The Cataract Explosion: The Changing Pattern of Diagnoses of Patients Attending an Ophthalmic Outpatient Department

Published on Jan 1, 1991in Eye2.455
· DOI :10.1038/EYE.1991.59
M Batterbury1
Estimated H-index: 1
,
P T Khaw1
Estimated H-index: 1
+ 1 AuthorsA R Elkington1
Estimated H-index: 1
Sources
Abstract
An outpatient diagnostic index was used to analyse data relating to a sample of new patients attending the Southampton Eye Hospital in 1979 and 1986. Our main findings are an increased demand for cataract surgery by an increasingly aged population and a trend towards operating on cataracts at an earlier stage in their development. These and other results are discussed.
📖 Papers frequently viewed together
19902.46Eye
36 Citations
81 Citations
19912.46Eye
15 Citations
References9
Newest
The increasing frequency of cataract operation was investigated by examining the age related cataract extraction rates for Glasgow. Detailed analysis of case records of sample patients over the past decade was carried out to characterise trends in frequency of intraocular lens implantation, age of the patient at operation, preoperative visual acuity and rate of operation on the second eye. Between 1980 and 1987 the rate of cataract operation per thousand increased from 7.1 to 10.5 for patients a...
36 CitationsSource
#1R. H. B. GreyH-Index: 1
#2C. J. Burns-CoxH-Index: 1
Last. A. HughesH-Index: 1
view all 3 authors...
All blind and partially sighted registration forms for the county of Avon for a two-year period were analysed, and the findings are presented. Comparisons with the national figure published by Sorsby over 20 years ago show there has been no marked change in the rates of blind registration per 100,000 population with the exception of those for cataract, which show a large reduction. Diabetic registrations have remained similar, but this may represent an encouraging trend in view of the significan...
113 CitationsSource
#1R. J. Harrison (Burton Snowboards)H-Index: 1
#2John M. WildH-Index: 32
Last. A. J. HobleyH-Index: 1
view all 3 authors...
Case notes of 1113 consecutive new patients referred to a consultant ophthalmologist at a district general hospital were reviewed to determine the source and efficacy of referrals and the current screening practices of general practitioners and ophthalmic opticians. General practitioners initiated referral in 546 cases (49%) and ophthalmic opticians referral in 439 (39%). Visual loss or visual disturbance was the most important single reason for referral (345 cases; 31%), followed by suspected g...
105 CitationsSource
#1D.E. ShawH-Index: 4
#2Jonathan GibsonH-Index: 26
Last. A R RosenthalH-Index: 10
view all 3 authors...
Leicestershire is the largest health authority in ^ England, with a population in excess of 830 000 persons.1The ophthalmic needs of this population are served by a single ophthalmic outpatient department at the Leicester Royal Infirmary (LRI), which has an estimated catchment population of 733 000.2 Since September 1981, a computerized ophthalmology index for all ophthalmic patients and patients with eye casualties has been in operation at the LRI. This index has already been described with res...
15 CitationsSource
#1N. P. JonesH-Index: 1
#2J. M. HaywardH-Index: 1
Last. A. R. ElkingtonH-Index: 1
view all 5 authors...
A retrospective analysis was carried out of all patients attending the casualty department of Southampton Eye Hospital during 1 February to 31 July 1983. During the six month period 8092 patients made a total of 13 544 visits. Of these patients, 6178 were attending the hospital for the first time and 1914 had previously been seen in the outpatient clinic; many did not fall into the category of "accident and emergency." Some 37% of patients were managed by the ophthalmic nurse alone. The findings...
110 CitationsSource
A survey of patients visiting the eye casualty clinic of the Leicester Royal Infirmary was conducted during a one-year period. Demographic and clinical data were collected for 6576 patients. Data were recorded by both medical and clerical personnel during each patient visit. In addition to reporting the main demographic variables in the study, the most common diagnoses and occupations were analysed separately. The main diagnoses fell into two groups: trauma and acute infection/inflammation. The ...
86 CitationsSource
Abstract A prospective study to record numerical data pertaining to diagnosis, aetiology, modes of referral and disposal of all new cases presenting to a busy city-centre ophthalmic casualty department was carried out between February and July 1981. No restrictions of access were imposed on individuals seeking medical advice. Of the 10 575 patient visits, 7113 were classified as new cases, of which 45% were traumatic in origin, 35% the result of inflammatory processes and 6% of an iatrogenic nat...
81 CitationsSource
Clinical research in ophthalmology benefits particularly from an outpatient diagnostic index. The initial planning of such an index at an eye hospital is described and details are given of how the system was set up and is currently organized.
