737 Zero Percent Posterior Capsule Rupture (PCR) Incidence: Inaugural Year Analysis at a New NHS Cataract Hub

Aim The objective of this audit was to evaluate the incidence of posterior capsular rupture (PCR), a widely accepted safety measure of cataract surgery, within the inaugural year of operation at a novel high volume low complexity cataract unit known as the Centre of Eye Excellence, located within Nightingale Hospital under the Royal Devon University Healthcare NHS Foundation Trust. This specialised unit is led by a team of four senior cataract surgeons, comprising three consultants alongside a dedicated cornea fellow from the Royal Devon and Exeter Hospital. The consultants conduct a full-day surgical list on alternate weeks, while the cornea fellow performs a weekly full-day list. Method Retrospective data from the first 12 months of operation (1/9/22 to 1/9/23) of the four surgeons at the Nightingale Hospital was collected using the 'Blue-Book' theatre log and cross-checked against each surgeon’ personal complication audit with respect to posterior capsule rupture/vitreous loss/anterior vitrectomy. Patient information was documented in Excel and supplemented by patient notes. Results Between September ’22 and ’23 there were 1099 cataract operations performed at the Nightingale Unit. There were 0 cases of posterior capsule rupture/vitreous loss/anterior vitrectomy identified from the four surgeons. Conclusions The audit reveals no cases of PCR/vitreous loss/anterior vitrectomy at the Centre of Eye Excellence, Nightingale Hospital in its opening year. Nightingale's successful first year highlights high-quality cataract surgery for patients.