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Usefulness of risk score in evaluating the safety of phacoemulsification-aspiration cataract surgery Satoru Maetani 1 , Hiroko Kishi 2 , Yoshihide Nakai 3 1Dept of Ophthalmol, Maetani Clinic 2Dept of Ophthalmol, Hiroshima Mitsubishi General Hosp 3Dept of Ophthalmol, Toukai Eye Clinic pp.643-646
Published Date 1998/4/15
DOI https://doi.org/10.11477/mf.1410905826
  • Abstract
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We introduced the concept of risk score in the preoperative evaluation of safety of phacoemulsification-aspiration cataract surgery in 297 eyes. Each of the 6 items was graded into 4 levels ranging from 6 to 24 points. They include : depth of anterior chamber, strength of suspensory ligaments, hardness of the nucleus, state of mydriasis, state of cornea and patients and surgeons. A total of 271eyes (91.2 %) received 15 points of less, of which only one eye developed intraoperative complication. Out of 21 eyes which received 16 points or more, 7 (33%) developed complications, suggesting the need of a more rationale surgical approach. The findings show the usefulness of risk scoring for a safer cataract surgery despite personal differences among surgeons.


Copyright © 1998, 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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