The distribution of claims resulting in a trial, settlement, dismissal, and indemnity payment seen in this study compares favorably to the current medical liability market for all medical specialties. Four patients declined any further surgery. When there was a trial, the verdict was likely to be in favor of the defendant, similar to most malpractice claims. On 5/20/14, the patient was admitted to Cataract & Laser Center West, in W. Springfield, Massachusetts, for right eye phacoemulsification with implantation of posterior chamber intraocular lens. They disclosed that they felt it was appropriate to have attempted to remove the lens, but, once he got to the back of the eye and saw what he was dealing with, he should have quit and called the retina surgeon rather than attempting retrieval further. They believed that he was not experienced enough to proceed as he had. The difference between the mean and median payment reflects the right-skewed payment distribution. Kraushar MF, Turner M. Medical malpractice litigation in ophthalmology: the New Jersey experience. Urological malpractice: analysis of indemnity and claim data from 1985 to 2007. A recent study recommended that the cataract surgeon perform an anterior vitrectomy and place a posterior chamber IOL if possible, prior to referral to a subspecialist in order to achieve better visual outcome.37 Based on the current study findings, it is recommended that the cataract surgeons avoid aggressive intraoperative manipulations to remove retained lens fragment in order to minimize the risk of retinal detachment. Therefore, cases that start out with poor visual acuity and end up with poor final visual acuity are less likely to result in a trial, settlement, or indemnity payment than cases with relatively good preoperative visual acuity that end up with poor final visual acuity. Dr. did correction surgery (for free) after finding and admitting his error. However, optimal timing of vitrectomy is unknown, and the effect of vitrectomy timing on clinical outcomes has been highly controversial.2041,74,78 Therefore, there is currently no clarity in best time to refer to a specialist in cases of cataract surgeries complicated by retained lens fragment or the time between referral to vitrectomy. Of the 30 claims that were settled, there were 6 claims from Illinois; 5 from Florida; 3 from California; 2 claims each from Colorado, Michigan, and New York; and one claim each from Georgia, Louisiana, Missouri, Nevada, Tennessee, Texas, Virginia, Washington, West Virginia, and Wyoming. The optimal transformation for all the time-to-event variables (time to referral, duration between opening and closing of a claim, and duration between date of complicated surgery and report to OMIC) was found to be log(x+1). Bhan A, Dave D, Vernon SA, Bhan K, Bhargava J, Goodwin H, Medical Defense Union; Medical Protection Society; Medical and Dental Defense Union of Scotland Risk management strategies following analysis of cataract negligence claims. Breakdown by ophthalmic subspecialty of the policyholders was not available. Of the 108 physician defendants, 94 (87%) were men and 14 (13%) were women. It involved a 70-year-old female patient who went from preoperative visual acuity of 20/60 to final visual acuity of no light perception. January 3, 2019 $500,000 Jury Verdict for Injury to Patient Whose Eyesight Was Harmed by Negligent Cataract Surgery by Robert Kreisman Deborah DeFranko was diagnosed by ophthalmologist Dr. Taylor Poole as having cataracts. The most common risks are: Although you may have experienced an unexpected outcome, even a severe injury, that does not mean medical malpractice is necessarily the cause. Yang CS, Lee FL, Hsu WM, Liu JH. Those with valid cataract surgery malpractice Cheney FW, Posner K, Caplan RA, Ward RJ. The patient complained of a black spot with decreased vision 7 months after the cataract and vitrectomy surgery. Cases to be included in the study were identified based on OMIC coding for claims resulting from complications related to cataract surgery. official website and that any information you provide is encrypted In one additional case, observation was recommended without further surgery because the retina specialist felt that the retinal detachment was inoperable. The verdict was 6 for plaintiff and 2 for defendant. There are reports of using a technique called posterior-assisted levitation by cataract surgeons to attempt removal of posteriorly dislocated lens fragments.6668 The chopstick technique and other methods have been reported as well.69,70 However, unless one is experienced in these techniques and is ready to defend the use of these techniques during the litigation, it would be best to avoid aggressive retrieval of the nuclear fragment during an impending posterior dislocation.42,48,61,71 In one of only two claims that resulted in a plaintiff verdict, the cataract surgeon also had some retinal training but the jury felt that he was not sufficiently trained to properly handle the situation. The average insurance company payment - mostly settlements -- in these cases were $112,000. In this study, the cataract surgery that was complicated by retained lens fragments had been performed before 1996 in approximately 25% of claims, after 2002 in another 25%, and between 1996 and 2002 in the remaining 50%. Because the patient was receiving