Cole Eye Institute Outcomes

Intraoperative complications during cataract surgery were uncommon, occurring in only 0.68% of 5855 patients operated on during 2023 at main campus. The most common complication was zonular dialysis (0.32%), followed by posterior capsule rupture, reported in 0.14% of patients, most of whom ended up with excellent vision, anterior capsule tear (0.10%), retained lens fragments (0.07%), and other (0.05%). The other category included one case each of iris trauma, vitreous strand, and corneal abrasion. Most patients (99.32%) had no complications.

Postoperative complications were also rare, occurring in 0.37% of 16,122 patients who required a return to the operating room within 30 days of surgery. The complications included retained lens fragments (0.21%), dislocated IOL (0.04%), wound revision (0.02%), refractive error (0.02%), rotated toric lens (0.02%), aphakia (0.02%), and other (0.04%). The other category included one case each of exchange IOL, prolapsed iris, anterior vitrectomy, suprachoroidal hemorrhage, endophthalmitis, and iris adhesions. Most patients (99.63%) had no complications. There was one culture-positive case of postoperative endophthalmitis after cataract surgery in 2023.