Cataract Surgery with Systemic Diseases: Is Perioperative Management Necessary?
Journal Title: Journal of Ophthalmology and Advance Research - Year 2021, Vol 2, Issue 2
Abstract
Background: Cataract Surgery is commonly done surgery in the geriatric age group. These patients may have several systemic diseases to which adequate attention must be paid during surgical planning, local anesthesia administration and in the postoperative period. This study aimed to find the actual need for any anesthetic intervention during surgery, pertaining to the patient’s systemic condition. Objectives: To assess perioperative management required for patients who have undergone cataract surgeries with respect to (w.r.t.) specific systemic comorbidities. Methods: Hospital records of 2022 patients who had undergone cataract surgery over two years were analyzed retrospectively. 519 patients were found to have one or more systemic comorbidities and were included in this study. Data were analyzed to determine perioperative management (monitoring and interventions) required for these patients w.r.t. their systemic comorbidities. Results: 320 patients (61.7%) were males and 199 (38.3%) were females. Various systemic diseases were observed: cardiovascular 166 (28.6%) (most common), hypertension 143 (24.7%), neurological 56 (9.1%), malignancies 39 (6.7%), renal 24 (4.1%), and respiratory 37 (6.4%). 511 (98.5%) patients did not require any preoperative interventions. 30 patients (5.8%) required intraoperative interventions like some intravenous drug injections. 2 patients (0.2%) required the postoperative intervention of Tablet Sorbitrate for chest pain and physician’s consultation. 17 (3.3%) required sedation during surgery. None required overnight hospitalization. Conclusion: Most patients with systemic comorbidities who undergo cataract surgery under local anesthesia do not require perioperative management, with an anesthesiologist standby. Such surgeries may be safely carried out at standalone centers in a resource-limited setup with an anesthesiologist standby.
Authors and Affiliations
Devika S Joshi*, Shrikant D Joshi MS
Keywords
Related Articles
- EP ID EP698933
- DOI http://dx.doi.org/10.46889/JOAR.2021.2203
- Views 57
- Downloads 0
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