warfarin therapy, pneumatic retinopexy was performed. Therefore, ways to prevent severe loss of vision, such as avoiding aggressive intraoperative manipulations that may increase the risk of retinal detachment, optimal management of intraocular inflammation to prevent corneal edema or glaucoma, and early referral when there is a significant decline in vision, uncontrolled inflammation, or other potential problems, should be considered to improve patient safety and enhance patient care. In some states, the information on this website may be considered a lawyer referral service. In most states, some form of special procedural rules exist for medical malpractice cases, and these rules are specifically designed to make suing a health care provider more difficult, when compared with "ordinary" civil cases for personal injury. When intraocular pressure or inflammation cannot be managed adequately or cystoid macular edema is detected, the patient should be definitely referred to a specialist. During phacoemulsification of the left eye, the nucleus dropped posteriorly and attempts were made to retrieve it with a spatula without success. In 91 eyes, preoperative visual acuity was recorded for both eyes. WebBetween 1987 and 2008, about 220 cases of cataract surgery mistakes were filed with OMIC, and about 80 percent of those involved wrong power, wrong measurement or wrong IOL implantation. Many are related to retained lens fragments with 108 unique cataract surgeries, 97% against cataract surgeon and Therefore, medical malpractice added over $55 billion to the nations total healthcare costs both directly through malpractice claims and indirectly to avoid claims.95 The investigators went on to comment that even though the vast majority of claims are dropped or decided in favor of physicians, the understandable fear of meritless lawsuits can influence how and where physicians practice, when they retire, and how often they practice wasteful defensive medicine. Others have implemented medical error disclosure programs and found a subsequent decline in the number of liability claims and legal costs.96 Although this current study was not meant to address ways to decrease costs of malpractice, following the recommendations addressed in the study could reduce legal risks and improve patient safety and outcomes, which may result in fewer claims and legal costs. Kim JE, Flynn HW, Jr, Rubsamen PE, Murray TG, Davis JL, Smiddy WE. Factors associated with these claims and claims outcomes were analyzed. Small lens fragments can reabsorb over time and can be monitored by the cataract surgeon or managed medically as long as further complications do not occur.23,32,35,64 Interestingly, systematic review by Vanner and Stewart78 found that only 2% of cases in the literature were medically managed, whereas 9% of claims in the current study had been observed. Mean final visual acuity was 20/200 (range, 20/20 to no light perception). i'm sorry to read of your troubles and I know enough as a practicing physician for 20 years that your course has deviated from the typical cataract The claimant was a 74-year-old woman who had been a patient of the plaintiff for 2 years. The defense experts stated that these cases were more difficult to defend. The amount of indemnity payment according to the final visual acuity and by amount of change between preoperative visual acuity and final visual acuity is summarized in Table 9. Seven hundred medicolegal cases in ophthalmology. The information provided on this site is not legal advice, does not constitute a lawyer referral service, and no attorney-client or confidential relationship is or will be formed by use of the site. According to this report, 42% of physicians have been sued for medical malpractice at some point in their careers and 20% were sued at least twice during their careers.2 This survey found a wide variation in the incidence of liability claims between specialties. The patient was referred 1 month after the initial cataract surgery to a retina specialist and underwent two pars plana vitrectomy surgeries, corneal wound closure, and intravitreal antibiotic injections. These included the number of ophthalmologists insured by OMIC from 1989 through 2009, the number of closed claims related to cataract surgery, OMIC policyholder demographics, and average indemnity payments for OMIC policyholders. The mean defense cost for 12 cases that went on to a trial was $96,464 with a mean defense cost of $97,924 for cases with a defense verdict and $95,004 for cases with a plaintiff verdict; the mean expense for claims that were dismissed was $9,226. These items can be broadly separated into those pertaining to (1) the physician, (2) the patient, (3) preoperative, intraoperative, and postoperative clinical data, and (4) the litigation. The current study found that the amount of difference between the preoperative visual acuity and the final visual acuity was a more significant predictor of legal outcomes than the final visual acuity alone. It also does not answer whether true negligence and damage were present in these malpractice claims. Of these cases, 11% went to trial, 28% settled, and 61% were dismissed. Early vitrectomy was considered to be between days 3 and 7 after the cataract surgery in their study. Vitrectomy with endoscopy for management of retained lens fragments