluwer, 2023
National Category
Ophthalmology
Identifiers
urn:nbn:se:umu:diva-214026 (URN)10.1097/j.jcrs.0000000000001251 (DOI)37379022 (PubMedID)2-s2.0-85168796110 (Scopus ID)
Note

Reply to: Segers, Maartje H.M. MD; Rosen, Paul MD, FRCS, FRCOphth, MBA; van den Biggelaar, Frank J.H.M. PhD; Brocato, Lucia MSc; Henry, Ype P. MD, FEBO; Nuijts, Rudy M.M.A. MD, PhD; Tassignon, Marie-José MD, PhD, FEBO; Young, David PhD; Stenevi, Ulf MD, PhD; Behndig, Anders MD, PhD; Lundström, Mats MD, PhD; Dickman, Mor M. MD, PhD. Anesthesia techniques and the risk of complications as reflected in the European Registry of Quality Outcomes for Cataract and Refractive Surgery. Journal of Cataract & Refractive Surgery 48(12):p 1403-1407, December 2022. | DOI: 10.1097/j.jcrs.0000000000001009

Available from: 2023-09-08 Created: 2023-09-08 Last updated: 2023-09-08Bibliographically approved
Armonaite, L. & Behndig, A. (2023). Repositioning of in-the-bag dislocated intraocular lenses: a randomized clinical trial comparing two surgical methods. Ophthalmic Research, 66(1), 590-598
Open this publication in new window or tab >>Repositioning of in-the-bag dislocated intraocular lenses: a randomized clinical trial comparing two surgical methods
2023 (English)In: Ophthalmic Research, ISSN 0030-3747, E-ISSN 1423-0259, Vol. 66, no 1, p. 590-598Article in journal (Refereed) Published
Abstract [en]

Introduction: The aim of this study was to evaluate intraocular lens (IOL) tilt, IOL-induced astigmatism (IIA), refractive change, and impact of capsular fibrosis on IOL position after scleral fixation of dislocated IOL using two methods: ab externo scleral suture loop fixation (group A) and a modification, embracing the continuous curvilinear capsulorhexis (group B).

Methods: In this prospective randomized clinical trial conducted at St. Erik Eye Hospital, 117 patients with dislocated IOL were randomized to group A (n = 61) or B (n = 56). Patients with ordinary pseudophakia (n = 60) served as controls. IOL tilt was measured three-dimensionally with anterior segment optical coherence tomography (AS-OCT).

Results: The median IOL tilt was similar with both methods (A: 7.8°; B: 8.3°; p = 0.51) but higher than in ordinary pseudophakia (5.4°; p < 0.001). Both groups showed a myopic shift, p < 0.001. In cases without capsular fibrosis, the median IOL tilt was 15.5° in group A (n = 7) and 7.0° in group B (n = 5), p = 0.19. For each degree of IOL tilt, IIA increased by 0.075 D (p < 0.001). IOL position could be measured with AS-OCT in all patients given that the IOL was visible in the pupil.

Conclusion: After IOL fixation surgery, IOL tilt is higher than in normal pseudophakia. A study involving more patients without capsular fibrosis could clarify whether IOL position is better with method B in this subgroup. IAA is low, but myopic shift is common. AS-OCT is useful for IOL tilt assessment after IOL fixation surgery.

Place, publisher, year, edition, pages
S. Karger, 2023
Keywords
medication adherence, qualitative research, self management, shared decision making, transitional care
National Category
Ophthalmology
Identifiers
urn:nbn:se:umu:diva-206773 (URN)10.1159/000529506 (DOI)000931485400001 ()36739865 (PubMedID)2-s2.0-85152144447 (Scopus ID)
Available from: 2023-04-17 Created: 2023-04-17 Last updated: 2023-04-17Bibliographically approved
Fredriksson, A., Näslund, S., Saric, A., Winther, N., Viberg, A. & Behndig, A. (2023). Thermographic analysis of the corneal surface in epi-on and epi-off corneal crosslinking for keratoconus. Acta Ophthalmologica
Open this publication in new window or tab >>Thermographic analysis of the corneal surface in epi-on and epi-off corneal crosslinking for keratoconus
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2023 (English)In: Acta Ophthalmologica, ISSN 1755-375X, E-ISSN 1755-3768Article in journal (Refereed) Epub ahead of print
Abstract [en]

Purpose: To analyse the temperature of the corneal surface in keratoconus during corneal customized crosslinking (CXL) with a preserved epithelium (epi-on) under oxygen flow, and epi-off CXL in room air, and to assess the effect of pre-heating the oxygen.

