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Background <p>The demographic change in Germany is leading to an increase in age-related eye diseases such as cataracts. To assess the patient population at the time of cataract surgery, a&#xa0;database analysis was conducted.</p> Material and methods <p>We conducted a&#xa0;secondary data analysis of the “Management-und-Integration-der-Katarakt-OP-Dokumentation“ (MIKADO) database of the AugenAllianz. In this process, on average the first 50&#xa0;cataract surgeries performed by a&#xa0;surgeon per quarter year were retrospectively documented using standardized survey forms. In total, data from 18&#xa0;surgeons across 12&#xa0;surgical centers were included within the period 2012–2017. The distribution of age at the time of surgery, gender, eye laterality, American Society of Anesthesiologists (ASA) risk classification within the cohort, type of anesthesia, pre-existing ophthalmological conditions and general medical conditions were determined for the patient collective.</p> Results <p>A&#xa0;total of 21,868 eyes (58% female, 42% male) from patients aged between 18&#xa0;and 103 years were included in the analysis. A&#xa0;significant increase in cataract surgeries was observed in the age group 75–79&#xa0;years, with a&#xa0;median age of 75&#xa0;years. Overall, women underwent surgery slightly later than men (mean age 74.3 years vs. 73.29 years). The right eye (58%) was more frequently surgically treated first than the left eye (42%). In this sample 23% of patients underwent topical anesthesia, 53% peribulbar anesthesia, 7% retrobulbar anesthesia and 14% general anesthesia or analgosedation.</p> Conclusion <p>A&#xa0;similar age distribution was observed in Germany compared to the European average. Comorbidities such as hypertension and surprisingly diabetes were associated with a&#xa0;higher age at the time of surgery. Additionally, the choice of anesthesia type was influenced by the presence of comorbidities.</p>

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Kataraktoperationen in der Niederlassung: Wie sieht die Versorgungslage aus? Auswertung der MIKADO-Datenbank der AugenAllianz

  • 期刊论文

  • 发表日期：

    2026年1月26日

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  • Peter Wolfrum,
  • Mirjam Laux,
  • Alexander K. Schuster,
  • Ekkehard Fabian

摘要

Background

The demographic change in Germany is leading to an increase in age-related eye diseases such as cataracts. To assess the patient population at the time of cataract surgery, a database analysis was conducted.

Material and methods

We conducted a secondary data analysis of the “Management-und-Integration-der-Katarakt-OP-Dokumentation“ (MIKADO) database of the AugenAllianz. In this process, on average the first 50 cataract surgeries performed by a surgeon per quarter year were retrospectively documented using standardized survey forms. In total, data from 18 surgeons across 12 surgical centers were included within the period 2012–2017. The distribution of age at the time of surgery, gender, eye laterality, American Society of Anesthesiologists (ASA) risk classification within the cohort, type of anesthesia, pre-existing ophthalmological conditions and general medical conditions were determined for the patient collective.

Results

A total of 21,868 eyes (58% female, 42% male) from patients aged between 18 and 103 years were included in the analysis. A significant increase in cataract surgeries was observed in the age group 75–79 years, with a median age of 75 years. Overall, women underwent surgery slightly later than men (mean age 74.3 years vs. 73.29 years). The right eye (58%) was more frequently surgically treated first than the left eye (42%). In this sample 23% of patients underwent topical anesthesia, 53% peribulbar anesthesia, 7% retrobulbar anesthesia and 14% general anesthesia or analgosedation.

Conclusion

A similar age distribution was observed in Germany compared to the European average. Comorbidities such as hypertension and surprisingly diabetes were associated with a higher age at the time of surgery. Additionally, the choice of anesthesia type was influenced by the presence of comorbidities.