Key Takeaways
- Surgeon-patient sex concordance was not associated with cataract surgery complication rates in more than 30,000 procedures.
- Complication rates were similar between sex-concordant and sex-discordant surgeon-patient pairings, with retinal detachment the most common complication.
Cataract surgery outcomes were not associated with whether the surgeon and patient were of the same or different sex, according to a study.
Researchers analyzed 30,804 cataract surgeries performed on 19,178 patients.. Of the procedures, 47.7% involved surgeon-patient sex concordance and 51.0% involved sex discordance. Overall, postoperative or intraoperative complications occurred in 3.5% of surgeries.
Of the cataract surgeries complicated by one or more adverse events, 50.3% involved surgeon-patient sex concordance and 49.7% involved sex discordance. Investigators evaluated complications that occurred within 30 days of cataract surgery, including endophthalmitis, choroidal hemorrhage, posterior capsular tear, retinal detachment, vitreous loss, retained lens fragments, and the need for a return to the operating room for vitrectomy.
Retinal detachment was the most common postoperative complication among patients who experienced complications.
Reference
Majmudar IP, Aggarwal S, Hamzeh N, et al. Surgeon-Patient Sex Concordance and Postoperative Outcomes in Cataract Surgeries: A 16-Year Retrospective Cohort Study. Clin Ophthalmol. 2026;20:612384. doi: 10.2147/OPTH.S612384. PMID: 42338497; PMCID: PMC13285910.
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