{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T20:01:02Z","timestamp":1787169662482,"version":"build-2736575974"},"reference-count":23,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:sec>\n                    <jats:title>PURPOSE:<\/jats:title>\n                    <jats:p>The purpose of the study was to study the relationship between pseudoexfoliation (PES) and other predictors in the development of complications in cataract surgery by phacoemulsification in patients with PES.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS:<\/jats:title>\n                    <jats:p>A retrospective cohort study of patients undergoing cataract surgery by phacoemulsification in the health area of Cee in northwestern Spain during the 2-year period from 2009 to 2010. Capsule rupture, choroidal hemorrhage, and vitreous loss were included as complications and intraoperative nucleus or lens dislocation as the independent variable. PES, age, hardness, type of cataract, myopia, preoperative visual acuity, antiplatelet use, anticoagulant uses, alpha agonist use, mydriasis prior to surgery, anterior chamber depth, and axial length were included as predictor variables. All predictive hierarchical models were tested using as a selection criterion the one minimizing the Akaike index.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS:<\/jats:title>\n                    <jats:p>A total of 551 patients were initially identified from hospital register, of which 48 were excluded due to the presence of an exclusion factor. After the initial selection, the final sample was 681 eyes of 503 patients. Of the 8192 possible models, a model with the following seven variables was selected: PES, steroid use, alpha agonist use, nuclear hardness, mydriasis, anterior chamber depth, and axial length. The selected model had an Akaike index of 435.4 and an area under the curve of 0.7895 corresponding to a sensitivity of 6.2% and a specificity of 98.5%.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION:<\/jats:title>\n                    <jats:p>PES, nuclear hardness, and alpha agonist use are risk factors strongly predictive of complications.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/1319-4534.325774","type":"journal-article","created":{"date-parts":[[2021,10,20]],"date-time":"2021-10-20T03:10:05Z","timestamp":1634699405000},"page":"5-8","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":4,"title":["Determinants of the risk of intraoperative complications in phacoemulsification among patients with pseudoexfoliation"],"prefix":"10.4103","volume":"35","author":[{"given":"Pedro","family":"Vazquez-Ferreiro","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francisco J.","family":"Carrera-Hueso","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lidia Barreiro","family":"Rodriguez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marta","family":"Diaz-Rey","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mar\u00eda Auxiliadora Ram\u00f3n","family":"Barrios","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jaime E. Poquet","family":"Jornet","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-2-20240830","doi-asserted-by":"crossref","first-page":"1261","DOI":"10.1016\/j.jcrs.2010.02.014","article-title":"Pseudoexfoliation: High risk factors for zonule weakness and concurrent vitrectomy during phacoemulsification","volume":"36","author":"Shingleton","year":"2010","journal-title":"J Cataract Refract Surg"},{"key":"R2-2-20240830","doi-asserted-by":"crossref","first-page":"1224","DOI":"10.1016\/j.jcrs.2014.09.039","article-title":"Frequency of pseudoexfoliation among patients scheduled for cataract surgery","volume":"41","author":"Govetto","year":"2015","journal-title":"J Cataract Refract Surg"},{"key":"R3-2-20240830","doi-asserted-by":"crossref","first-page":"83","DOI":"10.1016\/j.ajo.2012.07.002","article-title":"Pseudoexfoliation syndrome and the long-term incidence of cataract and cataract surgery: The blue mountains eye study","volume":"155","author":"Kanthan","year":"2013","journal-title":"Am J Ophthalmol"},{"key":"R4-2-20240830","doi-asserted-by":"crossref","first-page":"72","DOI":"10.1016\/j.jcjo.2013.09.013","article-title":"Factors affecting cataract surgery complications and their effect on the postoperative outcome","volume":"49","author":"Gonz\u00e1lez","year":"2014","journal-title":"Can J Ophthalmol"},{"key":"R5-2-20240830","doi-asserted-by":"crossref","first-page":"1242","DOI":"10.1136\/bjo.2004.046003","article-title":"A system for preoperative stratification of cataract patients according to risk of intraoperative complications: A prospective analysis of 1441 cases","volume":"88","author":"Muhtaseb","year":"2004","journal-title":"Br J Ophthalmol"},{"key":"R6-2-20240830","doi-asserted-by":"crossref","first-page":"921","DOI":"10.1016\/j.ajo.2006.01.047","article-title":"Ocular and systemic pseudoexfoliation syndrome","volume":"141","author":"Schl\u00f6tzer-Schrehardt","year":"2006","journal-title":"Am J Ophthalmol"},{"key":"R7-2-20240830","doi-asserted-by":"crossref","first-page":"831","DOI":"10.1001\/archopht.1993.01090060119035","article-title":"The lens opacities classification system III. the longitudinal study of cataract study group","volume":"111","author":"Chylack","year":"1993","journal-title":"Arch