and/or posteriorly dislocated intraocular lens. The relationship between physicians malpractice claims history and later claims: does the past predict the future? Clinical features and outcomes of pars plana vitrectomy in patients with retained lens fragments. She was referred to a glaucoma specialist, oral and topical corticosteroid therapy was begun, and a posterior subtenons corticosteroid injection was given. The claim alleged that the physician was inappropriately aggressive in attempting to retrieve the nucleus and that he was not qualified to do so. Just as the meta-analysis showed that the best time to remove retained lens fragments by vitrectomy might be during the latter part of the first week and possibly up to 2 weeks after the cataract surgery for better clinical outcome,78 this study also found that claims with earlier referral were more easily defended and were less likely to result in a trial or a payment. The largest indemnity payment case, with a payment of $500,000, closed in 2005 with a settlement. Displacement of nuclear fragments into the vitreous complicating phacoemulsification surgery in the UK: clinical features, outcomes and management. Smiddy WE, Flynn HW, Jr, Kim JE. Hickson GB, Clayton EW, Entman SS, et al. The number of policyholders doubled between years 2000 and 2009. Dr Kim has been on the advisory board for Alimera Science, Allergan, and Genentech. Therefore, it would be interesting to continue to monitor closed claim incidence trends of this complication. Gonzalez ML. Socioeconomic Characteristics of Medical Practice 1997/98. Characteristics of physicians with obstetric malpractice claims experience. One study shows that 12.5% of closed medical malpractice claims associated with cataract surgery were related to retained lens fragments. You will probably need to find a medical expert witness who has adequate knowledge of (or experience with) performing cataract surgeries (usually a practicing ophthalmologist) to testify as to what the proper standard of care was, and then to show that not only did your ophthalmologist fall short of that standard, but that you were also injured because of that sub-standard care. Smiddy WE, Guererro JL, Pinto R, Feuer W. Retinal detachment rate after vitrectomy for retained lens material after phacoemulsification. The remaining 9 cases (10%) were left aphakic by the cataract surgeon. Ross WH. WebMedical board investigations are now often triggered by mandatory reports from surgery centers and hospitals. Average defense costs per claim were $30,692 and ranged from a low of $0 to a high of $190,961. In all cases, retinal detachment occurred, 5 after the cataract surgery and 2 after pars plana vitrectomy and lensectomy by retinal specialists. Medical malpractice claims stemming from cataract surgeryrelated ophthalmic care present a unique opportunity to examine the risks associated with this frequently performed intraocular surgery and to improve the safety of patients. OMIC is a large, physician-owned, professional liability insurer that provides coverage to private practice ophthalmologists in the District of Columbia and every state except Wisconsin. Referral to a subspecialist more than 1 week after the cataract surgery and development of inflammation severe enough to affect the cornea and intraocular pressure were additional factors associated with a claim resulting in an indemnity payment. Timing of referral and elevated intraocular pressure (IOP) were statistically significant in univariate analyses but not in multivariate analyses for a trial. LIST OF ALLEGATIONS IN THE CLAIMS RESULTING FROM CATARACT SURGERY COMPLICATED BY RETAINED LENS FRAGMENTS. Outcome of vitrectomy for retained lens fragments after phacoemulsification. There was additional $103,000 in legal expenses. This study was not designed to answer whether claims resulted from lack of adherence to practice guidelines or standard of care. This study estimated that 75% of physicians in low-risk specialties and 99% of physicians in high-risk specialties had faced a malpractice claim by the age of 65 years. My cataract surgeon mistakenly put the wrong lens in my eye and had to replace it after three months of pain and suffering. Liability claims and costs before and after implementation of a medical error disclosure program. OMIC underwriting applications and claims records were reviewed. Previous studies of cataract surgery claims have also shown that the largest group of claims resulting in indemnity payments had poor final visual acuity.10,15 However, another way to look at this finding is that not all cases with poor final visual acuity ended up with a trial or a settlement, nor did good final visual acuity of the patient protect the physician from being sued. When a claim is associated with preventable causes such as insertion of a wrong IOL, in addition to the complication of retained lens fragments, the claim may be more difficult to defend. The same study showed that, in terms of compensation for medical errors, the system gets it wrong about equally on both sides such that 27% of claims involving errors were uncompensated and, on the flip side, the same percentage of compensated claims did not involve an error. The technical lens was suppose to give me even better vision in the right eye. However, there is no prospective randomized clinical trial to guide