Achieving target refraction after cataract surgery

Shira S. Simon, Yewlin E. Chee, Ramez I. Haddadin, Peter B. Veldman, Sheila Borboli-Gerogiannis, Stacey C. Brauner, Kenneth K. Chang, Sherleen H. Chen, Matthew F. Gardiner, Scott H. Greenstein, Carolyn E. Kloek, Teresa C. Chen*

*Corresponding author for this work

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

Purpose To evaluate the difference between target and actual refraction after phacoemulsification and intraocular lens implantation at an academic teaching institution's Comprehensive Ophthalmology Service. Design Retrospective study. Participants We examined 1275 eye surgeries for this study. Methods All consecutive cataract surgeries were included if they were performed by an attending or resident surgeon from January through December 2010. Postoperative refractions were compared with preoperative target refractions. Patients were excluded if they did not have a preoperative target refraction documented or if they did not have a recorded postoperative manifest refraction within 90 days. Main Outcome Measures The main outcome measure was percentage of cases achieving a postoperative spherical equivalent ±1.0 diopter (D) of target spherical equivalent. Results We performed 1368 cataract surgeries from January through December of 2010. Of these, 1275 (93%) had sufficient information for analysis. Of the included cases, 94% (1196 of 1275) achieved ±1.0 D of target refraction by 90 days after cataract surgery. Conclusions This paper establishes a new benchmark for a teaching hospital, where 94% of patients achieved within 1.0 D of target refraction after cataract surgery. The refractive outcomes after cataract surgery at this academic teaching institution were higher than average international benchmarks.

Original languageEnglish (US)
Pages (from-to)440-444
Number of pages5
JournalOphthalmology
Volume121
Issue number2
DOIs
StatePublished - Feb 1 2014

Fingerprint

Cataract
Benchmarking
Teaching
Outcome Assessment (Health Care)
Intraocular Lens Implantation
Phacoemulsification
Ophthalmology
Teaching Hospitals
Retrospective Studies

ASJC Scopus subject areas

  • Ophthalmology

Cite this

Simon, S. S., Chee, Y. E., Haddadin, R. I., Veldman, P. B., Borboli-Gerogiannis, S., Brauner, S. C., ... Chen, T. C. (2014). Achieving target refraction after cataract surgery. Ophthalmology, 121(2), 440-444. https://doi.org/10.1016/j.ophtha.2013.09.022
Simon, Shira S. ; Chee, Yewlin E. ; Haddadin, Ramez I. ; Veldman, Peter B. ; Borboli-Gerogiannis, Sheila ; Brauner, Stacey C. ; Chang, Kenneth K. ; Chen, Sherleen H. ; Gardiner, Matthew F. ; Greenstein, Scott H. ; Kloek, Carolyn E. ; Chen, Teresa C. / Achieving target refraction after cataract surgery. In: Ophthalmology. 2014 ; Vol. 121, No. 2. pp. 440-444.
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abstract = "Purpose To evaluate the difference between target and actual refraction after phacoemulsification and intraocular lens implantation at an academic teaching institution's Comprehensive Ophthalmology Service. Design Retrospective study. Participants We examined 1275 eye surgeries for this study. Methods All consecutive cataract surgeries were included if they were performed by an attending or resident surgeon from January through December 2010. Postoperative refractions were compared with preoperative target refractions. Patients were excluded if they did not have a preoperative target refraction documented or if they did not have a recorded postoperative manifest refraction within 90 days. Main Outcome Measures The main outcome measure was percentage of cases achieving a postoperative spherical equivalent ±1.0 diopter (D) of target spherical equivalent. Results We performed 1368 cataract surgeries from January through December of 2010. Of these, 1275 (93{\%}) had sufficient information for analysis. Of the included cases, 94{\%} (1196 of 1275) achieved ±1.0 D of target refraction by 90 days after cataract surgery. Conclusions This paper establishes a new benchmark for a teaching hospital, where 94{\%} of patients achieved within 1.0 D of target refraction after cataract surgery. The refractive outcomes after cataract surgery at this academic teaching institution were higher than average international benchmarks.",
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Simon, SS, Chee, YE, Haddadin, RI, Veldman, PB, Borboli-Gerogiannis, S, Brauner, SC, Chang, KK, Chen, SH, Gardiner, MF, Greenstein, SH, Kloek, CE & Chen, TC 2014, 'Achieving target refraction after cataract surgery', Ophthalmology, vol. 121, no. 2, pp. 440-444. https://doi.org/10.1016/j.ophtha.2013.09.022