Ophthalmol"},{"key":"R8-2-20240830","doi-asserted-by":"crossref","first-page":"136","DOI":"10.1016\/S0886-3350(88)80087-7","article-title":"Comparison of the SRK II formula and other second generation formulas","volume":"14","author":"Sanders","year":"1988","journal-title":"J Cataract Refract Surg"},{"key":"R9-2-20240830","doi-asserted-by":"crossref","first-page":"145","DOI":"10.1016\/j.ajo.2016.09.003","article-title":"The auckland cataract study: Assessing preoperative risk stratification systems for phacoemulsification surgery in a teaching hospital","volume":"171","author":"Kim","year":"2016","journal-title":"Am J Ophthalmol"},{"key":"R10-2-20240830","doi-asserted-by":"crossref","first-page":"227","DOI":"10.1177\/112067210001000306","article-title":"Risk factors for vitreous loss in cataract surgery","volume":"10","author":"Abbaso\u011flu","year":"2000","journal-title":"Eur J Ophthalmol"},{"key":"R11-2-20240830","doi-asserted-by":"crossref","first-page":"278","DOI":"10.1159\/000027307","article-title":"Pseudoexfoliation syndrome: A cohort study on intraoperative complications in cataract surgery","volume":"212","author":"Scorolli","year":"1998","journal-title":"Ophthalmologica"},{"key":"R12-2-20240830","doi-asserted-by":"crossref","first-page":"1466","DOI":"10.1136\/bjophthalmol-2016-309902","article-title":"The Malaysian Cataract Surgery Registry: Risk indicators for posterior capsular rupture","volume":"101","author":"Salowi","year":"2017","journal-title":"Br J Ophthalmol"},{"key":"R13-2-20240830","doi-asserted-by":"crossref","first-page":"24","DOI":"10.4103\/ijo.IJO_452_16","article-title":"The Melaka Hospital cataract complications study analysis of 12,992 eyes","volume":"65","author":"Thevi","year":"2017","journal-title":"Indian J Ophthalmol"},{"key":"R14-2-20240830","doi-asserted-by":"crossref","first-page":"1688","DOI":"10.1016\/j.jcrs.2009.05.026","article-title":"Capsule complication during cataract surgery: Case-control study of preoperative and intraoperative risk factors: Swedish Capsule Rupture Study Group report 2","volume":"35","author":"Artz\u00e9n","year":"2009","journal-title":"J Cataract Refract Surg"},{"key":"R15-2-20240830","doi-asserted-by":"crossref","first-page":"1039","DOI":"10.1038\/eye.2016.122","article-title":"Risk factors for intraoperative floppy iris syndrome: A prospective study","volume":"30","author":"Chatziralli","year":"2016","journal-title":"Eye (Lond"},{"key":"R16-2-20240830","doi-asserted-by":"crossref","first-page":"281","DOI":"10.1016\/S0002-9394(99)00365-7","article-title":"Anterior chamber depth and complications during cataract surgery in eyes with pseudoexfoliation syndrome","volume":"129","author":"K\u00fcchle","year":"2000","journal-title":"Am J Ophthalmol"},{"key":"R17-2-20240830","doi-asserted-by":"crossref","first-page":"266","DOI":"10.1097\/OPX.0000000000000795","article-title":"Intraoperative complications of cataract surgery in Tehran Province, Iran","volume":"93","author":"Hashemi","year":"2016","journal-title":"Optom Vis Sci"},{"key":"R18-2-20240830","doi-asserted-by":"crossref","first-page":"1516","DOI":"10.1136\/bjo.2006.098764","article-title":"Intraoperative complications of cataract surgery in the very old","volume":"90","author":"Robbie","year":"2006","journal-title":"Br J Ophthalmol"},{"key":"R19-2-20240830","doi-asserted-by":"crossref","first-page":"130","DOI":"10.1016\/j.ajo.2016.08.036","article-title":"Cataract surgery complications and revisit rates among three states","volume":"171","author":"Pershing","year":"2016","journal-title":"Am J Ophthalmol"},{"key":"R20-2-20240830","doi-asserted-by":"crossref","first-page":"787","DOI":"10.1016\/S0886-3350(98)80132-6","article-title":"Phacoemulsification in eyes with pseudoexfoliation","volume":"24","author":"Drolsum","year":"1998","journal-title":"J Cataract Refract Surg"},{"key":"R21-2-20240830","first-page":"51","article-title":"Posterior capsule rupture during phacoemulsification among patients with pseudoexfoliation-is there a correlation?","volume":"21","author":"Thanigasalam","year":"2014","journal-title":"Malays J Med Sci"},{"key":"R22-2-20240830","doi-asserted-by":"crossref","first-page":"388","DOI":"10.1055\/s-2000-10585","article-title":"Pseudoexfoliation (PEX) syndrome and intraoperative complications in cataract surgery","volume":"216","author":"Menkhaus","year":"2000","journal-title":"Klin Monbl Augenheilkd"},{"key":"R23-2-20240830","doi-asserted-by":"crossref","first-page":"228","DOI":"10.1037\/a0027127","article-title":"Model selection and psychological theory: a discussion of the differences between the Akaike information criterion (AIC) and the Bayesian information criterion (BIC)","volume":"17","author":"Vrieze","year":"2012","journal-title":"Psychol Methods"}],"container-title":["Saudi Journal of Ophthalmology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/1319-4534.325774","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T19:09:40Z","timestamp":1787166580000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/1319-4534.325774"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,1]]},"references-count":23,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021]]}},"URL":"https:\/\/doi.org\/10.4103\/1319-4534.325774","relation":{},"ISSN":["1319-4534"],"issn-type":[{"value":"1319-4534","type":"print"}],"subject":[],"published":{"date-parts":[[2021,1]]}}}