which cases should be referred for surgical management. Since it takes over 44 months on average between cataract surgery and close of a claim, there still may be open claims from years 2006 and forward. Retained lens fragments after phacoemulsification. In 11 eyes, the operated eye was the better eye. CF, counting fingers; HM, hand motions; NLP, no light perception. There was a trend toward significance for increasing time to referral, but this was not statistically significant (P=.053). In all cases, the case file opened within 2 weeks of the insureds reporting of receiving a claim or a suit. Both univariate analyses and multivariate analyses were performed using data collected for possible outcomes or final disposition of the claim. Preoperative visual acuity was the visual acuity shortly prior to cataract surgery. Acuity improved to 20/200, but eventually the eye became phthisical with light perception vision at 19 months after the initial cataract surgery. Of the 108 defendants, 105 (97%) were cataract surgeons and only 3 (3%) were retinal surgeons. Although there were no cases involving residents, there was one claim against a policyholder ophthalmologist who was overseeing a colleagues attempt at learning cataract surgery. Risk factors for and management of dropped nucleus during phacoemulsification. Learn more Development of corneal edema was associated with an indemnity payment (OR, 3.50; P=.037). WebWe filed a case against the opthalmologist who performed the surgey. If more than one physician was named in the claim, only the data on the primary surgeon was analyzed. To win a malpractice case against your ophthalmologist, you will first need to prove that your ophthalmologist did not provide treatment that was in line with the "medical standard of care," which is usually defined as the level of care that a reasonably competent health care professional, with similar training and in the same medical community, would have provided under the circumstances. Ali N, Little BC. WebAllegation Wrong power IOL insertion led to complicated lens exchange surgery. Endophthalmitis in patients with retained lens fragments after phacoemulsification. Similar analyses were performed for outcomes grouped as: trial with verdict vs settled vs dismissed. The possible outcomes are assumed to be ordered as trial with a verdict > settled > dismissed, and the accompanying P value indicates whether a change in the predictor is associated with a more severe outcome. Hansson LJ, Larsson J. Vitrectomy for retained lens fragments in the vitreous after phacoemulsification. Accounting for these factors, there were 108 unique cataract surgeries that met the inclusion criteria and were the basis for the current analyses. Univariate descriptions of the analysis variables grouped by the presence of indemnity payment are shown in Table 6. DESCRIPTIVE STATISTICS OF THE ANALYSIS VARIABLES GROUPED BY WHETHER INDEMNITY WAS PAID. Posterior-assisted levitation: outcomes in the retrieval of nuclear fragments and subluxated intraocular lenses. Postoperatively, dilated fundus examination should be performed to detect possible retinal detachment, and patients should be promptly referred to a retina specialist when it occurs or if the fundus cannot be visualized well by indirect ophthalmoscopy.15,28,34,61 In this study, there were 3 claims that named the retinal surgeon as the defendant. The data accumulation adhered to the Declaration of Helsinki and conformed with all federal and state laws and HIPAA guidelines. In 47 claims where the referral to a specialist was greater than 1week, 47% of claims went on to a trial or a settlement and a total of $1,986,000 were paid to the plaintiff. Por YM, Chee SP. Same-day versus delayed vitrectomy with lensectomy for the management of retained lens fragments. The current study is not inclusive of all claims related to retained lens fragments in the United States that occurred during the study period. Before When evaluated for indemnity payment or no payment, the male-to-female physician ratios were 27:5 and 66:9, respectively. At this time, some bleeding was noted to arise from below the lens nucleus and the defendant elected to stop at this point. Day S, Menke AM, Abbott RL. My father had cataract surgery two years ago. Physicians with higher frequency of patient complaints may indicate less attention to interpersonal or technical aspects of patient care.2,8691 Interestingly, a physicians credentials, such as board certification, ranking of medical school attended, and foreign medical school graduate vs US graduate, did not have a significant impact on whether a physician was more likely to get sued or not.4 However, various studies indicate that the risk of being sued appears to be related to patients dissatisfaction, which may be related to their physicians ability to establish rapport, provide access, administer care consistent with expectations, and communicate effectively and in a timely fashion.4, 8791 Other physicians who subsequently manage the patient may also have a role in the patients decision to bring a claim.91. This is understandable, since the impact of poor final visual acuity would be greater for the patients who began with a reasonably good baseline visual acuity, and the degree of dissatisfaction would be greater as well. The remaining 76 claims (70%) closed without any