Cataracts: Complications within 30 Days Following Cataract Surgery Requiring Additional Surgical Procedures
Percentage of patients aged 18 years and older with a diagnosis of uncomplicated cataract who had cataract surgery and had any of a specified list of surgical procedures in the 30 days following cataract surgery which would indicate the occurrence of any of the following major complications: retained nuclear fragments, endophthalmitis, dislocated or wrong power IOL, retinal detachment, or wound dehiscence
American Medical Association-convened Physician Consortium for Performance Improvement(R) (AMA-PCPI)
National Committee for Quality Assurance
American Medical Association-convened Physician Consortium for Performance Improvement(R) (AMA-PCPI)
National Quality Forum
Finalized Date/Time
Copyright 2013 National Committee for Quality Assurance (NCQA) and American Medical Association. All Rights Reserved.
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None
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1. Scientific basis for assessing short-term complications following cataract surgery
Complications that may result in a permanent loss of vision following cataract surgery are uncommon. This short-term outcome of surgery indicator seeks to identify those complications from surgery that can reasonably be attributed to the surgery and surgeon and which reflect situations which - if untreated - generally result in significant avoidable vision loss that would negatively impact patient functioning. Further, it seeks to reduce surgeon burden and enhance accuracy in reporting by focusing on those significant complications that can be assessed from administrative data alone and which can be captured by the care of another physician or the provision of additional, separately coded, post-operative services. Finally, it focuses on patient safety and monitoring for events that, while hopefully uncommon, can signify important issues in the care being provided. For example, the need to reposition or exchange an intraocular lens (IOL) reflects in part “wrong power” IOL placement, a major patient safety issue.
In order to achieve these ends, the indicator excludes patients with other known, pre-operative ocular conditions that could impact the likelihood of developing a complication. Based on the results of the Cataract Appropriateness Project at RAND, other published studies, and one analysis performed on a national MCO data base, the exclusion codes would preserve over 2/3 of all cataract surgery cases for analysis. Thus, this provides a “clean” indicator that captures care for the large majority of patients undergoing cataract surgery.
2. Evidence for gap in care
The advances in technology and surgical skills over the last 30 years have made cataract surgery much safer and more effective. An analysis of a single company’s database (commercial age MCO) demonstrated that the rate of complications found for this indicator was approximately 1 to 2%. Nevertheless, as noted above, the occurrence of one of these events is associated with a significant potential for vision loss that is otherwise avoidable. Furthermore, with an annual volume of 2.8 million cataract surgeries in the US, a 2% rate would mean that over 36,000 surgeries are accompanied by these complications (2/3 of 56,000 surgeries).
A synthesis of the literature published prior to 1992 found weighted mean complication rates among all patients undergoing cataract surgery of 0.13% for endophthalmitis, 0.3% for bullous keratopathy, 1.4% clinically detectable CME, 3.5% for angiographically demonstrated CME, 0.7% for retinal detachment, and 1.1% for IOL dislocation. Bullous keratopathy and CME are not included in this indicator because they are conditions that are almost always temporary and resolve without additional intervention through additional procedures and associated care in this population of patients without prior known ocular conditions.
Additional studies similarly demonstrate the low occurrence of complications, including many that are temporary in nature and without a significant impact on patient outcomes. A national survey of over 100 hospitals from 1997 to 1998 found the following results on 18,454 patients 50 years old or older. Seventy-seven percent of these patients had surgery performed by phacoemulsification. Rates for events that occurred during surgery were 4.4% for posterior capsule rupture and vitreous loss, 1.0% for incomplete cortical cleanup, 1.0% for anterior chamber hemorrhage and or collapse, and 0.77% for iris damage. Short-term (within 48 hours) perioperative complications included corneal edema (9.5%), increased IOP (7.9%), uveitis (5.6%), wound leak (1.2%), hyphema (1.1%), and retained lens material (1.1%).
A retrospective study from New Zealand of 1,793 consecutive patients undergoing phacoemulsification reported a rate of 1.8% for posterior capsule rupture and a rate of 1.2% for rhegmatogenous retinal detachment. (AAO, 2006)
This is an outcome measure. As such, there are no statements in the guideline specific to this measurement topic.
Lower score indicates better quality
NQF ID Number
Disclaimer
Physician Performance Measures (Measures) and related data specifications have been developed by the American Medical Association (AMA) - convened Physician Consortium for Performance Improvement(R) (PCPI[R]) and the National Committee for Quality Assurance (NCQA). These Measures are not clinical guidelines and do not establish a standard of medical care, and have not been tested for all potential applications. The Measures, while copyrighted, can be reproduced and distributed, without modification, for noncommercial purposes, eg, use by health care providers in connection with their practices. Commercial use is defined as the sale, license, or distribution of the Measures for commercial gain, or incorporation of the Measures into a product or service that is sold, licensed or distributed for commercial gain. Commercial uses of the Measures require a license agreement between the user and the AMA, (on behalf of the PCPI) or NCQA. Neither the AMA, PCPI, NCQA nor its members shall be responsible for any use of the Measures.
THE MEASURES AND SPECIFICATIONS ARE PROVIDED “AS IS” WITHOUT WARRANTY OF ANY KIND.
Limited proprietary coding is contained in the Measure specifications for convenience. Users of the proprietary code sets should obtain all necessary licenses from the owners of these code sets. The AMA, PCPI, NCQA and its members disclaim all liability for use or accuracy of any Current Procedural Terminology (CPT[R]) or other coding contained in the specifications.
