Treatment and Standards of Care for Cataract and Refractive Surgery in Germany during 2018: A Metadata Approach | Chapter 7 | Advanced Concepts in Medicine and Medical Research Vol. 10

This stage highlights to better the treatment and standards of take care of cataract and refractive resection in Germany and to offer a tool for benchmarking through the establishment of a remark database in Germany place surgeons could record and analyze their own consequences. Cataract is the globe's leading eye disease that causes sightlessness. Standards for waterfall surgery are expanding worldwide. The revolution of waterfall surgery has never interrupted and has been going on, from early intracapsular waterfall extraction (ICCE) by way of extracapsular cataract extraction (ECCE) to current phacoemulsification (Desktop computer) and even femtolaser-assisted waterfall surgery. The German registry for waterfall surgery was settled in 2014. The main aim of this record was to improve waterfall surgery effects. The Annual Report on Cataract Enucleation Germany (ARCSG) started in 2014.  With the eye surgeons across Germany were invited to contribute dossier on their cataract surgeries. Dossier collection includes dossier in quality control and criterion tools on preoperative, intraoperative and medical checkup parameters.  The analyzed dossier included limits of surgical technique, implanted intraocular glass (IOL), refractive and visual effects. During the year of 2018, the German record included 10,035 glass exchange surgeries and the complete follow-up was available for 9,882 glass extractions. Our data disclosed a complete follow-up for 9,882 glass extractions. Visual and refractive outcomes are the one that will allow equating our results to other reported results as a measure of control of product quality. Approximately individual third of the patients were middle from two points 76 and 80 years traditional and 60.6% of the cases had a best-corrected distance visual acuity (CDVA) before abscission of 0.5 or better. Parabulbar anesthesia was stated in 60.4% of the cases and phacoemulsification with opinion of a posterior chamber IOL was the chosen plan in 92.2% of the cases. The power of the inserted IOL was between 21.0-22.9D in 29.4% of eyes. Surgical complications were stated in only 413 cases. After enucleation, a CDVA of 0.5 or better was achieved in 90.8% of the cases. Most of the operated victims (64%) had a residual refractive wrong within ±0.5D (95% confidence break 63.2–65.1). Our results show that the registry was executed successfully with results corresponding to the ones stated in EUREQUO. The enthusiasm for AI and machine intelligence is high, but one concede possibility bear in mind that the characteristic of the data output completely depends on the quality of dossier input and the proper data conversion. This involves knowledge, manpower and considerable costs.

Author(s) Details:

Christian Schäferhoff,
Augenpraxisklinik Vogelsang, Fabrikstraße 10/1, 73728 Esslingen am Neckar, Germany.

Jörg Förster,
Förster Projektlinien, Ivo-Braak-Ring 68, 24848 Kropp, Germany.

Bernd Schneider,
Numeras GmbH, Kennedyallee 111, 60596 Frankfurt am Main, Germany.

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