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Evidence-based clinical pathway for cataract surgery Masahiko Ayaki 1 1Dept of Ophthalmol,Showa Univ Fujigaoka Hosp pp.439-443
Published Date 2007/3/15
DOI https://doi.org/10.11477/mf.1410101577
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Abstract. Purpose:To ascertain if the current clinical pathyway for cataract surgery meets the actual evidences. Method:The present study was made on items including:systemic health check,lacrimal sac irrigation,instillation of antibiotics before and after surgery,perioperative medications,eye pad,and interval of postoperative examinations. Following features were also examined:randomized control trial(RCT),clinical guideline,questionnaire outcomes from peer ophthalmologists,and legal precedents. Results:Perioperative medications met the evidences except intravenous antibiotics after surgery. Systemic examinations in healthy patients was not related to complications related to surgery. RCT showed that examinations on day 2 of uneventful surgery was not necessary,so that the first examination can be done one to two weeks later. Conclusion:The current clinical pathway can be simplified by eliminating systemic examinations in healthy patients and by postponing postoperative examinations.


Copyright © 2007, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1308 印刷版ISSN 0370-5579 医学書院

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