CPT(R) contained in the Measure specifications is copyright 2004-2013 American Medical Association. LOINC(R) copyright 2004-2013 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2013 International Health Terminology Standards Development Organisation. ICD-10 copyright 2013 World Health Organization. All Rights Reserved.
Due to technical limitations, registered trademarks are indicated by (R) or [R] and unregistered trademarks are indicated by (TM) or [TM].
eMeasure Identifier
132
measureStartDate
measureEndDate
American Academy of Ophthalmology. Preferred Practice Pattern: Cataract In the Adult Eye. 2006.
Desai P, Minassian DC, Reidy A. National cataract surgery survey 1997-8: a report of the results of the clinical outcomes. Br J Ophthalmol 1999 Dec;83(12):1336-40.
Powe NR, Schein OD, Gieser SC, Tielsch JM, Luthra R, Javitt J, Steinberg EP. Synthesis of the literature on visual acuity and complications following cataract extraction with intraocular lens implantation. Cataract Patient Outcome Research Team. Arch Ophthalmol 1994 Feb;112(2):239-52.
Russell M, Gaskin B, Russell D, Polkinghorne PJ. Pseudophakic retinal detachment after phacoemulsification cataract surgery: Ten-year retrospective review. J Cataract Refract Surg 2006 Mar;32(3):442-5.
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This is an episode-based measure, meaning there may be more than one reportable event for a given patient during the measurement period.
The level of analysis for this measure is each cataract surgery during the measurement period. Every cataract surgery during the measurement period should be counted as a measurable denominator event for the measure calculation.
The measure, as written, does not specifically require documentation of laterality. Coding limitations in particular clinical terminologies do not currently allow for that level of specificity (ICD-10-CM includes laterality, but ICD-9-CM and SNOMED-CT do not uniformly include this distinction). Therefore, at this time, it is not a requirement of this measure to indicate laterality of the diagnoses, findings or procedures. Available coding to capture the data elements specified in this measure has been provided. It is assumed that the eligible professional will record laterality in the patient medical record, as quality care and clinical documentation should include laterality.
Transmission Format
TBD
Initial Patient Population
All patients aged 18 years and older who had cataract surgery and no significant ocular conditions impacting the surgical complication rate
Denominator
Equals Initial Patient Population
Denominator Exclusions
Patients with any one of a specified list of significant ocular conditions that impact the surgical complication rate
Numerator
Patients who had one or more specified operative procedures for any of the following major complications within 30 days following cataract surgery: retained nuclear fragments, endophthalmitis, dislocated or wrong power IOL, retinal detachment, or wound dehiscence
Numerator Exclusions
Not Applicable
Denominator Exceptions
None
Measure Population
Not Applicable
Measure Observations
Not Applicable
Supplemental Data Elements
For every patient evaluated by this measure also identify payer, race, ethnicity and sex.
None
Population criteria
-
Initial Patient Population =
- AND: "Patient Characteristic Birthdate: birth date" >= 18 year(s) starts before start of "Measurement Period"
- AND: "Occurrence A of Procedure, Performed: Cataract Surgery" during "Measurement Period"
-
Denominator =
- AND: "Initial Patient Population"
-
Denominator Exclusions =
- AND:
- OR: "Procedure, Performed: Prior Pars Plana Vitrectomy" ends before start of "Occurrence A of Procedure, Performed: Cataract Surgery"
- OR:
- AND: "Occurrence A of Diagnosis, Active: Acute and Subacute Iridocyclitis" starts before start of "Occurrence A of Procedure, Performed: Cataract Surgery"
- AND NOT: "Occurrence A of Diagnosis, Active: Acute and Subacute Iridocyclitis" ends before start of "Occurrence A of Procedure, Performed: Cataract Surgery"
- OR:
- AND: "Occurrence A of Diagnosis, Active: Adhesions and Disruptions of Iris and Ciliary Body" starts before start of "Occurrence A of Procedure, Performed: Cataract Surgery"
- AND NOT: "Occurrence A of Diagnosis, Active: Adhesions and Disruptions of Iris and Ciliary Body" ends before start of "Occurrence A of Procedure, Performed: Cataract Surgery"
- OR:
- AND: "Occurrence A of Diagnosis, Active: Central Corneal Ulcer" starts before start of "Occurrence A of Procedure, Performed: Cataract Surgery"
