Abstract:

 Objective To analyze the causes of medical disputes after phacoemulsification and intraocular lens (IOL) implantation in senile cataract patients. Design Retrospective case series. Participants 58 cases of senile cataract patients with disputes after phacoemulsification and IOL implantation in Beijing Tongren Hospital from 2012 to 2016. Methods The proportion of postoperative disputes, gender, age, sequence of eyes, main contents of complaints and treatment results were statistically analyzed. Main Outcome Measures Dispute proportion and dispute factors. Result Of the 58 patients, 50 cases (86.21%) were 51~80 years old, 33 cases were female (56.90%) and 12 cases (20.69%) were operated on both eyes. The time of formal complaints to the hospital within 4~6 months after operation was 41 cases (70.69%). 16 cases (27.59%) were corneal edema, keratitis with symptoms of postoperative visual blurring, foreign body sensation, grinding pain. 15 cases (25.86%) were macular epiretinal membranes, macular edema and high myopia with no-increased or decreased visual acuity. 12 cases (20.69%) were vitreous opacity with postoperative floaters increased. 4 cases (6.90%) were postoperative IOL malposition with symptoms of ghosting, glare and dizziness. 3 cases (5.17%) were postoperative secondary glaucoma. 1 case (1.72%) was without IOL implantation caused by posterior capsule rupture. 1 cases (1.72%) was postoperative endophthalmitis, and 1 cases (1.72%) was lower near vision caused by postoperative ametropia. Conclusion Major reason of postoperative medical disputer in cataract patients is vision-retated symptom and unimprovement of visual acuity, and possiblity of the operative complications should be thoroughly communicated and explained to senile cataract patients before surgery. (Ophthalmol CHN, 2017, 26: 243-247)

Key words: phacoemulsification; , medical disputes