Capsule complication during cataract surgery: Retinal detachment after cataract surgery with capsule complication: Swedish Capsule Rupture Study Group report 4.

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Jakobsson, Gunnar (author)

Capsule complication during cataract surgery: Retinal detachment after cataract surgery with capsule complication: Swedish Capsule Rupture Study Group report 4.

Article/chapterEnglish2009

Publisher, publication year, extent ...

Ovid Technologies (Wolters Kluwer Health),2009

Numbers

LIBRIS-ID:oai:gup.ub.gu.se/111218
https://gup.ub.gu.se/publication/111218URI
https://doi.org/10.1016/j.jcrs.2009.05.028DOI
https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-35418URI

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Language:English

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SwePubSwePub

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Subject category:ref swepub-contenttype
Subject category:art swepub-publicationtype

Notes

PURPOSE: To study the incidence, characteristics, and results of retinal detachment (RD) after cataract surgery with a capsule complication. SETTING: Ten ophthalmic surgery departments in Sweden. METHODS: In this case-control study, data on cataract surgery cases with a capsule complication (study group) or with no complication (control group) in 2003 were extracted from the Swedish National Cataract Register. Patients with RD during a 3-year follow-up were identified. RESULTS: The study group comprised 324 patients and the control group, 331 patients. Retinal detachment occurred in 13 study group patients, for a 3-year incidence of 4.0%. In the control group, 1 patient (0.3%) had RD. Multivariate analysis showed an adjusted odds ratio (OR) of 14.8 for RD after capsule complication (95% confidence interval [CI], 1.9-114; P = .01). Subgroup analysis of the study group using a binary logistic regression model showed that male sex (OR, 8.5; 95% CI, 1.7-43.8; P = .001) and lens remnants in the vitreous (OR, 14.4; 95% CI 2.6-78.8; P = .002) were additional risk factors. Axial myopia was significantly associated with an increased risk as a single factor but not as a multiple factor. In general, the final visual outcome for RD after a capsule complication was poor; 3 eyes had a visual acuity of 0.50 or better. Eight eyes (62%) had a final visual acuity worse than 0.10 and 6 eyes, 0.02 or worse. CONCLUSIONS: The risk for RD after cataract surgery increased significantly when a capsule complication occurred, leading to poor final visual acuity in most cases.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Oftalmologi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Ophthalmology hsv//eng
Aged
Aged
80 and over
Case-Control Studies
Cataract
complications
Eye Injuries
economics
etiology
surgery
Female
Humans
Incidence
Intraoperative Complications
Lens Capsule
Crystalline
injuries
Lens Diseases
economics
etiology
surgery
Lens Implantation
Intraocular
Male
Middle Aged
Phacoemulsification
adverse effects
statistics & numerical data
Registries
Retinal Detachment
etiology
Retrospective Studies
Risk Assessment
Sweden
Visual Acuity
cataract surgery
Ophtalmiatrics
oftalmiatrik

Added entries (persons, corporate bodies, meetings, titles ...)

Montan, Per (author)
Zetterberg, Madeleine,1969Gothenburg University,Göteborgs universitet,Institutionen för neurovetenskap och fysiologi, sektionen för klinisk neurovetenskap och rehabilitering,Institute of Neuroscience and Physiology, Department of Clinical Neuroscience and Rehabilitation(Swepub:gu)xzemad (author)
Stenevi, Ulf,1943Gothenburg University,Göteborgs universitet,Institutionen för neurovetenskap och fysiologi, sektionen för klinisk neurovetenskap och rehabilitering,Institute of Neuroscience and Physiology, Department of Clinical Neuroscience and Rehabilitation(Swepub:gu)xsteul (author)
Behndig, AndersUmeå universitet,Oftalmiatrik(Swepub:umu)anbe0068 (author)
Lundström, Mats (author)
Göteborgs universitetInstitutionen för neurovetenskap och fysiologi, sektionen för klinisk neurovetenskap och rehabilitering (creator_code:org_t)

Related titles

In:Journal of cataract and refractive surgery: Ovid Technologies (Wolters Kluwer Health)35:10, s. 1699-7051873-45020886-3350

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By the author/editor: Jakobsson, Gunna ...; Montan, Per; Zetterberg, Made ...; Stenevi, Ulf, 19 ...; Behndig, Anders; Lundström, Mats

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