Achieving target refraction after cataract surgery. / Simon, Shira S.; Chee, Yewlin E.; Haddadin, Ramez I.; Veldman, Peter B.; Borboli-Gerogiannis, Sheila; Brauner, Stacey C.; Chang, Kenneth K.; Chen, Sherleen H.; Gardiner, Matthew F.; Greenstein, Scott H.; Kloek, Carolyn E.; Chen, Teresa C.

In: Ophthalmology, Vol. 121, No. 2, 01.02.2014, p. 440-444.

Research output: Contribution to journalArticle

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T1 - Achieving target refraction after cataract surgery

AU - Simon, Shira S.

AU - Chee, Yewlin E.

AU - Haddadin, Ramez I.

AU - Veldman, Peter B.

AU - Borboli-Gerogiannis, Sheila

AU - Brauner, Stacey C.

AU - Chang, Kenneth K.

AU - Chen, Sherleen H.

AU - Gardiner, Matthew F.

AU - Greenstein, Scott H.

AU - Kloek, Carolyn E.

AU - Chen, Teresa C.

PY - 2014/2/1

Y1 - 2014/2/1

N2 - Purpose To evaluate the difference between target and actual refraction after phacoemulsification and intraocular lens implantation at an academic teaching institution's Comprehensive Ophthalmology Service. Design Retrospective study. Participants We examined 1275 eye surgeries for this study. Methods All consecutive cataract surgeries were included if they were performed by an attending or resident surgeon from January through December 2010. Postoperative refractions were compared with preoperative target refractions. Patients were excluded if they did not have a preoperative target refraction documented or if they did not have a recorded postoperative manifest refraction within 90 days. Main Outcome Measures The main outcome measure was percentage of cases achieving a postoperative spherical equivalent ±1.0 diopter (D) of target spherical equivalent. Results We performed 1368 cataract surgeries from January through December of 2010. Of these, 1275 (93%) had sufficient information for analysis. Of the included cases, 94% (1196 of 1275) achieved ±1.0 D of target refraction by 90 days after cataract surgery. Conclusions This paper establishes a new benchmark for a teaching hospital, where 94% of patients achieved within 1.0 D of target refraction after cataract surgery. The refractive outcomes after cataract surgery at this academic teaching institution were higher than average international benchmarks.

AB - Purpose To evaluate the difference between target and actual refraction after phacoemulsification and intraocular lens implantation at an academic teaching institution's Comprehensive Ophthalmology Service. Design Retrospective study. Participants We examined 1275 eye surgeries for this study. Methods All consecutive cataract surgeries were included if they were performed by an attending or resident surgeon from January through December 2010. Postoperative refractions were compared with preoperative target refractions. Patients were excluded if they did not have a preoperative target refraction documented or if they did not have a recorded postoperative manifest refraction within 90 days. Main Outcome Measures The main outcome measure was percentage of cases achieving a postoperative spherical equivalent ±1.0 diopter (D) of target spherical equivalent. Results We performed 1368 cataract surgeries from January through December of 2010. Of these, 1275 (93%) had sufficient information for analysis. Of the included cases, 94% (1196 of 1275) achieved ±1.0 D of target refraction by 90 days after cataract surgery. Conclusions This paper establishes a new benchmark for a teaching hospital, where 94% of patients achieved within 1.0 D of target refraction after cataract surgery. The refractive outcomes after cataract surgery at this academic teaching institution were higher than average international benchmarks.

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Simon SS, Chee YE, Haddadin RI, Veldman PB, Borboli-Gerogiannis S, Brauner SC et al. Achieving target refraction after cataract surgery. Ophthalmology. 2014 Feb 1;121(2):440-444. https://doi.org/10.1016/j.ophtha.2013.09.022