- AND NOT: "Occurrence A of Diagnosis, Active: Central Corneal Ulcer" ends before start of "Occurrence A of Procedure, Performed: Cataract Surgery"
- OR:
- AND: "Occurrence A of Diagnosis, Active: Burn Confined to Eye and Adnexa" starts before start of "Occurrence A of Procedure, Performed: Cataract Surgery"
- AND NOT: "Occurrence A of Diagnosis, Active: Burn Confined to Eye and Adnexa" ends before start of "Occurrence A of Procedure, Performed: Cataract Surgery"
- OR:
- AND: "Occurrence A of Diagnosis, Active: Pseudoexfoliation Syndrome" starts before start of "Occurrence A of Procedure, Performed: Cataract Surgery"
- AND NOT: "Occurrence A of Diagnosis, Active: Pseudoexfoliation Syndrome" ends before start of "Occurrence A of Procedure, Performed: Cataract Surgery"
- OR:
- AND: "Occurrence A of Diagnosis, Active: Senile Cataract" starts before start of "Occurrence A of Procedure, Performed: Cataract Surgery"
- AND NOT: "Occurrence A of Diagnosis, Active: Senile Cataract" ends before start of "Occurrence A of Procedure, Performed: Cataract Surgery"
- OR:
- AND: "Occurrence A of Diagnosis, Active: Hypotony of Eye" starts before start of "Occurrence A of Procedure, Performed: Cataract Surgery"
- AND NOT: "Occurrence A of Diagnosis, Active: Hypotony of Eye" ends before start of "Occurrence A of Procedure, Performed: Cataract Surgery"
- OR:
- AND: "Occurrence A of Diagnosis, Active: Cataract Secondary to Ocular Disorders" starts before start of "Occurrence A of Procedure, Performed: Cataract Surgery"
- AND NOT: "Occurrence A of Diagnosis, Active: Cataract Secondary to Ocular Disorders" ends before start of "Occurrence A of Procedure, Performed: Cataract Surgery"
- OR:
- AND: "Occurrence A of Diagnosis, Active: High Hyperopia" starts before start of "Occurrence A of Procedure, Performed: Cataract Surgery"
- AND NOT: "Occurrence A of Diagnosis, Active: High Hyperopia" ends before start of "Occurrence A of Procedure, Performed: Cataract Surgery"
- OR:
- AND: "Occurrence A of Diagnosis, Active: Injury to Optic Nerve and Pathways" starts before start of "Occurrence A of Procedure, Performed: Cataract Surgery"
- AND NOT: "Occurrence A of Diagnosis, Active: Injury to Optic Nerve and Pathways" ends before start of "Occurrence A of Procedure, Performed: Cataract Surgery"
- OR:
- AND: "Occurrence A of Diagnosis, Active: Cataract, Congenital" starts before start of "Occurrence A of Procedure, Performed: Cataract Surgery"
- AND NOT: "Occurrence A of Diagnosis, Active: Cataract, Congenital" ends before start of "Occurrence A of Procedure, Performed: Cataract Surgery"
- OR:
- AND: "Occurrence A of Diagnosis, Active: Cysts of Iris, Ciliary Body, and Anterior Chamber" starts before start of "Occurrence A of Procedure, Performed: Cataract Surgery"
- AND NOT: "Occurrence A of Diagnosis, Active: Cysts of Iris, Ciliary Body, and Anterior Chamber" ends before start of "Occurrence A of Procedure, Performed: Cataract Surgery"
- OR:
- AND: "Occurrence A of Diagnosis, Active: Glaucoma" starts before start of "Occurrence A of Procedure, Performed: Cataract Surgery"
- AND NOT: "Occurrence A of Diagnosis, Active: Glaucoma" ends before start of "Occurrence A of Procedure, Performed: Cataract Surgery"
- OR:
- AND: "Occurrence A of Diagnosis, Active: Cataract, Mature or Hypermature" starts before start of "Occurrence A of Procedure, Performed: Cataract Surgery"
- AND NOT: "Occurrence A of Diagnosis, Active: Cataract, Mature or Hypermature" ends before start of "Occurrence A of Procedure, Performed: Cataract Surgery"
- OR:
- AND: "Occurrence A of Diagnosis, Active: Traumatic Cataract" starts before start of "Occurrence A of Procedure, Performed: Cataract Surgery"
- AND NOT: "Occurrence A of Diagnosis, Active: Traumatic Cataract" ends before start of "Occurrence A of Procedure, Performed: Cataract Surgery"
- OR:
- AND: "Occurrence A of Diagnosis, Active: Cataract, Posterior Polar" starts before start of "Occurrence A of Procedure, Performed: Cataract Surgery"
- AND NOT: "Occurrence A of Diagnosis, Active: Cataract, Posterior Polar" ends before start of "Occurrence A of Procedure, Performed: Cataract Surgery"
- OR:
- AND: "Occurrence A of Diagnosis, Active: Pathologic Myopia" starts before start of "Occurrence A of Procedure, Performed: Cataract Surgery"
- AND NOT: "Occurrence A of Diagnosis, Active: Pathologic Myopia" ends before start of "Occurrence A of Procedure, Performed: Cataract Surgery"
- OR:
- AND: "Occurrence A of Diagnosis, Active: Open Wound of Eyeball" starts before start of "Occurrence A of Procedure, Performed: Cataract Surgery"
