title: Cataract Surgery Audit at a Private Hospital in Saudi Arabia.
abstract: BACKGROUND
  To assess the visual outcomes following cataract surgeries at a Private Eye Hospital in Riyadh, Saudi Arabia.
  
  
  METHODS
  This was a cohort study of cataract surgeries performed from January to June 2014. Preoperative data were collected on patient demographics presenting and best corrected distance visual acuity (BCVA) and ocular comorbidity. Data were also collected on the type of surgery, type of intraocular lens (IOLs) implanted, and complications. BCVA and refractive status at 6-8 weeks postoperatively were noted. The predictors of vision ≥ 6/18 were identified.
  
  
  RESULTS
  Four hundred eyes of 400 patients underwent cataract surgery. There were 235 (59%) males. Presenting preoperative vision was < 6/60 in 52 (13%) eyes. There were 395 (99%) eyes that underwent IOL implantation following phacoemulsification and 4 eyes received a sulcus fixated IOL. A single piece aspheric IOL was implanted in 358 (90%) eyes and a toric IOL was implanted in 31 (8%) eyes. Postoperative BCVA was classified as a "good outcome" (≥ 6/18) in 320 (80%) and a "poor outcome" (< 6/60) in 24 (6%) eyes. Young age (adjusted odds ratio (OR) = 0.97, P = 0.01), male (adjusted OR = 2.4, P = 0.002), and ocular co-morbidities (adjusted OR = 0.2, P < 0.001) were predictors of vision ≥ 6/18. Complications included a dropped nucleus and a posterior capsular tear in 2 eyes each. Two hundred and fifty-two (63%) eyes were emmetropic or intentionally myopic for distance. Astigmatism < 2 D was present in 264 (66%) eyes and astigmatism > 2 D was present in 33 (8%) eyes.
  
  
  CONCLUSIONS
  The recent trend of intentional overcorrection in one eye following modern cataract surgery in order to provide some functional near vision indicates that benchmark for success in getting "good visual outcomes" postoperatively (vision of ≥ 6/18) may need to be revised.
authors.affiliation: Department of Ophthalmology, Imam Mohammed bin Saud Islamic University College of Medicine, Riyadh, Saudi Arabia ; Department of Ophthalmology, Specialised Medical Hospital, Riyadh, Saudi Arabia.
authors.forename: Tariq
authors.initials: T
authors.lastname: Alasbali
authors.affiliation: Department of Ophthalmology, Imam Mohammed bin Saud Islamic University College of Medicine, Riyadh, Saudi Arabia.
authors.forename: Nancy Maher
authors.initials: NM
authors.lastname: Lofty
authors.affiliation: Department of Ophthalmology, Imam Mohammed bin Saud Islamic University College of Medicine, Riyadh, Saudi Arabia.
authors.forename: Saeed
authors.initials: S
authors.lastname: Al-Gehaban
authors.affiliation: Department of Ophthalmology, Specialised Medical Hospital, Riyadh, Saudi Arabia.
authors.forename: Hisham S
authors.initials: HS
authors.lastname: Alkuraya
authors.affiliation: Department of Ophthalmology, Specialised Medical Hospital, Riyadh, Saudi Arabia.
authors.forename: Abdulrahman M
authors.initials: AM
authors.lastname: Alsharif
authors.affiliation: Department of Research, King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia.
authors.forename: Rajiv
authors.initials: R
authors.lastname: Khandekar
mesh_terms: D000368:Aged; D001251:Astigmatism / Q000601:surgery; D002386:Cataract / Q000150:complications; D015331:Cohort Studies; D005260:Female; D016304:Hospitals, Private; D006801:Humans; D019654:Lens Implantation, Intraocular / Q000706:statistics & numerical data*; D008297:Male; D008485:Medical Audit / Q000706:statistics & numerical data*; D008875:Middle Aged; D018918:Phacoemulsification / Q000706:statistics & numerical data*; D012529:Saudi Arabia; D014792:Visual Acuity / Q000502:physiology
keywords: Cataract; Intraocular Lens Implant; Surgical Audit; Visual Acuity