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    Risk analysis finds good safety for bilateral, same-day cataract surgery

    Las Vegas—A review of bilateral, same-day cataract surgery cases performed over a 5-year period at Kaiser Permanente centers in California identified a very low rate of complications, said Neal H. Shorstein, MD.

    Speaking at the 2015 meeting of the American Academy of Ophthalmology, Dr. Shorstein presented the findings based on review of 4,754 bilateral same-day cataract surgery procedures done at 21 centers in the network.

    The complications involved single instances of unilateral unintended IOL implantation; dilution error in on-site compounded intracameral cefuroxime; and unilateral endophthalmitis (not considered associated with intraoperative circumstances).

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    • MarkCondell
      Clarification: so as to not confuse "FEMA" with the Federal Emergency Management Agency, the correct acronym for Failure Mode Effects Analysis is "FMEA". FMEA is a common risk analysis strategy used in engineering and product development. Failure modes and effects analysis (FMEA) is a step-by-step approach for identifying all possible failures in a design, a manufacturing or assembly process, or a product or service. “Failure modes” (and root cause analysis) are the ways, or modes, in which something might fail. Failures are any errors or defects, especially ones that affect the customer, and can be potential or actual. “Effects analysis” refers to studying the consequences of those failures. Mark Condell, OD, MS, ASQ CBA - Alcon Research, Ltd., Surgical/Medical Device Risk Analyst


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