Losing your eyesight is a life-changing experience. When preparing for surgery to save your eyesight you need to make sure that you choose the best hospital known for the type of surgery you require and the surgeon is skilled and experienced to perform the surgery. However, there is only so much you can do and for the rest of the treatment/procedure, you will have to rely on the expertise of the surgeon hoping that they provide you with a reasonable standard of care aiming the expected result.
As far as eye surgeries, in general, are concerned, there is a high risk that if something goes wrong, blindness (or partial blindness) might be a possible result. While not in all cases it is possible to prevent blindness, depending on the illness and the degree of its advancement, there are cases where the negative consequences (and ultimately blindness) are caused by surgical negligence.
A recent newspaper article stated that 19 negligent eye treatments were performed at Mount Stuart Hospital in Torbay, Devon. This does not help to uphold our trust in medical services. It was reported that 19 patients undergoing cataract surgery were given an overdose of antibiotics directly into their eyes.
What is a cataract?
A cataract is a condition resulting in the clouding of the lens inside the eye leading to a decrease in vision and if not treated, ultimately blindness will occur. Cataract surgeries as perceived as relatively straightforward procedures. The surgery usually takes under an hour and is performed under local anaesthetic. After the surgery, you should be able to go home within a few hours. It is expected that you might have blurred vision for a few days after the surgery, but subsequently, your sight is to improve (as in comparison with the pre-operative sight).
The risk of serious complications of cataract surgery is very low. The risk of complications from this type of surgery depends on what pre-existing health conditions you suffer from. That will usually be discussed with your doctor before the cataract procedure.
However, there are some problems that might occur after the cataract surgery and these cannot be prevented i.e. re-occurrence of cloudy vision (so-called posterior capsule opacification ‘PCO’), inflammation, infection, swelling, retinal detachment. These complications can be treated with medication or subsequent further surgery.
Last, but not least, there is a relatively small risk (1 in 1,000) that after the surgery your eyesight might be worse and ultimately you may go blind. It is important therefore to discuss all the potential risks and disclose all of your medical history to the treating doctor before the surgery takes place.
At Mount Stuart Hospital, as a result of the direct contact of the antibiotic overdose with patients’ eyes, two patients are reportedly seriously harmed and four others show various symptoms. As a consequence of the number of mistakes made, three members of staff were suspended and are involved in a disciplinary process, and any subsequent cataract surgeries were suspended for a number of days. The most surprising is that the surgeries in question were being funded privately on behalf of the NHS, raising the expectation of services afforded to the paying patients. The hospital has offered their sincere apologies to the injured patients.
However, the cases of negligent cataract surgeries from Mount Stuart Hospital in Torbay are not the only cases out there. Another few cases of negligent cataract surgeries were reported at the Musgrove Park Hospital in Somerset. The surgeries in question were performed by a private provider, Vanguard Healthcare. It was reported by a lawyer acting on behalf of one of the injured patients that out of 62 patients who underwent cataract surgery at the Musgrove Park Hospital, half of the patients experienced various post-operative problems. The exact number is unknown however it was reported that as far as the current stance of the matter is concerned, only three injured patients reported complications.
One of the injured patients, a man of 84 years of age, as a result of the negligent cataract surgery lost his sight and requires a cornea transplant (an even more complicated surgery). While the investigations are ongoing, the hospital apologised to the patients arguing that the surgeries were being carried out by highly qualified and experienced surgeons and the reported problems related to technical issues.
While there are various potential complications associated with cataract surgery that cannot be prevented, adverse consequences caused by medical negligence are unacceptable and should be prevented at all costs by virtue of the potential high risk of blindness.