Cataract Surgery in Germany: Data from a German Registry on Quality Outcomes for Cataract and Refractive Surgery in the Year 2018

• 作者: Bernd Schneider Christian Schäferhoff Jörg Förster
• 来源期刊: 眼科学期刊(英文)
• 学科: 数学
• 关键词: German Registry Cataract Surgery Visual Outcome EUREQUO
• 年，卷（期）: 2020,（4）
• 页码范围: 297-306
• 页数: 10页
• 分类号: O17

摘要

<b><span>Background: </span></b><span>The German registry for cataract surgery was established in 2014.</span><span><span> The main aim of this registry was to improve cataract surgery outcomes. </span><b><span>Aim:</span></b><span> The aim of this project is to offer a tool for benchmarking through the </span><span>establishment of a reference database in Germany where surgeons could record</span><span> and analyze their own outcomes. </span><b><span>Methods: </span></b><span>Data were collected between January 2018 and December 2018. The analyzed data included parameters of surgical technique, implanted intraocular lens (IOL), refractive and visual outcomes. </span><b><span>Results: </span></b><span>During the year of 2018, the German registry included 10,035 lens exchange surgeries and the complete follow-up was available for 9882 lens extractions. Approximately one third of the patients were between 76 and 80 years old and 60.6% of the cases had a best-corrected distance visual acuity (CDVA) before surgery of 0.5 or better. Parabulbar anesthesia was reported in 60.4% of the cases and phacoemulsification with implantation of a posterior chamber IOL was the chosen method in 92.2% of the cases. The power of the implanted IOL was between 21.0</span></span><span> </span><span>-</span><span> </span><span><span>22.9D in 29.4% of eyes. Surgical complications were reported in only 413 cases. After surgery, a </span><span>CDVA of 0.5 or better was achieved in 90.8% of the cases. Most of the operated</span><span> patients (64%) had a residual refractive error within ±0.5D (95% confidence interval </span><span>63.2</span></span><span> - </span><span><span>65.1). </span><b><span>Conclusions: </span></b><span>Our results show that the registry was implemented</span></span><span>successfully with results comparable to the ones reported in EUREQUO.