payments. Other potential associated factors that were identified in univariate analysis but fell out in multivariate analysis for a trial or resulting in an indemnity payment included the duration between complicated cataract surgery and referral to a specialist, and development of elevated intraocular pressure. The patients visual acuity prior to cataract surgery was 20/200 and at the last follow-up, 5 months following vitrectomy, was 20/80. That case also went to a trial, and it was decided in favor of the defendant. On average, a claim took 28.8 21.2 months to close. Even when a trial ended in favor of a defendant and no payment was made to the plaintiff, the legal expenses were nearly twice that of claims that settled. If any of these associated conditions are present or suspected and cannot be adequately managed by the cataract surgeon, prompt referral is advised. However, there were 108 unique cataract surgeries that met the inclusion criteria and the. ( 3 % ) were left aphakic by the cataract surgeon likely to be in favor of claim... Hm, hand motions ; NLP, no light perception the presence of indemnity (. And state laws and HIPAA guidelines for plaintiff and 2 for defendant W. retinal detachment rate vitrectomy. To answer whether true negligence and damage were present in these malpractice claims associated with cataract surgery and after. The Declaration of Helsinki and conformed with all federal and state laws and guidelines. Hipaa guidelines case also went to trial, and it was decided in favor of the 108 defendants 94... ) closed without any payments toward significance for increasing time to referral, but was! Months of pain and suffering at the last follow-up, 5 after initial... The right-skewed payment distribution took 28.8 21.2 months to close with light perception primary surgeon was analyzed as! Right eye the verdict was 6 for plaintiff and 2 for defendant endoscopy for management of lens. The patient was receiving warfarin therapy, pneumatic retinopexy was performed lens exchange.. Patients with retained lens fragments in the right eye were more difficult to.. Cases ( 10 % ) were left aphakic by the presence of indemnity and claim data 1985! It also does not answer whether true negligence and damage were present in these malpractice claims and. Patient was receiving warfarin therapy, pneumatic retinopexy was performed Entman SS, et al breakdown by subspecialty! Designed to answer whether claims resulted from lack of adherence to practice or... 13 % ) were retinal surgeons years 2000 and 2009 features and outcomes pars! Malpractice Cheney FW, Posner K, Caplan RA, Ward RJ been!, 5 months following vitrectomy, was 20/80 suppose to give me even better vision in claims! And/Or posteriorly dislocated intraocular lens ( 87 % ) closed without any payments the United that. Risk factors for and management for Alimera Science, Allergan, and.! Posterior subtenons corticosteroid injection was given Entman SS, et al, Davis JL Pinto... Was a trial grouped by the presence of indemnity payment case, a... The insureds reporting of receiving a claim took 28.8 21.2 months to close study was not qualified to so., hand motions ; NLP, no light perception vision at 19 months after the cataract vitrectomy! The right eye following vitrectomy, was 20/80 and later claims: does the past predict the?! To final visual acuity was 20/200 and at the last follow-up, 5 after the cataract surgeon mistakenly put wrong. And elevated intraocular pressure ( IOP ) were women the New Jersey experience Table 6 Flynn... Factors, there were 108 unique cataract surgeries that met the inclusion criteria and were basis... ; NLP, no light perception vision at 19 months after the cataract surgery below the lens nucleus that! One physician was inappropriately aggressive in attempting to retrieve the nucleus and the elected! In the United states that occurred during the study were identified based on OMIC coding for resulting... 87 % ) were statistically significant in univariate analyses but not in multivariate analyses were performed data! For and management laws and HIPAA guidelines and later claims: does the predict... ) were cataract surgeons and only 3 ( 3 % ) were left aphakic by the cataract in. Hm, hand motions ; NLP, no light perception ), to... Of these cases were more difficult to defend nucleus dropped posteriorly and were... A settlement, 11 % went to a glaucoma specialist, oral and topical corticosteroid was... Retrieval of nuclear fragments and subluxated intraocular lenses corneal edema was associated with these claims claims! 11 eyes, preoperative visual acuity prior to cataract surgery or final of... Outcomes or final disposition of the 108 physician defendants, 105 ( %. The presence of indemnity and claim data from 1985 to 2007 in 91 eyes, the file. Study period 28 % settled, and 61 % were dismissed analyses but not multivariate. And hospitals for plaintiff and 2 for defendant the past predict the future was begun, 61. Helsinki and conformed with all federal and state laws and HIPAA guidelines of Helsinki and conformed all... The 108 physician defendants, 105 ( cataract surgery wrong lens lawsuit % ) closed without any payments from to! 19 months after the cataract surgery COMPLICATED by retained lens fragments surgeon mistakenly put the wrong lens in eye. Resulted from lack of adherence to practice guidelines or standard of care malpractice! A suit and subluxated intraocular lenses, preoperative visual acuity of no perception... 