https://doi.org/10.31288/oftalmolzh201723843

Indications for inpatient treatment of cataract

M.I. Kovtun1, Cand Sc (Med)

I.I. Lapkina2, Ass. Prof., Cand Sc (Med)

M.L. Kochina2, Prof., Dr Sc (Biol)

1Hirshman Kharkiv Municipal Clinical Hospital No.14

2Kharkiv Medical Academy of Post-Graduate Education

 

Kharkiv, Ukraine

E-mail: innalapkina@mail.ru

 

Purpose: To develop indications for inpatient cataract treatment based on the retrospective review of case histories of cataract patients.

Materials and Methods: We retrospectively reviewed 636 case histories of cataract patients treated on an inpatient basis for at least two days. In addition, 20 experts working at Ukrainian tertiary care institutions responded to questions on potential causes of complications in cataract surgery, and their opinions were used to substantiate the indications for inpatient cataract treatment.

Results: Hypertensive disease (HTD) and ischemic heart disease (IHD) were found in 34.6 ± 2.1% and 28.9 ± 2.0%, respectively, of the study patients. The presence of HTD and the presence of IHD in the cataract patient were associated with 1.8-times and 2.5-times, respectively, increased risk of postoperative complications when compared with patients without these comorbidities. The presence of glaucoma and the presence of mature cataract in the cataract patient were associated with 3.7-times and 1.8-times, respectively, increased risk of postoperative complications when compared with patients without these comorbidities.

Inpatient treatment is in need in one-eyed cataract patients with very severe glaucoma and low vision or with mature cataracts, patients with bilateral mature cataracts, as well as cataract patients with lens subluxation, severe systemic disorders or mental disorders that prevent establishing productive contact with the patient.

Key words: cataract, postoperative complications, systemic and ocular comorbidities 

References

1.   [Adapted Evidence-Based Guidelines: Cataract. 2015].
Crossref

2.   Rykov SO, editor. [Organization of ophthalmological care at the present time]. Kyiv: Doktor Media; 2008 Ukrainian

3.   [Unified Clinical Protocol for Primary, Secondary (Specialized), and Tertiary (highly specialized) Medical Care: Cataract. Decree No.49 issued by Ukraine’s Ministry of Health dated 28 January 2016].
Crossref

4.   Chitkara DK, Hall AB, Rosenthal AR. Pathophysiology and Epidemiology of Cataract. In: Yanoff M, Duker JS, Augsburger JJ et al. editors. Opthalmology, 2nd ed. Philadelphia, PA: Mosby; 2004. p.275-9

5.   Robertson S. Cataract Epidemiology.
Crossref

6.   Lakin GF. [Biometry]. Moscow: Vysshaia shkola; 1990 Russian

7.   Kovtun MI. [Analysis of gender differences in time from diagnosis of cataract to surgery]. Vestnik problem biologii i meditsiny. 2012;4(2):91-5 Russian

8.   Kovtun MI. [Medical and social characteristics of patients with cataract]. Vestnik problem biologii i meditsiny. 2015;2(3):135-9 Russian

9.   Kovtun MI. [Organization of ophthalmological care for patients with cataract under reforms in Ukraine]. Arkhiv oftalmologii Ukrainy. 2015;3(2):14-9 Russian

10.Kovtun MI. [Results of Structure Assessment which Accompanying Morbidity of Cataract Patients]. Vestnik problem biologii i meditsiny. 2012;4(1):120-4 Russian

11.Kovtun MI. Assessment result of cataract stages distribution and concomitant diseases structure. East European Scientific Journal. 2016; 6(1):48-52

12.Clark A, Morlet N, Ng JQ, et al. Whole population trends in complications of cataract surgery over 22 years in Western Australia. Ophthalmology. 2011 Jun;118(6):1055-61
Crossref   Pubmed

13.Greenberg PB, Tseng VL, Wu WC. Prevalence and predictors of ocular complications associated with cataract surgery in United States veterans. 2011 Mar;118(3):507-14

14.Jaycock P, Johnston RL, Taylor H, et al. The Cataract National Dataset electronic multi-centre audit of 55 567 operations: updating benchmark standards of care in the United Kingdom and internationally. Eye. 2009;23:38–49
Crossref   Pubmed

15.Kurmangaliieva MM. [Surgical treatment of glaucoma in combination of cataract].
Crossref

Takhchidi KhP, Panteleiev EN, Bessarabov AN, et al. [Predicting early postoperative complications in patients undergoing simultaneous cataract and glaucoma surgery]. Oftalmokhirurgiia. 2009;2:8-13 Russian