- AND NOT: "Occurrence A of Diagnosis, Active: Open Wound of Eyeball" ends before start of "Occurrence A of Procedure, Performed: Cataract Surgery"
- OR:
- AND: "Occurrence A of Diagnosis, Active: Certain Types of Iridocyclitis" starts before start of "Occurrence A of Procedure, Performed: Cataract Surgery"
- AND NOT: "Occurrence A of Diagnosis, Active: Certain Types of Iridocyclitis" ends before start of "Occurrence A of Procedure, Performed: Cataract Surgery"
- OR:
- AND: "Occurrence A of Diagnosis, Active: Vascular Disorders of Iris and Ciliary Body" starts before start of "Occurrence A of Procedure, Performed: Cataract Surgery"
- AND NOT: "Occurrence A of Diagnosis, Active: Vascular Disorders of Iris and Ciliary Body" ends before start of "Occurrence A of Procedure, Performed: Cataract Surgery"
- OR:
- AND: "Occurrence A of Diagnosis, Active: Hereditary Corneal Dystrophies" starts before start of "Occurrence A of Procedure, Performed: Cataract Surgery"
- AND NOT: "Occurrence A of Diagnosis, Active: Hereditary Corneal Dystrophies" ends before start of "Occurrence A of Procedure, Performed: Cataract Surgery"
- OR:
- AND: "Occurrence A of Diagnosis, Active: Enophthalmos" starts before start of "Occurrence A of Procedure, Performed: Cataract Surgery"
- AND NOT: "Occurrence A of Diagnosis, Active: Enophthalmos" ends before start of "Occurrence A of Procedure, Performed: Cataract Surgery"
- OR:
- AND: "Occurrence A of Diagnosis, Active: Uveitis" starts before start of "Occurrence A of Procedure, Performed: Cataract Surgery"
- AND NOT: "Occurrence A of Diagnosis, Active: Uveitis" ends before start of "Occurrence A of Procedure, Performed: Cataract Surgery"
- OR:
- AND: "Occurrence A of Diagnosis, Active: Chronic Iridocyclitis" starts before start of "Occurrence A of Procedure, Performed: Cataract Surgery"
- AND NOT: "Occurrence A of Diagnosis, Active: Chronic Iridocyclitis" ends before start of "Occurrence A of Procedure, Performed: Cataract Surgery"
- OR:
- AND: "Occurrence A of Diagnosis, Active: Corneal Opacity and Other Disorders of Cornea" starts before start of "Occurrence A of Procedure, Performed: Cataract Surgery"
- AND NOT: "Occurrence A of Diagnosis, Active: Corneal Opacity and Other Disorders of Cornea" ends before start of "Occurrence A of Procedure, Performed: Cataract Surgery"
- OR:
- AND: "Occurrence A of Diagnosis, Active: Cloudy Cornea" starts before start of "Occurrence A of Procedure, Performed: Cataract Surgery"
- AND NOT: "Occurrence A of Diagnosis, Active: Cloudy Cornea" ends before start of "Occurrence A of Procedure, Performed: Cataract Surgery"
- OR:
- AND: "Occurrence A of Diagnosis, Active: Posterior Lenticonus" starts before start of "Occurrence A of Procedure, Performed: Cataract Surgery"
- AND NOT: "Occurrence A of Diagnosis, Active: Posterior Lenticonus" ends before start of "Occurrence A of Procedure, Performed: Cataract Surgery"
- OR:
- AND: "Occurrence A of Diagnosis, Active: Aphakia and Other Disorders of Lens" starts before start of "Occurrence A of Procedure, Performed: Cataract Surgery"
- AND NOT: "Occurrence A of Diagnosis, Active: Aphakia and Other Disorders of Lens" ends before start of "Occurrence A of Procedure, Performed: Cataract Surgery"
- OR:
- AND: "Occurrence A of Diagnosis, Active: Corneal Edema" starts before start of "Occurrence A of Procedure, Performed: Cataract Surgery"
- AND NOT: "Occurrence A of Diagnosis, Active: Corneal Edema" ends before start of "Occurrence A of Procedure, Performed: Cataract Surgery"
- OR:
- AND: "Occurrence A of Diagnosis, Active: Retrolental Fibroplasias" starts before start of "Occurrence A of Procedure, Performed: Cataract Surgery"
- AND NOT: "Occurrence A of Diagnosis, Active: Retrolental Fibroplasias" ends before start of "Occurrence A of Procedure, Performed: Cataract Surgery"
- OR:
- AND: "Occurrence A of Medication, Active: Use of Systemic Sympathetic alpha-1a Antagonist Medication for Treatment of Prostatic Hypertrophy" starts before start of "Occurrence A of Procedure, Performed: Cataract Surgery"
- AND NOT: "Occurrence A of Medication, Active: Use of Systemic Sympathetic alpha-1a Antagonist Medication for Treatment of Prostatic Hypertrophy" ends before start of "Occurrence A of Procedure, Performed: Cataract Surgery"
- OR:
- AND: "Occurrence A of Diagnosis, Active: Anomalies of Puillary Function" starts before start of "Occurrence A of Procedure, Performed: Cataract Surgery"
- AND NOT: "Occurrence A of Diagnosis, Active: Anomalies of Puillary Function" ends before start of "Occurrence A of Procedure, Performed: Cataract Surgery"
-
Numerator =
- AND:
