Abstract

Complications in cataract surgery are inevitable & have multiple predisposing factors. Our purpose was to analyze whether time of surgery is associated with occurrence of complications, surgery outcomes & re-surgery rates in a high-volume setting.
A cross-sectional study was conducted. Surgical complication data among consultant, fellow & post-graduate level surgeons was collected over 1 year. The entire surgical endeavor was divided into quartiles & time of occurrence of complications was captured along with type of complication, step of occurrence, visual outcome, post operative complications & the need for re-surgery.
Maximum complications were encountered in 4th quartile (63%), followed by 2nd quartile (20%) (pre-lunch) and 3rd quartile (11%). Most in the 1st quartile were managed by colleagues (92%), while most in the 4th quartile were managed by self (80%). Complications in the 3rd and 4th quartile had higher rates of post operative complications & need for re surgery.