# Efficacy of pre-operative risk stratification on cataract surgeries in India

## TL;DR

This study shows that pre-surgery risk assessments help predict complications and improve outcomes in cataract surgeries performed by trainee doctors in India.

## Contribution

The study demonstrates how preoperative risk stratification can guide case allocation and improve surgical training in teaching hospitals.

## Key findings

- High risk scores were significantly linked to intraoperative complications and poor visual outcomes.
- Preoperative BCVA, risk score, and resident experience were significant predictors of surgical complications.

## Abstract

Cataract remains a leading cause of global blindness, highlighting the importance of effective surgical management. Hence, we
evaluated 212 cataract surgeries performed by Indian medical residents to assess the utility of preoperative risk stratification in
predicting complications and guiding case allocation. We found that high risk scores were significantly associated with increased
intraoperative complications and poor postoperative visual outcomes (p < 0.001). Logistic regression identified preoperative BCVA,
risk score and resident experience as significant predictors of complications. Thus, risk stratification is a valuable tool in enhancing
patient safety and surgical training in teaching hospitals.