- OR: "Procedure, Performed: Removal Procedures"
- OR: "Procedure, Performed: Excision of Adhesions"
- OR: "Procedure, Performed: Aspiration and Injection Procedures"
- OR: "Procedure, Performed: Lens Procedure"
- OR: "Procedure, Performed: Vitreous Procedures"
- OR: "Procedure, Performed: Retinal Repair Procedures"
- OR: "Procedure, Performed: Scleral Procedures"
- OR: "Procedure, Performed: Revision Procedures"
- <= 30 day(s) starts after end of "Occurrence A of Procedure, Performed: Cataract Surgery"
-
Denominator Exceptions =
- None
Patient Characteristic Birthdate: birth date
Measurement Period
Occurrence A of Procedure, Performed: Cataract Surgery
Measurement Period
Initial Patient Population
Initial Patient Population
Procedure, Performed: Prior Pars Plana Vitrectomy
Occurrence A of Procedure, Performed: Cataract Surgery
Occurrence A of Diagnosis, Active: Acute and Subacute Iridocyclitis
Occurrence A of Procedure, Performed: Cataract Surgery
Occurrence A of Diagnosis, Active: Acute and Subacute Iridocyclitis
Occurrence A of Procedure, Performed: Cataract Surgery
Occurrence A of Diagnosis, Active: Adhesions and Disruptions of Iris and Ciliary Body
Occurrence A of Procedure, Performed: Cataract Surgery
Occurrence A of Diagnosis, Active: Adhesions and Disruptions of Iris and Ciliary Body
Occurrence A of Procedure, Performed: Cataract Surgery
Occurrence A of Diagnosis, Active: Central Corneal Ulcer
Occurrence A of Procedure, Performed: Cataract Surgery
Occurrence A of Diagnosis, Active: Central Corneal Ulcer
Occurrence A of Procedure, Performed: Cataract Surgery
Occurrence A of Diagnosis, Active: Burn Confined to Eye and Adnexa
Occurrence A of Procedure, Performed: Cataract Surgery
Occurrence A of Diagnosis, Active: Burn Confined to Eye and Adnexa
Occurrence A of Procedure, Performed: Cataract Surgery
Occurrence A of Diagnosis, Active: Pseudoexfoliation Syndrome
Occurrence A of Procedure, Performed: Cataract Surgery
Occurrence A of Diagnosis, Active: Pseudoexfoliation Syndrome
Occurrence A of Procedure, Performed: Cataract Surgery
Occurrence A of Diagnosis, Active: Senile Cataract
Occurrence A of Procedure, Performed: Cataract Surgery
Occurrence A of Diagnosis, Active: Senile Cataract
Occurrence A of Procedure, Performed: Cataract Surgery
Occurrence A of Diagnosis, Active: Hypotony of Eye
Occurrence A of Procedure, Performed: Cataract Surgery
Occurrence A of Diagnosis, Active: Hypotony of Eye
Occurrence A of Procedure, Performed: Cataract Surgery
Occurrence A of Diagnosis, Active: Cataract Secondary to Ocular Disorders
Occurrence A of Procedure, Performed: Cataract Surgery
Occurrence A of Diagnosis, Active: Cataract Secondary to Ocular Disorders
Occurrence A of Procedure, Performed: Cataract Surgery
Occurrence A of Diagnosis, Active: High Hyperopia
Occurrence A of Procedure, Performed: Cataract Surgery
Occurrence A of Diagnosis, Active: High Hyperopia
Occurrence A of Procedure, Performed: Cataract Surgery
Occurrence A of Diagnosis, Active: Injury to Optic Nerve and Pathways
Occurrence A of Procedure, Performed: Cataract Surgery
Occurrence A of Diagnosis, Active: Injury to Optic Nerve and Pathways
Occurrence A of Procedure, Performed: Cataract Surgery
Occurrence A of Diagnosis, Active: Cataract, Congenital
Occurrence A of Procedure, Performed: Cataract Surgery
Occurrence A of Diagnosis, Active: Cataract, Congenital
Occurrence A of Procedure, Performed: Cataract Surgery
Occurrence A of Diagnosis, Active: Cysts of Iris, Ciliary Body, and Anterior Chamber
Occurrence A of Procedure, Performed: Cataract Surgery
Occurrence A of Diagnosis, Active: Cysts of Iris, Ciliary Body, and Anterior Chamber
Occurrence A of Procedure, Performed: Cataract Surgery
Occurrence A of Diagnosis, Active: Glaucoma
Occurrence A of Procedure, Performed: Cataract Surgery
Occurrence A of Diagnosis, Active: Glaucoma
Occurrence A of Procedure, Performed: Cataract Surgery
Occurrence A of Diagnosis, Active: Cataract, Mature or Hypermature
Occurrence A of Procedure, Performed: Cataract Surgery
Occurrence A of Diagnosis, Active: Cataract, Mature or Hypermature
Occurrence A of Procedure, Performed: Cataract Surgery
Occurrence A of Diagnosis, Active: Traumatic Cataract
Occurrence A of Procedure, Performed: Cataract Surgery
Occurrence A of Diagnosis, Active: Traumatic Cataract
Occurrence A of Procedure, Performed: Cataract Surgery
Occurrence A of Diagnosis, Active: Cataract, Posterior Polar
Occurrence A of Procedure, Performed: Cataract Surgery
Occurrence A of Diagnosis, Active: Cataract, Posterior Polar
Occurrence A of Procedure, Performed: Cataract Surgery
