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Improving patient-assessed outcomes after cataract surgery

Samadi, Behrad; Lundström, Mats LU and Kugelberg, Maria (2017) In European Journal of Ophthalmology 27(4). p.454-459
Abstract

Purpose: To identify and evaluate possible causes of poor patient-reported visual function after cataract surgery. Methods: We obtained retrospective data from the Swedish National Cataract Register on patient self-assessed visual function before and after cataract surgery based on the Catquest-9SF questionnaire. We identified patients who self-reported similar or more difficulties postoperatively than preoperatively, and looked at possible causative variables such as sex, age, preoperative and postoperative corrected distance visual acuity (CDVA) and refractive errors, and ocular comorbidity. Results: Nearly 75% of the 119 patients identified had a better postoperative CDVA; the mean CDVA increased by over 0.2 logarithm of the minimum... (More)

Purpose: To identify and evaluate possible causes of poor patient-reported visual function after cataract surgery. Methods: We obtained retrospective data from the Swedish National Cataract Register on patient self-assessed visual function before and after cataract surgery based on the Catquest-9SF questionnaire. We identified patients who self-reported similar or more difficulties postoperatively than preoperatively, and looked at possible causative variables such as sex, age, preoperative and postoperative corrected distance visual acuity (CDVA) and refractive errors, and ocular comorbidity. Results: Nearly 75% of the 119 patients identified had a better postoperative CDVA; the mean CDVA increased by over 0.2 logarithm of the minimum angle of resolution visual acuity. Patients with low or high preoperative CDVA had poor self-assessed outcomes postoperatively. Younger patients (52-68 years) had a lower self-assessed outcome than more elderly patients. Surgical complications and poor near vision yielded lower outcomes. Anisometropia, ocular comorbidity, and sex did not significantly affect the outcome in this specific group. Conclusions: Patients content with their visual function despite the presence of a cataract should defer surgery. This may also include patients younger than 68 years with good visual function. Detailed information given to the patients about their ophthalmic condition, the surgical procedure and risks, and the eventual need for reading glasses postoperatively may result in higher self-assessed visual function outcomes among patients.

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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Cataract, Questionnaire, Self-assessment, Visual function
in
European Journal of Ophthalmology
volume
27
issue
4
pages
6 pages
publisher
Wichtig Editore
external identifiers
  • scopus:85024100303
  • wos:000408531000001
ISSN
1120-6721
DOI
10.5301/ejo.5000927
language
English
LU publication?
yes
id
4873fe96-cca2-4b75-a2cc-555ca84dc8ea
date added to LUP
2017-08-07 11:27:01
date last changed
2018-01-07 12:14:14
@article{4873fe96-cca2-4b75-a2cc-555ca84dc8ea,
  abstract     = {<p>Purpose: To identify and evaluate possible causes of poor patient-reported visual function after cataract surgery. Methods: We obtained retrospective data from the Swedish National Cataract Register on patient self-assessed visual function before and after cataract surgery based on the Catquest-9SF questionnaire. We identified patients who self-reported similar or more difficulties postoperatively than preoperatively, and looked at possible causative variables such as sex, age, preoperative and postoperative corrected distance visual acuity (CDVA) and refractive errors, and ocular comorbidity. Results: Nearly 75% of the 119 patients identified had a better postoperative CDVA; the mean CDVA increased by over 0.2 logarithm of the minimum angle of resolution visual acuity. Patients with low or high preoperative CDVA had poor self-assessed outcomes postoperatively. Younger patients (52-68 years) had a lower self-assessed outcome than more elderly patients. Surgical complications and poor near vision yielded lower outcomes. Anisometropia, ocular comorbidity, and sex did not significantly affect the outcome in this specific group. Conclusions: Patients content with their visual function despite the presence of a cataract should defer surgery. This may also include patients younger than 68 years with good visual function. Detailed information given to the patients about their ophthalmic condition, the surgical procedure and risks, and the eventual need for reading glasses postoperatively may result in higher self-assessed visual function outcomes among patients.</p>},
  author       = {Samadi, Behrad and Lundström, Mats and Kugelberg, Maria},
  issn         = {1120-6721},
  keyword      = {Cataract,Questionnaire,Self-assessment,Visual function},
  language     = {eng},
  month        = {07},
  number       = {4},
  pages        = {454--459},
  publisher    = {Wichtig Editore},
  series       = {European Journal of Ophthalmology},
  title        = {Improving patient-assessed outcomes after cataract surgery},
  url          = {http://dx.doi.org/10.5301/ejo.5000927},
  volume       = {27},
  year         = {2017},
}