Nursing safety management of cataract surgery in Caribbean

Objective To summarize the nursing safety management measures of cataract surgery in the Caribbean in order to provide experience for medical assistance in the future. Methods A retrospective study was conducted to analyze the safety factors of 344 patients (355 eyes) undergoing cataract surgery in the Caribbean. The safety management measures included: pre-investigation preparation, perfect preoperative examination, perioperative systemic disease nursing and health education, strict safety verification and operating room management. Results On the day of operation, 2 patients were changed due to high blood pressure and blood glucose, 1 patient was rescheduled due to deviation in the understanding of surgical eyes, the completion rate of operation was 99.13% (341/344) , and 2 eyes of traumatic cataract were not implanted with intraocular lens (IOL). The success rate of operation was 99.44% (353/355) . One day after operation, corneal edema occurred in 63 eyes (17.75%) and intraocular lens shifted in 1 eye. During the follow-up period, all patients had no infective endophthalmitis, and there was no significant progress in patients with systemic disease. Conclusions The working conditions of health care are difficult, the population of the Caribbean is aging, most of them are accompanied by serious systemic diseases, and the condition of patients is complex. Through a series of safety management measures, the operation can be carried out safely and successfully and good results can be achieved. Key words: Safety management; Phacoemulsification; Caribbean region