Methods: This masked, intra-individual comparing randomized study included 14 participants with bilateral progressive keratoconus treated with bilateral CXL: one eye with epi-on CXL under a flow of 2.5 L/min oxygen; the fellow eye with epi-off CXL in room air. In a second setting involving 12 healthy participants, room-tempered oxygen was flushed over one eye and oxygen pre-heated to 37°C over the fellow eye. The corneal surface temperature was assessed with infrared photography.

Results: A reduction in corneal surface temperature was seen from the pre-treatment application of topical riboflavin in the epi-off group (−1.1 ± 1.0°C, p < 0.001). The temperature increased during the first half of the CXL treatment in both groups (+0.7 ± 1.2°C, p = 0.041 for epi-on; +0.7 ± 0.9°C, p = 0.023 for epi-off CXL, respectively). In epi-on CXL an overall temperature increase was seen during the treatment (+0.8 ± 1.2°C, p = 0.016). In the second setting, pre-heating the oxygen rendered a surface temperature increase of +1.8 ± 0.2°C (p < 0.001).

Conclusion: In epi-off CXL, the application of topical room-tempered riboflavin decreases the corneal surface temperature, likely due to increased evaporation. A slight temperature increase is seen during CXL with both epi-on and epi-off CXL, albeit far below the corneal safety limit. The corneal temperature can, however, be increased by applying pre-heated oxygen, a possible approach to modify or augment the treatment effect in CXL.

Place, publisher, year, edition, pages
John Wiley & Sons, 2023
Keywords
crosslinking, keratoconus, oxygen, temperature
National Category
Ophthalmology
Identifiers
urn:nbn:se:umu:diva-217440 (URN)10.1111/aos.15817 (DOI)2-s2.0-85177474226 (Scopus ID)
Available from: 2023-12-04 Created: 2023-12-04 Last updated: 2023-12-04
Bro, T., Behndig, A., Viberg, A., Zetterberg, M., Kugelberg, M., Nilsson, I., . . . Lundström, M. (2023). Two point four million cataract surgeries: 30 years with the Swedish National Cataract Register, 1992-2021. Journal of cataract and refractive surgery, 49(8), 879-884
Open this publication in new window or tab >>Two point four million cataract surgeries: 30 years with the Swedish National Cataract Register, 1992-2021
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2023 (English)In: Journal of cataract and refractive surgery, ISSN 0886-3350, E-ISSN 1873-4502, Vol. 49, no 8, p. 879-884Article, review/survey (Refereed) Published
Abstract [en]

The present review summarizes data collected by the Swedish National Cataract Register (NCR), which by the end of 2021 contained data for more than 2.4 million cataract surgeries between 1992 and 2021. During these 30 years, the cataract surgery rate rose from 3700 to 12 800. The coverage of NCR is very high including 93% of all cataract procedures in Sweden between 2010 and 2021. Independently of demographic changes, the proportion of operations of patients age 60 to 79 has increased while the proportion of 80 to 90+ has decreased. The median visual acuity of the first eye planned for surgery was 0.1 decimal in 1992 and has increased to 0.5 decimal in 2021. Patient-reported outcome measures have been registered with the Catquest-9SF questionnaire since 2008, demonstrating intervention at an earlier stage, but consistently 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%.

Place, publisher, year, edition, pages
Wolters Kluwer, 2023
National Category
Ophthalmology
Identifiers
urn:nbn:se:umu:diva-212475 (URN)10.1097/j.jcrs.0000000000001209 (DOI)37185666 (PubMedID)2-s2.0-85165546513 (Scopus ID)
Available from: 2023-08-03 Created: 2023-08-03 Last updated: 2023-08-03Bibliographically approved
Segers, M. H. M., Rosen, P., van den Biggelaar, F. J. H., Brocato, L., Henry, Y. P., Nuijts, R. M. M., . . . Dickman, M. M. (2022). Anesthesia techniques and the risk of complications as reflected in the European registry of quality outcomes for cataract and refractive surgery. Journal of cataract and refractive surgery, 48(12), 1403-1407
Open this publication in new window or tab >>Anesthesia techniques and the risk of complications as reflected in the European registry of quality outcomes for cataract and refractive surgery
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2022 (English)In: Journal of cataract and refractive surgery, ISSN 0886-3350, E-ISSN 1873-4502, Vol. 48, no 12, p. 1403-1407Article in journal (Refereed) Published
Abstract [en]

PURPOSE: To determine the trends in anesthesia techniques for cataract surgery over the past decade and their relationship to surgical complications.

