Abstract:
PURPOSE:To define factors affecting cataract surgery operating time for operating room planning, optimizing throughput, enhancing patient experiences, minimizing costs, and allocating training time. SETTING:Epsom and St. Helier University National Health Service Trust, London, United Kingdom. DESIGN:Retrospective case series. METHODS:All patients who had primary manual phacoemulsification cataract surgery from January 1, 2012, to December 30, 2016, were included. Combined anterior and posterior segment procedures and surgeons with fewer than 50 cases were excluded. Anonymized data collected were demographics, anesthesia, operating time, surgeon grade, case complexity, pupil size, pupil expander or capsular tension ring (CTR) use, intraocular lens type, posterior capsule or zonular fiber rupture or dialysis, vitreous loss, and automated anterior vitrectomy. RESULTS:From 11 067 cases, 9552 (86.3%) had a recorded operating time. The mean ± SD operating times in minutes were as follows: consultants 19 ± 10, junior 30 ± 11, intermediate 27 ± 12, senior trainees 24 ± 10, and fellows 31 ± 11. Operating time was significantly shorter for topical than for sub-Tenon or general anesthesia, especially among trainees. Consultant operating time remained unchanged with increasing case complexity, except for high-complexity cases. Small pupils, pupil expander or CTR use, posterior capsule or zonular fiber rupture or dialysis with or without vitreous loss (mean 45 ± 23) were associated with increased operating times. Iris hooks were associated with greater increases in operating time than Malyugin rings (16 minutes versus 6 minutes; P < .001). There was a modest 3-minute decrease in operating time among consultants over 5 years. CONCLUSION:Cataract surgery operating time was significantly influenced by anesthesia type, surgeon grade, high case complexity, pupil size, pupil expander use/type, CTR use, and intraoperative complications.
journal_name
J Cataract Refract Surgjournal_title
Journal of cataract and refractive surgeryauthors
Nderitu P,Ursell Pdoi
10.1016/j.jcrs.2019.01.002subject
Has Abstractpub_date
2019-06-01 00:00:00pages
816-822issue
6eissn
0886-3350issn
1873-4502pii
S0886-3350(19)30022-7journal_volume
45pub_type
杂志文章abstract:PURPOSE:To compare the incidence of posterior capsule rupture and vitreous loss during phacoemulsification with and without the use of an anterior chamber maintainer (ACM) SETTING: Aristotle University Eye Clinic, Thessaloniki, Greece. METHODS:The surgical records of patients who had phacoemulsification by experienced...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/S0886-3350(03)00584-4
更新日期:2004-02-01 00:00:00
abstract:UNLABELLED:We describe a technique in which a metallic foreign body in the anterior chamber is safely removed by encapsulation with an intraocular lens (IOL) injector instead of with a forceps or a magnet. A forceps sometimes provides inadequate grip over an intraocular foreign body and requires a large incision, which...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2015.10.046
更新日期:2015-12-01 00:00:00
abstract::The desire for rapid visual rehabilitation following phacoemulsification for cataract and intraocular lens implantation has stimulated a quest for an "astigmatically neutral" incision. We have evaluated an underemphasized aspect of wound closure technique for a small incision wound (5.1 mm). The essential element of t...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(13)80688-8
更新日期:1991-01-01 00:00:00
abstract:PURPOSE:To assess the visual outcomes of pseudophakic cystoid macular edema (CME) as compared with age- and copathology-matched control subjects, the costs of treatment and follow-up, and the patient-reported outcomes using the new Cat-patient-reported outcome measures (PROM) 5 questionnaire. SETTING:West Suffolk Hosp...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1097/j.jcrs.0000000000000192
更新日期:2020-06-01 00:00:00
abstract:PURPOSE:To assess the effect of folding procedures on modulation transfer function (MTF) and resolving power (RP) in soft acrylic intraocular lenses (IOLs). SETTING:Faculty of Engineering, Chiba University, Chiba, Japan. METHODS:Folding procedures and other manipulations were performed on +18.0 diopter soft acrylic l...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(96)80098-8
更新日期:1996-01-01 00:00:00
abstract:PURPOSE:To evaluate the effect of a fixed combination of brimonidine-timolol on intraocular pressure (IOP) after phacoemulsification cataract surgery. SETTING:Department of Ophthalmology, Patras University Hospital, Patras, Greece. DESIGN:Prospective randomized comparative case series. METHODS:Patients scheduled for...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.jcrs.2010.08.046
更新日期:2011-02-01 00:00:00
