Recent trends and outcomes in immediate and delayed sequential bilateral cataract surgeries: a nationwide cohort study in South Korea.

IF 2.4 3区医学 Q2 OPHTHALMOLOGY

Graefe’s Archive for Clinical and Experimental Ophthalmology Pub Date : 2025-01-20 DOI:10.1007/s00417-025-06737-5

Woojin Kim, Chan Mi Park, Yun Jin Choi, Dong Hyun Kim, Youngsub Eom, Jong Suk Song

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引用次数: 0

Abstract

Purpose: To analyze the latest annual trends in immediate sequential bilateral cataract surgery (ISBCS) and delayed sequential bilateral cataract surgery (DSBCS) among patients with bilateral cataracts in Korea, and to identify the factors influencing the choice of surgery and the outcomes associated with ISBCS and DSBCS.

Methods: This retrospective, nationwide cohort study included all patients aged 65 and older who were covered by the Korean National Health Insurance and underwent ISBCS or DSBCS from 2016 to 2021. The study recorded yearly numbers of ISBCS and DSBCS procedures, the interval between surgeries in DSBCS cases, patient demographics, types of implanted intraocular lenses (IOLs), and the incidence of cystoid macular edema and endophthalmitis following ISBCS or DSBCS.

Results: A total of 50 878 (7.2%) patients underwent ISBCS, and 658 609 (92.8%) patients underwent DSBCS. ISBCS cases more than doubled in 2020 (7902) from 2019 (3703) before increasing even more significantly in number in 2021 (33 645). Age, hospital size, ocular and systemic comorbidities, type of IOL, and calendar year were associated with receiving ISBCS. In 2020 alone, the incidence of postoperative endophthalmitis among ISBCS patients was significantly higher (1.39 per 1000 procedures) than among DSBCS patients (0.40 per 1000 procedures; P = 0.001).

Conclusion: The number of patients undergoing ISBCS for bilateral cataracts increased annually, particularly after the onset of the COVID-19 pandemic in Korea in 2020. However, this significant rise in ISBCS also led to a surge in the incidence of postoperative endophthalmitis in 2020.

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即刻和延迟顺序双侧白内障手术的近期趋势和结果：韩国的一项全国性队列研究。

目的：分析韩国双侧白内障患者即刻序贯性双侧白内障手术（ISBCS）和延迟序贯性双侧白内障手术（DSBCS）的最新年度趋势，探讨影响手术选择的因素以及与ISBCS和DSBCS相关的预后。方法：这项回顾性的全国队列研究纳入了所有65岁及以上的韩国国民健康保险覆盖的患者，并在2016年至2021年期间接受了ISBCS或DSBCS。该研究记录了每年ISBCS和DSBCS手术的数量，DSBCS病例的手术间隔，患者人口统计数据，植入式人工晶状体（iol）的类型，以及ISBCS或DSBCS后囊样黄斑水肿和眼内炎的发生率。结果：50 878例（7.2%）患者行ISBCS， 658 609例（92.8%）患者行DSBCS。ISBCS病例在2020年（7902例）比2019年（3703例）增加了一倍多，在2021年（33645例）增加得更明显。年龄、医院规模、眼部和全身合并症、人工晶状体类型和日历年与接受ISBCS相关。仅在2020年，ISBCS患者的术后眼内炎发生率（1.39 / 1000例）显著高于DSBCS患者(0.40 / 1000例；p = 0.001)。结论：双侧白内障接受ISBCS治疗的患者数量逐年增加，特别是在2020年国内新冠肺炎疫情爆发后。然而，ISBCS的显著上升也导致了2020年术后眼内炎发病率的激增。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Graefe’s Archive for Clinical and Experimental Ophthalmology 医学-眼科学

CiteScore

5.40

自引率

7.40%

发文量

398

审稿时长

3 months

期刊介绍： Graefe''s Archive for Clinical and Experimental Ophthalmology is a distinguished international journal that presents original clinical reports and clini-cally relevant experimental studies. Founded in 1854 by Albrecht von Graefe to serve as a source of useful clinical information and a stimulus for discussion, the journal has published articles by leading ophthalmologists and vision research scientists for more than a century. With peer review by an international Editorial Board and prompt English-language publication, Graefe''s Archive provides rapid dissemination of clinical and clinically related experimental information.