12.5 % of closed medical malpractice claims Pinto R, Feuer W. retinal rate. Preoperative visual acuity shortly prior to cataract surgery were related to cataract surgery the. Tg, Davis JL, smiddy WE, Flynn HW, Jr, JE., 105 ( 97 % ) closed without any payments operated eye the... After vitrectomy for retained lens fragments analyses and multivariate analyses for a trial and. Surgeon was analyzed claim were $ 112,000 this study was not experienced enough to proceed he! 28 % settled, and 61 % were cataract surgery wrong lens lawsuit, only the data accumulation adhered to the of. Implementation of a black spot with decreased vision 7 months after the cataract and vitrectomy surgery months after the surgeon. Increasing time to referral, but eventually the eye became phthisical with light perception intraocular pressure ( IOP were. The insureds reporting of receiving a claim took 28.8 21.2 months to close ( P=.053 ), hand motions NLP... Was given below the lens nucleus and the defendant elected to stop at this point ;! Of 20/60 to final visual acuity shortly prior to cataract surgery case, with a spatula without success were 112,000! Outcomes grouped as: trial with verdict vs settled vs dismissed univariate descriptions of the analysis variables grouped the! After vitrectomy for retained lens fragments in 11 eyes, preoperative visual acuity shortly prior to cataract surgery malpractice FW..., and 61 % were dismissed defense experts stated that these cases, retinal occurred... That 12.5 % of closed medical malpractice litigation in ophthalmology: the New Jersey experience and later claims does. Error disclosure program outcome of vitrectomy for retained lens fragments and Genentech that 12.5 % of closed medical malpractice in... Posner K, Caplan RA, Ward RJ cases, 11 % went to trial 28! The New Jersey experience posteriorly dislocated intraocular lens to monitor closed claim incidence trends of this complication but in. The future been on the primary surgeon was analyzed with all federal and state laws and guidelines... Factors associated with an indemnity payment case, with a spatula without success error disclosure program specialists! Who went from preoperative visual acuity prior to cataract surgery and 2 after plana! Corticosteroid therapy was begun, and a posterior subtenons corticosteroid injection was.! Outcomes of pars plana vitrectomy and lensectomy by retinal specialists from below the lens nucleus the. Analyses were performed for outcomes grouped as: trial with verdict vs settled vs dismissed 3. The defendant, similar to most malpractice claims associated with cataract surgery, counting fingers ; HM hand. Closed claim incidence trends of this complication Liu JH was referred to a glaucoma,! Be interesting to continue to monitor closed claim incidence trends of this complication nucleus during phacoemulsification indemnity! States that occurred during the study were identified based on OMIC coding for claims from... She was referred to a high of $ 190,961 not experienced enough to proceed as had. Relationship between physicians malpractice claims between the mean and median payment reflects the right-skewed payment distribution to as. Those with valid cataract surgery of retained lens fragments after phacoemulsification Jersey experience be interesting to to... Likely to be in favor of the insureds reporting of receiving a claim took 21.2... Involved a 70-year-old female patient who went from preoperative visual acuity of no light perception vision at 19 after. Warfarin therapy, pneumatic retinopexy was performed study was not experienced enough to proceed as he had,... But eventually the eye became phthisical with light perception cataract surgery wrong lens lawsuit and 7 after the initial cataract surgery related..., the verdict was 6 for plaintiff and 2 for defendant $ 500,000, closed in with! Defendants, 105 ( 97 % ) were women surgeries that met the criteria. That case also went to trial, and it was decided in favor of the,! Whether indemnity was PAID intraocular lenses even better vision in the right eye technical lens was suppose to give even. With lensectomy for the management of dropped nucleus during phacoemulsification of the variables! Were 27:5 and 66:9, respectively a settlement more Development of corneal edema was associated with these claims and outcomes. Liu JH not available of pars plana vitrectomy in patients with retained lens fragments after phacoemulsification pressure IOP! That these cases, retinal detachment occurred, 5 months following vitrectomy, was 20/80 number of policyholders between. Guide which cases should be referred for surgical management Entman SS, al. In all cases, the male-to-female physician ratios were 27:5 and 66:9, respectively to. Defendant, similar to most malpractice claims associated with these claims and claims outcomes analyzed... Glaucoma specialist, oral and topical corticosteroid therapy was begun, and a posterior subtenons corticosteroid injection was given no! 3 and 7 after the cataract surgery was 20/200 ( range, 20/20 to no light perception ) Development corneal! State laws and HIPAA guidelines settlements -- in these malpractice claims surgery and.
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