Occurrence A of Diagnosis, Active: Pathologic Myopia
Occurrence A of Procedure, Performed: Cataract Surgery
Occurrence A of Diagnosis, Active: Pathologic Myopia
Occurrence A of Procedure, Performed: Cataract Surgery
Occurrence A of Diagnosis, Active: Open Wound of Eyeball
Occurrence A of Procedure, Performed: Cataract Surgery
Occurrence A of Diagnosis, Active: Open Wound of Eyeball
Occurrence A of Procedure, Performed: Cataract Surgery
Occurrence A of Diagnosis, Active: Certain Types of Iridocyclitis
Occurrence A of Procedure, Performed: Cataract Surgery
Occurrence A of Diagnosis, Active: Certain Types of Iridocyclitis
Occurrence A of Procedure, Performed: Cataract Surgery
Occurrence A of Diagnosis, Active: Vascular Disorders of Iris and Ciliary Body
Occurrence A of Procedure, Performed: Cataract Surgery
Occurrence A of Diagnosis, Active: Vascular Disorders of Iris and Ciliary Body
Occurrence A of Procedure, Performed: Cataract Surgery
Occurrence A of Diagnosis, Active: Hereditary Corneal Dystrophies
Occurrence A of Procedure, Performed: Cataract Surgery
Occurrence A of Diagnosis, Active: Hereditary Corneal Dystrophies
Occurrence A of Procedure, Performed: Cataract Surgery
Occurrence A of Diagnosis, Active: Enophthalmos
Occurrence A of Procedure, Performed: Cataract Surgery
Occurrence A of Diagnosis, Active: Enophthalmos
Occurrence A of Procedure, Performed: Cataract Surgery
Occurrence A of Diagnosis, Active: Uveitis
Occurrence A of Procedure, Performed: Cataract Surgery
Occurrence A of Diagnosis, Active: Uveitis
Occurrence A of Procedure, Performed: Cataract Surgery
Occurrence A of Diagnosis, Active: Chronic Iridocyclitis
Occurrence A of Procedure, Performed: Cataract Surgery
Occurrence A of Diagnosis, Active: Chronic Iridocyclitis
Occurrence A of Procedure, Performed: Cataract Surgery
Occurrence A of Diagnosis, Active: Corneal Opacity and Other Disorders of Cornea
Occurrence A of Procedure, Performed: Cataract Surgery
Occurrence A of Diagnosis, Active: Corneal Opacity and Other Disorders of Cornea
Occurrence A of Procedure, Performed: Cataract Surgery
Occurrence A of Diagnosis, Active: Cloudy Cornea
Occurrence A of Procedure, Performed: Cataract Surgery
Occurrence A of Diagnosis, Active: Cloudy Cornea
Occurrence A of Procedure, Performed: Cataract Surgery
Occurrence A of Diagnosis, Active: Posterior Lenticonus
Occurrence A of Procedure, Performed: Cataract Surgery
Occurrence A of Diagnosis, Active: Posterior Lenticonus
Occurrence A of Procedure, Performed: Cataract Surgery
Occurrence A of Diagnosis, Active: Aphakia and Other Disorders of Lens
Occurrence A of Procedure, Performed: Cataract Surgery
Occurrence A of Diagnosis, Active: Aphakia and Other Disorders of Lens
Occurrence A of Procedure, Performed: Cataract Surgery
Occurrence A of Diagnosis, Active: Corneal Edema
Occurrence A of Procedure, Performed: Cataract Surgery
Occurrence A of Diagnosis, Active: Corneal Edema
Occurrence A of Procedure, Performed: Cataract Surgery
Occurrence A of Diagnosis, Active: Retrolental Fibroplasias
Occurrence A of Procedure, Performed: Cataract Surgery
Occurrence A of Diagnosis, Active: Retrolental Fibroplasias
Occurrence A of Procedure, Performed: Cataract Surgery
Occurrence A of Medication, Active: Use of Systemic Sympathetic alpha-1a Antagonist Medication for Treatment of Prostatic Hypertrophy
Occurrence A of Procedure, Performed: Cataract Surgery
Occurrence A of Medication, Active: Use of Systemic Sympathetic alpha-1a Antagonist Medication for Treatment of Prostatic Hypertrophy
Occurrence A of Procedure, Performed: Cataract Surgery
Occurrence A of Diagnosis, Active: Anomalies of Puillary Function
Occurrence A of Procedure, Performed: Cataract Surgery
Occurrence A of Diagnosis, Active: Anomalies of Puillary Function
Occurrence A of Procedure, Performed: Cataract Surgery
Denominator
Procedure, Performed: Removal Procedures
Procedure, Performed: Excision of Adhesions
Procedure, Performed: Aspiration and Injection Procedures
Procedure, Performed: Lens Procedure
Procedure, Performed: Vitreous Procedures
Procedure, Performed: Retinal Repair Procedures
Procedure, Performed: Scleral Procedures
Procedure, Performed: Revision Procedures
Occurrence A of Procedure, Performed: Cataract Surgery
Data criteria (QDM Data Elements)
-
"Diagnosis, Active: Acute and Subacute Iridocyclitis" using "Acute and Subacute Iridocyclitis Grouping Value Set (2.16.840.1.113883.3.526.3.1241)"
-
"Diagnosis, Active: Adhesions and Disruptions of Iris and Ciliary Body" using "Adhesions and Disruptions of Iris and Ciliary Body Grouping Value Set (2.16.840.1.113883.3.526.3.1405)"