SETTING: Clinics affiliated with the European Registry of Quality Outcomes for Cataract and Refractive Surgery (EUREQUO).

DESIGN: Retrospective cross-sectional register-based study.

METHODS: Variables include patient demographics, visual acuity, ocular comorbidities, surgery characteristics, intraoperative complications, and postoperative complications for the study period from January 2008, to December 2018. The anesthesia methods registered in the EUREQUO and included in the study are topical, combined topical and intracameral, sub-Tenon, regional, and general anesthesia. Multivariate logistic regression models for each complication were constructed to estimate the adjusted odds ratio (OR) and 95% CIs.

RESULTS: Complete data were available of 1 354 036 cataract surgeries. Topical anesthesia increased significantly over time (from 30% to 76%, P < .001). Sub-Tenon and regional anesthesia decreased (from 27% and 38% to 16% and 6%, respectively, P < .001), and general and combined topical and intracameral anesthesia remained stable (around 2%). Sub-Tenon (OR, 0.80; 95% CI, 0.71-0.91, P < .001), regional (0.74; 95% CI, 0.71-0.78, P < .001), general (0.53; 95% CI, 0.50-0.56, P < .001), and intracameral anesthesia (0.76; 95% CI, 0.64-0.90, P = .001) carried a significantly decreased risk of posterior capsule rupture (PCR), with and without dropped nucleus, compared with topical anesthesia. The risk of endophthalmitis was significantly lower with regional anesthesia compared with topical anesthesia (OR, 0.60; 95% CI, 0.44-0.82, P = .001).

CONCLUSIONS: The use of topical anesthesia for cataract surgery increased over time. Topical anesthesia is associated with an increased risk of PCR with and without dropped nucleus, and endophthalmitis.

Place, publisher, year, edition, pages
Wolters Kluwer, 2022
National Category
Ophthalmology Surgery
Identifiers
urn:nbn:se:umu:diva-201620 (URN)10.1097/j.jcrs.0000000000001009 (DOI)36449673 (PubMedID)2-s2.0-85143104807 (Scopus ID)
Note

Reply: Segers, Maartje H.M. MD; Rosen, Paul MD, FRCS, FRCOphth, MBA; van den Biggelaar, Frank J.H.M. PhD; Brocato, Lucia MSc; Henry, Ype P. MD, FEBO; Nuijts, Rudy M.M.A. MD, PhD; Tassignon, Marie-José MD, PhD, FEBO; Young, David PhD; Stenevi, Ulf MD, PhD; Behndig, Anders MD, PhD; Lundström, Mats MD, PhD; Dickman, Mor M. MD, PhD. Reply: Anesthesia techniques and the risk of complications as reflected in the European Registry of Quality Outcomes for Cataract and Refractive Surgery. Journal of Cataract & Refractive Surgery 49(9):p 1000-1001, September 2023. | DOI: 10.1097/j.jcrs.0000000000001251

Available from: 2022-12-14 Created: 2022-12-14 Last updated: 2023-09-08Bibliographically approved
Näslund, S., Beckman Rehnman, J., Fredriksson, A. & Behndig, A. (2022). Comparison of two annular photorefractive intrastromal cross-linking protocols in high oxygen for low-grade myopia through 24-month follow-up. Acta Ophthalmologica, 100(5), 549-558
Open this publication in new window or tab >>Comparison of two annular photorefractive intrastromal cross-linking protocols in high oxygen for low-grade myopia through 24-month follow-up
2022 (English)In: Acta Ophthalmologica, ISSN 1755-375X, E-ISSN 1755-3768, Vol. 100, no 5, p. 549-558Article in journal (Refereed) Published
Abstract [en]

Purpose: To compare two annular epithelium-on (epi-on) high oxygen photorefractive intrastromal cross-linking (PiXL) illuminations protocols for treatment of low-grade myopia.

