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We read with interest the article by Muhtaseb et al. on the
development of a system for preoperative stratification of cataract
patients according to their risk of intraoperative complications.  In their article the authors have analyzed
1441 cataract surgeries in order to determine factors that would
the risk of surgical complications.
We have previously described a si...
We have previously described a similar simple grading system for
assessing the risk of cataract surgery which we called "the cataract
surgery risk score" and found it to be useful for residents and
surgeons. Our risk score is composed of individual points attributed to
risk factors that are believed to increase complications during surgery.
The advantage of such a system is that it allows the selection of cases
from easy to more difficult ones, as the surgeon's skills improve. It
also allows the beginning surgeons to focus on important details in the
ocular examination that are often overlooked.
1. M Muhtaseb, A Kalhoro, and A Ionides. A system for preoperative stratification of cataract patients according to risk of intraoperative complications: a prospective analysis of 1441 cases. Br J Ophthalmol 2004; 88: 1242-1246.
2. Najjar DM, Awwad ST. Cataract surgery risk score for residents
and beginning surgeons. J Cataract Refract Surg. 2003 Oct;29(10):2036-7.