-
"Diagnosis, Active: Anomalies of Puillary Function" using "Anomalies of Puillary Function Grouping Value Set (2.16.840.1.113883.3.526.3.1406)"
-
"Diagnosis, Active: Aphakia and Other Disorders of Lens" using "Aphakia and Other Disorders of Lens Grouping Value Set (2.16.840.1.113883.3.526.3.1407)"
-
"Diagnosis, Active: Burn Confined to Eye and Adnexa" using "Burn Confined to Eye and Adnexa Grouping Value Set (2.16.840.1.113883.3.526.3.1409)"
-
"Diagnosis, Active: Cataract Secondary to Ocular Disorders" using "Cataract Secondary to Ocular Disorders Grouping Value Set (2.16.840.1.113883.3.526.3.1410)"
-
"Diagnosis, Active: Cataract, Congenital" using "Cataract, Congenital Grouping Value Set (2.16.840.1.113883.3.526.3.1412)"
-
"Diagnosis, Active: Cataract, Mature or Hypermature" using "Cataract, Mature or Hypermature Grouping Value Set (2.16.840.1.113883.3.526.3.1413)"
-
"Diagnosis, Active: Cataract, Posterior Polar" using "Cataract, Posterior Polar Grouping Value Set (2.16.840.1.113883.3.526.3.1414)"
-
"Diagnosis, Active: Central Corneal Ulcer" using "Central Corneal Ulcer Grouping Value Set (2.16.840.1.113883.3.526.3.1428)"
-
"Diagnosis, Active: Certain Types of Iridocyclitis" using "Certain Types of Iridocyclitis Grouping Value Set (2.16.840.1.113883.3.526.3.1415)"
-
"Diagnosis, Active: Chronic Iridocyclitis" using "Chronic Iridocyclitis Grouping Value Set (2.16.840.1.113883.3.526.3.1416)"
-
"Diagnosis, Active: Cloudy Cornea" using "Cloudy Cornea Grouping Value Set (2.16.840.1.113883.3.526.3.1417)"
-
"Diagnosis, Active: Corneal Edema" using "Corneal Edema Grouping Value Set (2.16.840.1.113883.3.526.3.1418)"
-
"Diagnosis, Active: Corneal Opacity and Other Disorders of Cornea" using "Corneal Opacity and Other Disorders of Cornea Grouping Value Set (2.16.840.1.113883.3.526.3.1419)"
-
"Diagnosis, Active: Cysts of Iris, Ciliary Body, and Anterior Chamber" using "Cysts of Iris, Ciliary Body, and Anterior Chamber Grouping Value Set (2.16.840.1.113883.3.526.3.1420)"
-
"Diagnosis, Active: Enophthalmos" using "Enophthalmos Grouping Value Set (2.16.840.1.113883.3.526.3.1421)"
-
"Diagnosis, Active: Glaucoma" using "Glaucoma Grouping Value Set (2.16.840.1.113883.3.526.3.1423)"
-
"Diagnosis, Active: Hereditary Corneal Dystrophies" using "Hereditary Corneal Dystrophies Grouping Value Set (2.16.840.1.113883.3.526.3.1424)"
-
"Diagnosis, Active: High Hyperopia" using "High Hyperopia Grouping Value Set (2.16.840.1.113883.3.526.3.1425)"
-
"Diagnosis, Active: Hypotony of Eye" using "Hypotony of Eye Grouping Value Set (2.16.840.1.113883.3.526.3.1426)"
-
"Diagnosis, Active: Injury to Optic Nerve and Pathways" using "Injury to Optic Nerve and Pathways Grouping Value Set (2.16.840.1.113883.3.526.3.1427)"
-
"Diagnosis, Active: Open Wound of Eyeball" using "Open Wound of Eyeball Grouping Value Set (2.16.840.1.113883.3.526.3.1430)"
-
"Diagnosis, Active: Pathologic Myopia" using "Pathologic Myopia Grouping Value Set (2.16.840.1.113883.3.526.3.1432)"
-
"Diagnosis, Active: Posterior Lenticonus" using "Posterior Lenticonus Grouping Value Set (2.16.840.1.113883.3.526.3.1433)"
-
"Diagnosis, Active: Pseudoexfoliation Syndrome" using "Pseudoexfoliation Syndrome Grouping Value Set (2.16.840.1.113883.3.526.3.1435)"
-
"Diagnosis, Active: Retrolental Fibroplasias" using "Retrolental Fibroplasias Grouping Value Set (2.16.840.1.113883.3.526.3.1438)"
-
"Diagnosis, Active: Senile Cataract" using "Senile Cataract Grouping Value Set (2.16.840.1.113883.3.526.3.1441)"
-
"Diagnosis, Active: Traumatic Cataract" using "Traumatic Cataract Grouping Value Set (2.16.840.1.113883.3.526.3.1443)"
-
"Diagnosis, Active: Uveitis" using "Uveitis Grouping Value Set (2.16.840.1.113883.3.526.3.1444)"
-
"Diagnosis, Active: Vascular Disorders of Iris and Ciliary Body" using "Vascular Disorders of Iris and Ciliary Body Grouping Value Set (2.16.840.1.113883.3.526.3.1445)"
-
"Medication, Active: Use of Systemic Sympathetic alpha-1a Antagonist Medication for Treatment of Prostatic Hypertrophy" using "Use of Systemic Sympathetic alpha-1a Antagonist Medication for Treatment of Prostatic Hypertrophy Grouping Value Set (2.16.840.1.113883.3.526.3.1442)"
-
"Patient Characteristic Birthdate: birth date" using "birth date LOINC Value Set (2.16.840.1.113883.3.560.100.4)"
-
"Procedure, Performed: Aspiration and Injection Procedures" using "Aspiration and Injection Procedures Grouping Value Set (2.16.840.1.113883.3.526.3.1408)"
-
"Procedure, Performed: Cataract Surgery" using "Cataract Surgery Grouping Value Set (2.16.840.1.113883.3.526.3.1411)"
-