Methods: In this randomized, single-masked, intra-individually comparative study, healthy individuals with bilateral low-grade myopia (manifest refractive spherical equivalent (MRSE) −0.75 diopters (D) to −2.50 D) were treated with high oxygen epi-on PiXL. One eye was randomized to receive pulsed accelerated 365-nm ultraviolet-A illumination in a central annular zone of 4.0 mm (1 second on, 1 second off; 30 mW/cm2), and the fellow eye in a 3.5 mm annular zone (0.5 second on, 1 second off; 45 mW/cm2). Uncorrected distance visual acuity (UDVA), MRSE, low-contrast visual acuity (LCVA), best spectacle corrected visual acuity (BSCVA), endothelial cell count (ECC) and Scheimpflug light scattering depths were assessed through 24-month follow-up.

Results: Twenty-seven participants (54 eyes) were included. The 3.5 mm protocol rendered less subjective ocular discomfort posttreatment and a larger improvement than the 4.0 mm protocol in UDVA: −0.52 (−0.72, −0.32) logMAR (medians and interquartile ranges, IQR) and −0.38 (−0.50, −0.22), p = 0.003 and MRSE: +1.25 D (0.75, 1.50) and +1.0 (0.75, 1.0), p = 0.037. The transient reduction in LCVA was larger with the 3.5 mm protocol (p < 0.01). No adverse events, and no reductions in ECC or BSCVA were noted.

Conclusion: Epi-on PiXL in high oxygen reduces myopia in healthy eyes. A larger reduction of myopia and less early posttreatment subjective ocular discomfort can be seen with a smaller treatment zone, but likely at the expense of a transient decrease in low-contrast visual acuity.

Place, publisher, year, edition, pages
John Wiley & Sons, 2022
Keywords
annular PiXL, corneal collagen cross-linking, myopia, refractive cross-linking
National Category
Ophthalmology Nursing
Identifiers
urn:nbn:se:umu:diva-188649 (URN)10.1111/aos.15035 (DOI)000703485600001 ()34609048 (PubMedID)2-s2.0-85116349078 (Scopus ID)
Available from: 2021-10-18 Created: 2021-10-18 Last updated: 2023-08-11Bibliographically approved
Kreku, R. & Behndig, A. (2022). Consequences of mechanical pupil dilation, a study based on the Swedish national cataract register. Acta Ophthalmologica, 100(5), 520-525
Open this publication in new window or tab >>Consequences of mechanical pupil dilation, a study based on the Swedish national cataract register
2022 (English)In: Acta Ophthalmologica, ISSN 1755-375X, E-ISSN 1755-3768, Vol. 100, no 5, p. 520-525Article in journal (Refereed) Published
Abstract [en]

Purpose: To describe the outcomes and demographics of patients undergoing mechanical pupil dilation (MPD) during cataract surgery.

Setting: All cataract procedures performed in Umeå University Hospital and Sunderbyn, Gällivare and Piteå hospitals reported to the Swedish National Cataract Register (NCR) during 2013–2019.

Design: Retrospective cohort study based on the Swedish NCR and electronic patient records.

Methods: The number of control visits, pre- and postoperative visual acuities, surgical complications/intraoperative difficulties, ocular comorbidities and postoperative treatment regimens were retrieved for all cataract procedures with MPD. For each procedure, the consecutive procedure in the NCR from the same clinic without MPD was chosen to form a control group. A multinominal regression analysis with MPD as the dependent variable was performed to identify factors and outcomes independently associated with MPD.

Results: A total of 25 349 patients aged 18–97 years underwent cataract surgery in these hospitals during the study period. Of these, 653 (2.6%) had MPD. Factors such as pseudoexfoliations and capsule staining were over-represented among MPD eyes. As a group, eyes with MPD had more postoperative visits and more postoperative anti-inflammatory drops, and more frequently needed augmentation of the anti-inflammatory treatment at the first postoperative visit.

Conclusions: MPD is independently associated with a more complicated intra- and postoperative course with more follow-up visits and requires more anti-inflammatory treatment postoperatively. This information could be added to the postoperative counselling, and more postoperative anti-inflammatory treatment could be considered in cases with MPD.

Place, publisher, year, edition, pages
John Wiley & Sons, 2022
Keywords
capsular hook, capsular tension ring, cataract, mechanical pupil dilation, phacoemulsification, posterior capsular tear, visual acuity
National Category
Ophthalmology
Identifiers
urn:nbn:se:umu:diva-191326 (URN)10.1111/aos.15041 (DOI)000702422700001 ()34596954 (PubMedID)2-s2.0-85116074805 (Scopus ID)
Available from: 2022-01-13 Created: 2022-01-13 Last updated: 2023-03-24Bibliographically approved
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Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0001-6652-7436

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