abstract:PURPOSE:To report the results of transscleral implantation of foldable intraocular lenses (IOLs). SETTING:Department of Ophthalmology Dokuz Eylül University School of Medicine, Izmir, Turkey. METHODS:Twenty eyes of 20 patients had transscleral fixation of a foldable IOL combined with conventional 3-port pars plana vi...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2003.09.050
更新日期:2004-04-01 00:00:00
abstract::We describe five routine phacoemulsification procedures in which a longitudinal split in the injector cartridge occurred during foldable intraocular lens (IOL) implantation. In some cases, this was associated with a broken lens. All lenses (STAAR AA-4203VF) were folded, and implantation was attempted through a 3.5 mm ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(96)80023-x
更新日期:1996-06-01 00:00:00
abstract:PURPOSE:To assess endothelial damage induced by poly(methyl methacrylate) (PMMA) intraocular lenses (IOLs) coated with a fluorocarbon polymer, Teflon AF, to make them highly hydrophobic. SETTING:Department of Ophthalmology. Hôtel-Dieu Hospital, Paris, France. METHODS:Ten Teflon-coated and 10 uncoated PMMA IOLs were u...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(97)80073-9
更新日期:1997-09-01 00:00:00
abstract::Three cases are described in which a curvilinear lucency in the corneal stroma signified a surgical thermal injury. The "shark fin" appearance represents focal shrinkage of tissue within the incisional tunnel. ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2004.11.034
更新日期:2005-03-01 00:00:00
abstract::Implantation of ultraviolet (UV) light-absorbing intraocular lenses and the manufacturers developing these lenses has significantly increased over the past few years. In this paper, the need for filtration of UV light by intraocular lens implants is briefly examined and various new product development aspects of a UV-...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(86)80011-6
更新日期:1986-05-01 00:00:00
abstract:PURPOSE:To gather experimental data on whether Dodick laser phacolysis leads to corneal or scleral burns. SETTING:The Eye Department, County Hospital Salzburg, Salzburg, Austria. METHODS:The study was done using a pulsed neodymium:YAG (Nd:YAG) laser with a wavelength of 1064 nm; energy, 10 mJ; and duration of pulses,...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(99)00030-9
更新日期:1999-06-01 00:00:00
abstract:PURPOSE:To prospectively assess the effect of preoperative variables such as pupil size on glare, halos, and visual function after photoastigmatic refractive keratectomy (PARK). SETTING:Department of Ophthalmology, Stanford University School of Medicine, Stanford, California, USA. METHODS:Ninety-three eyes had PARK f...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(01)00871-9
更新日期:2001-06-01 00:00:00
abstract:PURPOSE:To evaluate an algorithm for corneal power estimation in intraocular lens (IOL) power calculation after myopic laser refractive surgery using direct corneal measurements. SETTING:International Vision Correction Research Centre, University of Heidelberg, Heidelberg, Germany. METHODS:Corneal parameters in norma...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2009.07.011
更新日期:2010-01-01 00:00:00
abstract:PURPOSE:To evaluate the intraocular pressure (IOP)-lowering efficacy and safety of incisional goniotomy as an adjunct to phacoemulsification in primary angle-closure glaucoma (PACG) patients. METHODS:In this prospective interventional case series, consecutive patients with PACG (high or borderline IOP) deemed fit for ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1097/j.jcrs.0000000000000481
更新日期:2020-11-19 00:00:00
abstract:PURPOSE:To evaluate the clinical outcomes of laser in situ keratomileusis (LASIK) to correct myopia or myopic astigmatism using the Amaris 750S 750 Hz excimer laser. SETTING:Private LASIK center, Tokyo, Japan. DESIGN:Case series. METHODS:Patients with myopia or myopic astigmatism (spherical equivalent -0.50 to -11.6...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2013.07.043
更新日期:2014-02-01 00:00:00
abstract:PURPOSE:To compare the coaxial light intensity required during cataract surgery, and rate of postoperative visual recovery, with surgical visualization achieved with a traditional analog operating microscope compared to a 3D digital visualization system. SETTING:Weill Cornell Medical Center, New York Presbyterian Hosp...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1097/j.jcrs.0000000000000448
更新日期:2020-09-24 00:00:00
abstract::This study examined resident exposure to and competency in new techniques for cataract removal and intraocular lens (IOL) implantation. A questionnaire was sent to 116 United States ophthalmology program directors and completed by 71. In response to the questionnaire, program directors reported that 95.3% of their gra...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2017.10.014
更新日期:2017-10-01 00:00:00