"Procedure, Performed: Excision of Adhesions" using "Excision of Adhesions Grouping Value Set (2.16.840.1.113883.3.526.3.1422)"
-
"Procedure, Performed: Lens Procedure" using "Lens Procedure Grouping Value Set (2.16.840.1.113883.3.526.3.1429)"
-
"Procedure, Performed: Prior Pars Plana Vitrectomy" using "Prior Pars Plana Vitrectomy Grouping Value Set (2.16.840.1.113883.3.526.3.1434)"
-
"Procedure, Performed: Removal Procedures" using "Removal Procedures Grouping Value Set (2.16.840.1.113883.3.526.3.1436)"
-
"Procedure, Performed: Retinal Repair Procedures" using "Retinal Repair Procedures Grouping Value Set (2.16.840.1.113883.3.526.3.1437)"
-
"Procedure, Performed: Revision Procedures" using "Revision Procedures Grouping Value Set (2.16.840.1.113883.3.526.3.1439)"
-
"Procedure, Performed: Scleral Procedures" using "Scleral Procedures Grouping Value Set (2.16.840.1.113883.3.526.3.1440)"
-
"Procedure, Performed: Vitreous Procedures" using "Vitreous Procedures Grouping Value Set (2.16.840.1.113883.3.526.3.1447)"
Acute and Subacute Iridocyclitis
Adhesions and Disruptions of Iris and Ciliary Body
Anomalies of Puillary Function
Aphakia and Other Disorders of Lens
Procedure, Performed: Aspiration and Injection Procedures
Patient Characteristic Birthdate: birth date
Burn Confined to Eye and Adnexa
Cataract Secondary to Ocular Disorders
Cataract Surgery
Cataract, Congenital
Cataract, Mature or Hypermature
Cataract, Posterior Polar
Central Corneal Ulcer
Certain Types of Iridocyclitis
Chronic Iridocyclitis
Cloudy Cornea
Corneal Edema
Corneal Opacity and Other Disorders of Cornea
Cysts of Iris, Ciliary Body, and Anterior Chamber
Enophthalmos
Procedure, Performed: Excision of Adhesions
Glaucoma
Hereditary Corneal Dystrophies
High Hyperopia
Hypotony of Eye
Injury to Optic Nerve and Pathways
Procedure, Performed: Lens Procedure
Open Wound of Eyeball
Pathologic Myopia
Posterior Lenticonus
Procedure, Performed: Prior Pars Plana Vitrectomy
Pseudoexfoliation Syndrome
Procedure, Performed: Removal Procedures
Procedure, Performed: Retinal Repair Procedures
Retrolental Fibroplasias
Procedure, Performed: Revision Procedures
Procedure, Performed: Scleral Procedures
Senile Cataract
Traumatic Cataract
Use of Systemic Sympathetic alpha-1a Antagonist Medication for Treatment of Prostatic Hypertrophy
Uveitis
Vascular Disorders of Iris and Ciliary Body
Procedure, Performed: Vitreous Procedures
Diagnosis, Active: Acute and Subacute Iridocyclitis
Diagnosis, Active: Adhesions and Disruptions of Iris and Ciliary Body
Diagnosis, Active: Anomalies of Puillary Function
Diagnosis, Active: Aphakia and Other Disorders of Lens
Diagnosis, Active: Burn Confined to Eye and Adnexa
Diagnosis, Active: Cataract Secondary to Ocular Disorders
Procedure, Performed: Cataract Surgery
Diagnosis, Active: Cataract, Congenital
Diagnosis, Active: Cataract, Mature or Hypermature
Diagnosis, Active: Cataract, Posterior Polar
Diagnosis, Active: Central Corneal Ulcer
Diagnosis, Active: Certain Types of Iridocyclitis
Diagnosis, Active: Chronic Iridocyclitis
Diagnosis, Active: Cloudy Cornea
Diagnosis, Active: Corneal Edema
Diagnosis, Active: Corneal Opacity and Other Disorders of Cornea
Diagnosis, Active: Cysts of Iris, Ciliary Body, and Anterior Chamber
Diagnosis, Active: Enophthalmos
Diagnosis, Active: Glaucoma
Diagnosis, Active: Hereditary Corneal Dystrophies
Diagnosis, Active: High Hyperopia
Diagnosis, Active: Hypotony of Eye
Diagnosis, Active: Injury to Optic Nerve and Pathways
Diagnosis, Active: Open Wound of Eyeball
Diagnosis, Active: Pathologic Myopia
Diagnosis, Active: Posterior Lenticonus
Diagnosis, Active: Pseudoexfoliation Syndrome
Diagnosis, Active: Retrolental Fibroplasias
Diagnosis, Active: Senile Cataract
Diagnosis, Active: Traumatic Cataract
Medication, Active: Use of Systemic Sympathetic alpha-1a Antagonist Medication for Treatment of Prostatic Hypertrophy
Diagnosis, Active: Uveitis
Diagnosis, Active: Vascular Disorders of Iris and Ciliary Body
Reporting Stratification
- None
Supplemental Data Elements
-
"Patient Characteristic Ethnicity: Ethnicity" using "Ethnicity CDCREC Value Set (2.16.840.1.114222.4.11.837)"
-
"Patient Characteristic Payer: Payer" using "Payer SOP Value Set (2.16.840.1.114222.4.11.3591)"
-
"Patient Characteristic Race: Race" using "Race CDCREC Value Set (2.16.840.1.114222.4.11.836)"
-
"Patient Characteristic Sex: ONC Administrative Sex" using "ONC Administrative Sex AdministrativeSex Value Set (2.16.840.1.113762.1.4.1)"
Patient Characteristic Ethnicity: Ethnicity
Patient Characteristic Sex: ONC Administrative Sex
Patient Characteristic Payer: Payer
Patient Characteristic Race: Race