Stock and Flow Characteristics of Patients

xxiv REPORT SUMMARY CATARACT SURGERY REGISTRY

1. Stock and Flow

 The number of SDP increased from 25 SDPs in 2002 to 41 SDPs in 2013 onwards.  The total number of cataract surgery registered to CSR increased from 12798 in 2002 to 37150 in 2013.  The CSR ascertainment slightly reduced from 94.5 to 94.3 in 2013.

2. Characteristics of Patients

 The mean age of patients at the time of cataract surgery was 65.7 in 2013. This age was younger than data published by the Swedish cataract surgery register 74 years old.  Up to 13 of patients presented within the age group of 65-74 years old 39.3 in 2013.  The proportion of patients with systemic co-morbidity increased from 56.8 in 2002 to 74.8 in 2013.  There was an increase in the proportion of patients presented for cataract surgery who had hypertension from 35.4 in 2002 to 60.1 in 2013 and diabetes mellitus from 28.9 in 2002 to 43.3 in 2013.  Senile cataract was the commonest cause of primary cataract 99.2 in 2013.  Trauma was the commonest cause for secondary cataract 58.9 in 2013.  The proportion of patients who returned for cataract surgery in the fellow eye remained the same from 2002 to 2012, i.e. only one third 35.1 in 2013.  Majority of the eyes had no prior ocular surgery 97.4 in 2013.The commonest prior ocular surgery was vitreoretinal surgery 1.0 in 2013.  One third of the eyes had ocular co-morbidity 40.6 in 2013. The commonest ocular co- morbidity was diabetic retinopathy in any forms 10.6 in 2013.  About half of the eyes had unaided vision in the category of 260-NPL 44.3 in 2013.  Refraction was not done in more than 23 of the eyes 77.3 in 2013.  Bimodal pattern of pre-operative vision was consistently observed over the years with one peak at the range between 618 to 636 and another peak at CF-HM.  In term of the choice of IOL power, majority of surgeons chose target refraction as emmetropia or slightly myopic. The mean target refractive power in 2013 was -0.4D SD 0.3. xxv

3. Cataract Surgery Practice Patterns