Background: The German registry for
cataract surgery was established in 2014. The main
aim of this registry was to improve cataract surgery outcomes. Aim: The
aim of this project is to offer a tool for benchmarking through the establishment of a reference database in Germany
where surgeons could record and analyze their own outcomes. Methods: Data
were collected between January 2018 and December 2018. The analyzed data
included parameters of surgical technique, implanted intraocular lens (IOL),
refractive and visual outcomes. Results: During the year of 2018, the
German registry included 10,035 lens exchange surgeries and the complete
follow-up was available for 9882 lens extractions. Approximately one third of
the patients were between 76 and 80 years old and 60.6% of the cases had a
best-corrected distance visual acuity (CDVA) before surgery of 0.5 or better.
Parabulbar anesthesia was reported in 60.4% of the cases and
phacoemulsification with implantation of a posterior chamber IOL was the chosen
method in 92.2% of the cases. The power of the implanted IOL was between 21.0-22.9D in 29.4% of eyes. Surgical complications were
reported in only 413 cases. After surgery, a CDVA
of 0.5 or better was achieved in 90.8% of the cases. Most of the operated patients (64%) had a residual refractive error within ±0.5D (95% confidence
interval 63.2 - 65.1). Conclusions: Our results show that the registry was implementedsuccessfully with results comparable to the ones reported in EUREQUO.
References
[1]
Tan, J.C.K., Ferdi, A.C., Gillies, M.C. and Watson, S.L. (2019) Clinical Registries in Ophthalmology. Ophthalmology, 126, 655-662. https://doi.org/10.1016/j.ophtha.2018.12.030
[2]
Larsson, S., Lawyer, P., Garellick, G., Lindahl, B. and Lundström, M. (2012) Use of 13 Disease Registries in 5 Countries Demonstrates The Potential to Use Outcome Data to Improve Health Care’s Value. Health Affairs, 31, 220-227. https://doi.org/10.1377/hlthaff.2011.0762
[3]
Davis, G. (2016) The Evolution of Cataract Surgery. Missouri Medicine, 113, 58-62.
[4]
Mahmud, I., Kelley, T., Stowell, C., Haripriya, A., Boman, A., Kossler, I., Morlet, N., Pershing, S., Pesudovs, K., Goh, P.P., Sparrow, J.M. and Lundström, M. (2015) A Proposed Minimum Standard Set of Outcome Measures for Cataract Surgery. JAMA Ophthalmology, 133, 1247-1252. https://doi.org/10.1001/jamaophthalmol.2015.2810
[5]
Lundström, M., Manning, S., Barry, P., Stenevi, U., Henry, Y. and Rosen, P. (2015) The European Registry of Quality Outcomes for Cataract and Refractive Surgery (EUREQUO): A Database Study of Trends in Volumes, Surgical Techniques and Outcomes of Refractive Surgery. Eye and Vision, 2, Article No. 8. https://doi.org/10.1186/s40662-015-0019-1
[6]
Ho, S.F., Adnan, T.H.B. and Goh, P.P. (2017) Prevalence and Factors Associated with Second Eye Cataract Surgery and the Trend in the Time Interval between the Two Eye Surgeries Based on the Malaysian National Eye Database. Asia-Pacific Journal of Ophthalmology (Philadelphia, PA), 6, 310-317.
