ArticleClinical ophthalmology (Auckland, N.Z.)2013
Surgical outcomes in phacoemulsification after application of a risk stratification system.
Article in Clinical ophthalmology (Auckland, N.Z.), 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.
- Sub-Tenon's anaesthesia versus topical anaesthesia for cataract surgery.The Cochrane database of systematic reviews · 2015Pooled it
- Comparison of Post-Operative Outcomes between IOP-20 and IOP-50 in Phacoemulsification with Active Fluidics System: Randomized Single Blinded Trial.Clinical ophthalmology (Auckland, N.Z.) · 2025Trial
- Implementation of a Modified Risk Stratification Score in Cataract Surgery at a Swiss Public Hospital.Clinical ophthalmology (Auckland, N.Z.) · 2025Article
- Surgical Efficiency Comparison Between Two Phacoemulsification Systems.Clinical ophthalmology (Auckland, N.Z.) · 2024Article
- Comparing morphologic features and complications of main clear corneal incision between junior and senior residents observed using anterior segment optical coherence tomography.Medical hypothesis, discovery & innovation ophthalmology journal · 2023Article
- Efficacy of Preoperative Risk Stratification on Resident Phacoemulsification Surgeries.Clinical ophthalmology (Auckland, N.Z.) · 2022Article
- Cataract surgery risk stratification in phacoemulsification and manual small incision cataract surgery in a teaching hospital.International ophthalmology · 2022Article
- Reoperations After Cataract Surgery: Is the Incidence Predictable Through a Risk Factor Stratification System?Cureus · 2020Article
- Safety of air tamponade versus corneal hydration for sealing clear corneal incisions in cataract surgery.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2020Article
- A Comparative Assessment of Intraoperative Complication Rates in Resident-Performed Phacoemulsification Surgeries According to Najjar-Awwad Preoperative Risk Stratification.Clinical ophthalmology (Auckland, N.Z.) · 2020Article
- Complication rates of resident-performed cataract surgery: Impact of early introduction of cataract surgery training.Journal of cataract and refractive surgery · 2018Article
- Laboratory assessment of thermal characteristics of three phacoemulsification tip designs operated using torsional ultrasound.Clinical ophthalmology (Auckland, N.Z.) · 2016Article
- Comparison of occlusion break responses and vacuum rise times of phacoemulsification systems.BMC ophthalmology · 2014Article
Corrections and comments
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Authors and funding
7 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe purpose of this study was to determine whether application of a risk stratification system during preoperative assessment of cataract patients and subsequent allocation of patients to surgeons with matching experience may reduce intraoperative complications.
methodsNine hundred and fifty-three consecutive patients (1109 eyes) undergoing phacoemulsification cataract surgery were assigned to two groups, ie, group A (n = 498 patients, 578 eyes) and group B (n = 455 patients, 531 eyes). Patients from group A were allocated to surgeons with varying experience with only a rough estimate of the complexity of their surgery. Patients from group B were assigned to three risk groups (no added risk, low risk, and moderate-high risk) according to risk factors established during their preoperative assessment and were respectively allocated to resident surgeons, low-volume surgeons, or high-volume surgeons. Data were collected and entered into a computerized database. The intraoperative complication rate was calculated for each group.
resultsThe intraoperative complication rate was significantly lower in group B than in group A (group A, 5.88%; group B, 3.2%; P < 0.05). Patients from group B with no added risk and allocated to resident surgeons had a significantly lower rate of intraoperative complications than those from group A allocated to resident surgeons (group A, 7.2%; group B, 3.08%; P < 0.05).
conclusionOur study demonstrates that allocation of cataract patients to surgeons matched for experience according to a uniform and reliable preoperative assessment of their risk of complications allows for better surgical outcomes, especially for resident surgeons.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.