3 CitationsSource
#1Brennan MeH-Index: 1
#2Knox EgH-Index: 1
15 Citations
Cited By22
Newest
Abstract Cataract surgery is one of the most common procedures performed worldwide. It is also one of the oldest. Alongside advancements in cataract surgical techniques have been improvements in intraocular lens replacement technology. Cataract surgery may be considered among the most successful treatments in all of medicine. This article discusses the fascinating evolution of cataract surgery, from the earliest approach of couching to modern day phacoemulsification and lens replacement.
35 Citations
#1Chet K. PagerH-Index: 1
9 Citations
#1Newton Kara-Junior (USP: University of São Paulo)H-Index: 13
#2Roberto Dellapi Jr (USP: University of São Paulo)H-Index: 1
Last. Rodrigo França de Espíndola (USP: University of São Paulo)H-Index: 10
view all 3 authors...
PURPOSE: To identify the difficulties in access to diagnosis and treatment of cataract in patients attended during a cataract campaign. METHODS: A questionnaire was administered to patients selected for cataract surgery. We evaluated, among others, the following variables: prior access to ophthalmologists (public or private), reason(s) for not having surgery early in the initial service, the average cost charged by cataract surgery and intraocular lens (IOL) (private services and agreements). RE...
6 CitationsSource
#1Newton Kara-JuniorH-Index: 13
#2Roberto Dellapi JrH-Index: 1
ABSTRACT Purpose: To identify the difficulties in access to diagnosis and treatment of cataract inpatients attended during a cataract campaign.Methods: A questionnaire was administered to patients selected for cataract surgery. Weevaluated, among others, the following variables: prior access to ophthalmologists(public or private), reason(s) for not having surgery early in the initial service, the averagecost charged by cataract surgery and intraocular lens (IOL) (private services and agre-ements...
1 Citations
#1K Ninn-PedersenH-Index: 2
#2Ulf SteneviH-Index: 64
Last. B EhingerH-Index: 2
view all 3 authors...
: With the Cataract Analysis System (CAS) we have analyzed 5.878 consecutive patients undergoing cataract operations from 1986 through 1990. The material is complete enough to be regarded as representative of the cataract surgery performed in the Lund Health Care District cataract surgery referral region during this period. There has been a striking increase in the number of operations, in 1990 reaching 3.6 per 1000 inhabitants in the referral region. A number of demographic factors have been an...
68 CitationsSource
The influence of age on 12 pre-, 1 intra-, and 2 postoperative patients' characteristics was investigated in 1261 consecutively performed extracapsular cataract extractions. The following characteristics were shown to be significantly associated with increasing age; cardiovascular disease (p < 0.0005), female gender (p < 0.0005), nuclear sclerosis (p < 0.0005), maculopathy (p < 0.0005), corneal guttatae (p = 0.008) and reducing visual acuity in the fellow eye (p < 0.0005). Further, inadequate my...
9 CitationsSource
#1Thuan Quoc Pham (USYD: University of Sydney)H-Index: 8
#2Sudha Cugati (USYD: University of Sydney)H-Index: 17
Last. Jie Jin Wang (USYD: University of Sydney)H-Index: 134
view all 6 authors...
Age-related maculopathy and cataract surgery outcomes: visual acuity and health-related quality of life
19 CitationsSource
#1David B. Matchar (Duke University)H-Index: 86
#2Ivan J. SuñerH-Index: 17
Last. Paul P. LeeH-Index: 68
view all 6 authors...
2 Citations
#1Chet K Pager (USYD: University of Sydney)H-Index: 5
Objectives To document patients’ preoperative expectations for postoperativeoutcomes. To measure the relative contribution of patient understanding, expectations,outcome, and expectation-outcome discrepancy in determining patient satisfaction. Methods One hundred twenty-one patients were surveyed just before and 1 monthafter cataract surgery regarding their understanding of the procedure, satisfactionwith their vision, and both current and expected visual function for eachof the items on the Vis...
83 CitationsSource
#1Thuan Quoc Pham (USYD: University of Sydney)H-Index: 8
#2Jie Jin Wang (USYD: University of Sydney)H-Index: 134
Last. Paul Mitchell (USYD: University of Sydney)H-Index: 163
view all 5 authors...
Background: This study aimed to assess the frequency of major systemic and ocular comorbidities among cataract surgical patients attending a large general public hospital. Methods: Consecutive patients aged 60+ years who had undergone cataract surgery at Westmead Hospital from July 2001 to December 2002 were included. Preoperative information was obtained from patient medical records. Results: A total of 773 cataract surgical procedures were performed during the 18-month period, including 668 (8...
22 CitationsSource