Table 1.
Preoperative Risk Factors | N | (%)1 | Complication | N | (%)* |
---|---|---|---|---|---|
Age (by half-decade) | Intraoperative Complications | ||||
40–45 years | Complex surgery3 | 768 | 9 | ||
46–50 years | Posterior capsular tear | 35 | 0 | ||
51–55 years | Dropped nucleus or retained lens material | 76 | 1 | ||
56–60 years | Unplanned anterior vitrectomy | 128 | 2 | ||
61–65 years | Intraoperative Floppy Iris Syndrome (IFIS) or iris damage |
49 | 1 | ||
66–70 years | Suprachoroidal Hemorrhage | 1 | 0 | ||
71–75 years | Any Intraoperative Complication4 | 214 | 3 | ||
76–80 years | |||||
81–85 years | Short-term Postoperative Complications (within 90 days) | ||||
≥86 years | Endophthalmitis | 82 | 1 | ||
Gender | Glaucoma or ocular hypertension | 175 | 2 | ||
Male | 3464 | (41) | Pars plana vitrectomy/lensectomy | 107 | 1 |
Female | 4918 | (59) | Retinal tear/detachment | 107 | 1 |
Race/Ethnicity | Corneal edema | 81 | 1 | ||
Caucasian | 5715 | (68) | Wound leak | 39 | 0 |
Asian | 948 | (11) | Intraocular lens subluxation | 13 | 0 |
Hispanic | 298 | (4) | |||
Black | 245 | (3) | Long-term Postoperative Complications (within 1 year) | ||
Other/Unknown | 1176 | (14) | Posterior capsule opacification/YAG capsulotomy | 406 | 5 |
Myopia | 936 | 11 | Cystoid macular edema | 160 | 2 |
Hyperopia | 362 | 4 | Post-cataract refractive surgery | 277 | 3 |
Diabetes mellitus | 2750 | 33 | Intraocular lens exchange or repositioning, or secondary intraocular lens |
123 | 2 |
Age-related macular degeneration |
844 | 10 | |||
Glaucoma | 2003 | 24 | Aggregated Postoperative Complications | ||
History of uveitis (or posterior synechiae) |
244 | 3 | Any lens-related complication5 | 896 | 11 |
History of eye trauma | 172 | 2 | Any postoperative complication6 | 692 | 8 |
History of retinal tear/detachment |
1158 | 14 | Any posterior segment complications7 | 237 | 3 |
History of steroid use (systemic or ocular) |
563 | 7 | Any anterior segment complication8 | 233 | 3 |
History of alpha-blocker use |
436 | 5 | Any intraocular lens malfunction9 | 116 | 1 |
Fuch's endothelial dystrophy |
91 | 1 | |||
Prior refractive surgery | 389 | 5 | |||
Prior vitrectomy | 486 | 6 | |||
Other prior intraocular surgery |
367 | 4 | |||
Intravitreal injection | 248 | 3 | |||
Pseudoexfoliation | 995 | 12 | |||
Corneal scarring or significant corneal arcus |
381 | 5 | |||
Corneal Edema | 80 | 1 | |||
Nystagmus | 192 | 2 | |||
Lens Subluxation | 85 | 1 | |||
Surgery on both eyes2 | 2829 | 51 |
Out of 5549 unique individuals
Not considered as a risk factor per se, but included in the model to adjust for cumulative increase in risk from bilateral surgery
Though not by definition a complication, we included complex cataract surgery (Current Procedural Terminology, or CPT, code 66982) in the model, as compared to routine cataract surgery (CPT code 66984).
Includes all intraoperative complications except Complicated Surgery
Includes posterior capsule opacification/YAG capsulotomy, intraocular lens (IOL) dislocation, IOL repair, secondary IOL placement, and post-cataract refractive surgery
Includes all postoperative complications listed above (short-term and long-term)
Includes endophthalmitis (or vitreous tap with intravitreal antibiotics in the immediate postoperative period), retinal tear/detachment, pars plana vitrectomy/lensectomy, and cystoid macular edema
Includes corneal edema, wound leak/dehiscence, and glaucoma or ocular hypertension
Includes IOL dislocation, IOL repair, and secondary IOL placement