abstract:PURPOSE:To evaluate the efficacy, safety, predictability, and surgically induced astigmatism (SIA) of laser in situ keratomileusis (LASIK) for the correction of myopia and myopic astigmatism. SETTING:Department of Ophthalmology, National Taiwan University Hospital, Taipei, Taiwan. METHODS:This retrospective study com...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(01)01071-9
更新日期:2001-12-01 00:00:00
abstract::This review surveyed the results and methods of cost-utility analyses of cataract surgery. Thirteen studies were included. Based on decision-theoretic time trade-off, utilities ranged from 0.148 to 0.8 and quality-adjusted life years (QALY) ranged from 1.424 to 2.43. Based on psychometric instruments such as Euroqol 5...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章,评审
doi:10.1016/j.jcrs.2017.05.020
更新日期:2017-06-01 00:00:00
abstract::A technique is described in which a posterior chamber intraocular lens (IOL) is implanted in eyes with partial loss of posterior capsule or zonular support. The IOL's inferior haptic is placed over the residual capsule and the superior haptic is fixated to the ciliary sulcus with a polypropylene suture. In 17 eyes tha...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(97)80278-7
更新日期:1997-06-01 00:00:00
abstract:PURPOSE:Comparison of lens capsule-related complications resulting from femtosecond laser-assisted capsulotomy and manual capsulorhexis in patients with white cataracts. SETTING:Eye Center, Second Affiliated Hospital, Zhejiang Medical School, Hangzhou, China. DESIGN:Prospective consecutive nonrandomized comparative c...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2018.10.037
更新日期:2019-03-01 00:00:00
abstract:PURPOSE:To evaluate the implantation of Artisan/Verisyse phakic intraocular lenses (pIOLs) (Advanced Medical Optics) as an effective and safe method for the correction of high myopia. SETTING:Department of Ophthalmology, John A. Moran Eye Center, University of Utah Medical Center, Salt Lake City, Utah, USA. METHODS:T...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2007.04.009
更新日期:2007-08-01 00:00:00
abstract:PURPOSE:To evaluate the refractive outcomes and rotational stability of a 4-haptic toric intraocular lens (IOL) in myopic eyes and the correlations between IOL rotation and refractive sphere, axial length (AL), and white-to-white (WTW) diameter. SETTING:Eye Clinic, Careggi Hospital, Florence, Italy. DESIGN:Prospectiv...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2013.12.024
更新日期:2014-09-01 00:00:00
abstract:PURPOSE:To objectively evaluate the image quality obtained with toric intraocular lenses (IOLs) when misaligned from the intended axis. SETTING:University Eye Clinic and the Department of Industrial and Information Engineering, University of Trieste, Trieste, Italy. DESIGN:Experimental study. METHODS:An experimental...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2017.10.053
更新日期:2018-03-01 00:00:00
abstract:PURPOSE:To study the microanatomic edge structures of anterior lens capsule specimens derived from manual and femtosecond laser-assisted capsulotomies. SETTING:Department of Ophthalmology, Goethe-University, Frankfurt, Germany. DESIGN:Experimental study. METHODS:Of 60 eyes with lens removal and intraocular lens impl...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2013.07.024
更新日期:2013-10-01 00:00:00
abstract::We report a case of traumatic phacocele in a 42-year-old patient with a history of congenital glaucoma and bilateral goniotomies as an infant. Her left eye had little vision and poorly controlled intraocular pressure but was comfortable until her presentation after blunt trauma. Phacocele or subconjunctival dislocatio...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(00)00760-4
更新日期:2001-08-01 00:00:00
abstract:PURPOSE:To define one possible etiology for the rise in intraocular pressure (IOP) after neodymium: YAG (Nd:YAG) laser capsulotomy and provide information for the continued investigation of this process. SETTING:Laser Center, Eye and Ear Institute, Pittsburgh, Pennsylvania. METHODS:Samples of 1% sodium hyaluronate or...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(96)80315-4
更新日期:1996-07-01 00:00:00
abstract::The optical resolution and contrast of 18 silicone and 18 polymethylmethacrylate (PMMA) intraocular lenses were determined before implantation in and after removal from rabbit eyes. A specially designed microphotographic system that allows documentation and comparison of the image quality of different lens types was u...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(87)80153-0
更新日期:1987-11-01 00:00:00
abstract:PURPOSE:To study the efficacy of posterior optic buttonholing (POBH) through a primary posterior capsulorhexis (PPCCC) to preserve full capsular transparency, and its potential as a routine alternative to standard in-the-bag implantation of sharp-edged optic intraocular lenses (IOLs). SETTING:Department of Ophthalmolo...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2006.02.046
更新日期:2006-06-01 00:00:00