Purpose: To evaluate the indications and associated risk factors for unplanned returns to the operating room within 90 days of pediatric cataract-related surgery.
Methods: The medical records patients undergoing either cataract extraction or secondary intraocular lens (IOL) implantation at a single center from 1991 to 2018 were reviewed retrospectively.
Results: A total of 1,392 eyes of 989 patients were included, with 48 unplanned reoperations in 46 eyes of 43 patients, yielding a reoperation rate of 3.3% (46/1392) for one reoperation and 0.14% (2/1392) for two within 90 days of surgery. Of the 48 reoperations, indications for reoperation were as follows: lens cortex reproliferation (n = 14), elevated intraocular pressure (n = 11), inflammatory pupillary membranes (n = 7), vitreous wick to the cataract surgery wound (n = 6), synechiae (n = 3), uveitis (n = 3), posterior capsule opacification in an eye with intact posterior capsule (n = 1), retained cortex (n = 1), traumatic iris prolapse (n = 1), and foreign body in anterior chamber (n = 1). Risk factors for an unplanned reoperation included a history of traumatic cataract (relative risk, 2.55) or age <1 year at time of first surgery (relative risk, 3.02). In the absence of these risk factors, the reoperation rate was 1.1%.
Conclusions: Unplanned reoperations after pediatric cataract surgery are uncommon, but when they occur it is often in the setting of trauma or surgery performed before the age of 1 year.
Download full-text PDF |
Source |
---|---|
http://dx.doi.org/10.1016/j.jaapos.2019.05.007 | DOI Listing |
Endocrinol Diabetes Metab
January 2025
Department of Endocrinology and Metabolism, Second Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Objective: This study investigates the relationship between the albumin-to-creatinine ratio and diabetic retinopathy (DR) in US adults using NHANES data from 2009 to 2016. This study assesses the predictive efficacy of the urinary serum albumin-to-creatinine ratio (UACR/SACR Ratio) against traditional biomarkers such as the serum albumin-to-creatinine ratio (SACR) and urinary albumin-to-creatinine ratio (UACR) for evaluating DR risk. Additionally, the study explores the potential of these biomarkers, both individually and in combination with HbA1c, for early detection and risk stratification of DR.
View Article and Find Full Text PDFJ Crohns Colitis
January 2025
Servei d'Aparell Digestiu, Hospital Universitari Germans Trias i Pujol (Badalona, Catalonia, Spain).
Background And Aims: Inflammatory bowel disease (IBD) develops in genetically susceptible individuals exposed to certain environmental factors, of which only a few have been established. We aimed to assess whether bariatric surgery (BS) and severe obesity are associated with an increased risk of developing IBD.
Methods: Adults diagnosed with obesity or severe obesity between 2005 and 2020 were identified from the Catalan Health Surveillance System; those diagnosed with IBD prior to the diagnosis of obesity or severe obesity were excluded.
Jpn J Ophthalmol
January 2025
Department of Visual Science and Ophthalmology, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
Purpose: To review hospitalized patients with Acute Retinal Necrosis (ARN) and investigate factors associated with subsequent retinal detachment (RD).
Study Design: Retrospective.
Methods: The study included 40 patients (42 eyes), categorized into non-RD (23 eyes) and RD (19 eyes) groups.
Drugs Aging
January 2025
Program for the Care and Study of the Aging Heart, Department of Medicine, Weill Cornell Medicine, 420 East 70th St, New York, NY, LH-36510063, USA.
There are several pharmacologic agents that have been touted as guideline-directed medical therapy for heart failure with preserved ejection fraction (HFpEF). However, it is important to recognize that older adults with HFpEF also contend with an increased risk for adverse effects from medications due to age-related changes in pharmacokinetics and pharmacodynamics of medications, as well as the concurrence of geriatric conditions such as polypharmacy and frailty. With this review, we discuss the underlying evidence for the benefits of various treatments in HFpEF and incorporate key considerations for older adults, a subpopulation that may be at higher risk for adverse drug events.
View Article and Find Full Text PDFClin Rheumatol
January 2025
Department of Public Health, University of Murcia, Campus de Ciencias de la Salud, Murcia, 30120, Spain.
Introduction: Therapeutic drug monitoring (TDM) in inflammatory rheumatic diseases (RMDs) is gaining interest. However, there are unresolved questions about the best practices for implementing TDM effectively in clinical settings.
Objective: The primary objective of this study was to evaluate whether early TDM of adalimumab predicts drug survival at 52 weeks in patients with RMDs.
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!