[7]
Lum, F., Schein, O., Schachat, A.P., Abbott, R.L., Hoskins Jr., H.D. and Steinberg, E.P. (2000) Initial Two Years of Experience with the AAO National Eyecare Outcomes Network (NEON) Cataract Surgery Database. Ophthalmology, 107, 691-697. https://doi.org/10.1016/S0161-6420(99)00184-0
[8]
Lundström, M., Stenevi, U. and Thorburn, W. (2002) The Swedish National Cataract Register: A 9-Year Review. Acta Ophthalmologica Scandinavica, 80, 248-257. https://doi.org/10.1034/j.1600-0420.2002.800304.x
[9]
Repka, M.X., Dean, T.W., Lazar, E.L., Yen, K.G., Lenhart, P.D., Freedman, S.F., Hug, D., Rahmani, B., Wang, S.X., Kraker, R.T., Wallace, D.K. and Pediatric Eye Disease Investigator Group (2016) Cataract Surgery in Children from Birth to Less than 13 Years of Age: Baseline Characteristics of the Cohort. Ophthalmology, 123, 2462-2473. https://doi.org/10.1016/j.ophtha.2016.09.003
[10]
Haargaard, B., Nyström, A., Rosensvärd, A., Tornqvist, K. and Magnusson, G. (2015) The Pediatric Cataract Register (PECARE): Analysis of Age at Detection of Congenital Cataract. Acta Ophthalmologica, 93, 24-26. https://doi.org/10.1111/aos.12445
[11]
Salowi, M., Goh, P.P., Lee, M.Y., Adnan, T. and Ismail, M. (2015) The Malaysian Cataract Surgery Registry: Profile of Patients Presenting for Cataract Surgery. Asia-Pacific Journal of Ophthalmology (Philadelphia, PA), 4, 191-196. https://doi.org/10.1097/APO.0000000000000068
[12]
Haripriya, A., Chang, D.F., Reena, M. and Shekhar, M. (2012) Complication Rates of Phacoemulsification and Manual Small-Incision Cataract Surgery at Aravind Eye Hospital. Journal of Cataract & Refractive Surgery, 38, 1360-1369.
[13]
Lundström, M., Barry, P., Henry, Y., Rosen, P. and Stenevi, U. (2012) Evidence-Based Guidelines for Cataract Surgery: Guidelines Based on Data in the European Registry of Quality Outcomes for Cataract and Refractive Surgery Database. Journal of Cataract & Refractive Surgery, 38, 1086-1093.
[14]
Lundström, M., Goh, P.P., Henry, Y., Salowi, M.A., Barry, P., Manning, S., Rosen, P. and Stenevi, U. (2015) The Changing Pattern of Cataract Surgery Indications: A 5-Year Study of 2 Cataract Surgery Databases. Ophthalmology, 122, 31-38. https://doi.org/10.1016/j.ophtha.2014.07.047
[15]
Abell, R.G., Kerr, N.M. and Vote, B.J. (2013) Femtosecond Laser-Assisted Cataract Surgery Compared with Conventional Cataract Surgery. Clinical & Experimental Ophthalmology, 41, 455-462. https://doi.org/10.1111/ceo.12025
[16]
Abell, R.G. and Vote, B.J. (2014) Cost-Effectiveness of Femtosecond Laser-Assisted Cataract Surgery versus Phacoemulsification Cataract Surgery. Ophthalmology, 121, 10-16. https://doi.org/10.1016/j.ophtha.2013.07.056
[17]
Lundström, M., Dickman, M., Henry, Y., Manning, S., Rosen, P., Tassignon, M.J., Young, D., Stenevi, U. and European Society of Cataract and Refractive Surgeons Femtosecond Laser-Assisted Cataract Surgery Study Collaborators (2017) Femtosecond Laser-Assisted Cataract Surgeries Reported to the European Registry of Quality Outcomes for Cataract and Refractive Surgery: Baseline Characteristics, Surgical Procedure, and Outcomes. Journal of Cataract and Refractive Surgery, 43, 1549-1556.
[18]
Aristodemou, P., Knox Cartwright, N.E., Sparrow, J.M. and Johnston, R.L. (2011) Formula Choice: Hoffer Q, Holladay 1, or SRK/T and Refractive Outcomes in 8108 Eyes after Cataract Surgery with Biometry by Partial Coherence Interferometry. Journal of Cataract & Refractive Surgery, 37, 63-71.
[19]
Hoffer, K.J. and Savini, G. (2017) IOL Power Calculation in Short and Long Eyes. Asia-Pacific Journal of Ophthalmology (Philadelphia, PA), 6, 330-331.
[20]
Manning, S. and Barry, P. (2014) Benefits of the European Registry of Quality Outcomes for Cataract and Refractive Surgery to an Ophthalmology Trainee: How an Ophthalmology Trainee Used EUREQUO to Audit Their Surgical Training. Journal of Cataract & Refractive Surgery, 40, 157-159.
