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Visual outcome of cataract surgery; Study from the European Registry of Quality Outcomes for Cataract and Refractive Surgery.

Lundström, Mats LU ; Barry, Peter; Henry, Ype; Rosen, Paul and Stenevi, Ulf (2013) In Journal of Cataract and Refractive Surgery 39(5). p.673-679
Abstract
PURPOSE: To analyze the visual outcome after cataract surgery. SETTING: Cataract surgery clinics in 15 European countries. DESIGN: Database study. METHODS: Data were drawn from case series of cataract extractions reported to the European Registry of Quality Outcomes for Cataract and Refractive Surgery database. These data were entered into the database via the Web by surgeons or by transfer from existing national registries or electronic medical record systems. The database contains individual anonymous data on preoperative, intraoperative, and postoperative measurements. RESULTS: Data on 368 256 cataract extractions were available for analysis. The best visual outcome was achieved in age groups 40 to 74 years, and men showed a higher... (More)
PURPOSE: To analyze the visual outcome after cataract surgery. SETTING: Cataract surgery clinics in 15 European countries. DESIGN: Database study. METHODS: Data were drawn from case series of cataract extractions reported to the European Registry of Quality Outcomes for Cataract and Refractive Surgery database. These data were entered into the database via the Web by surgeons or by transfer from existing national registries or electronic medical record systems. The database contains individual anonymous data on preoperative, intraoperative, and postoperative measurements. RESULTS: Data on 368 256 cataract extractions were available for analysis. The best visual outcome was achieved in age groups 40 to 74 years, and men showed a higher percentage of excellent vision (1.0 [20/20] or better) than women. A corrected distance visual acuity (CDVA) of 0.5 (20/40) or better and of 1.0 (20/20) or better was achieved in 94.3% and 61.3% of cases, respectively. Ocular comorbidity and postoperative complications were the strongest influences on the visual outcome; however, surgical complications and ocular changes requiring complex surgery also had a negative influence. Deterioration of visual acuity after the surgery (n= 6112 [1.7% of all cases]) was most common in patients with a good preoperative visual acuity. CONCLUSIONS: The visual outcomes of cataract surgery were excellent, with 61.3% of patients achieving a corrected distance visual acuity of 1.0 (20/20) or better. Age and sex influenced the visual outcomes, but the greatest influences were short-term postoperative complications, ocular comorbidity, surgical complications, and complex surgery. A weakness of the study could be that some of the data is self-reported to the registry. FINANCIAL DISCLOSURE: No author has a financial or proprietary interest in any material or method mentioned. (Less)
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type
Contribution to journal
publication status
published
subject
in
Journal of Cataract and Refractive Surgery
volume
39
issue
5
pages
673 - 679
publisher
Elsevier
external identifiers
  • wos:000318831800004
  • pmid:23499065
  • scopus:84876571673
ISSN
1873-4502
DOI
10.1016/j.jcrs.2012.11.026
language
English
LU publication?
yes
id
6966cc35-10b4-4fd9-a174-20fa1c2ffd19 (old id 3628113)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/23499065?dopt=Abstract
date added to LUP
2013-06-06 21:46:47
date last changed
2019-04-02 01:28:33
@article{6966cc35-10b4-4fd9-a174-20fa1c2ffd19,
  abstract     = {PURPOSE: To analyze the visual outcome after cataract surgery. SETTING: Cataract surgery clinics in 15 European countries. DESIGN: Database study. METHODS: Data were drawn from case series of cataract extractions reported to the European Registry of Quality Outcomes for Cataract and Refractive Surgery database. These data were entered into the database via the Web by surgeons or by transfer from existing national registries or electronic medical record systems. The database contains individual anonymous data on preoperative, intraoperative, and postoperative measurements. RESULTS: Data on 368 256 cataract extractions were available for analysis. The best visual outcome was achieved in age groups 40 to 74 years, and men showed a higher percentage of excellent vision (1.0 [20/20] or better) than women. A corrected distance visual acuity (CDVA) of 0.5 (20/40) or better and of 1.0 (20/20) or better was achieved in 94.3% and 61.3% of cases, respectively. Ocular comorbidity and postoperative complications were the strongest influences on the visual outcome; however, surgical complications and ocular changes requiring complex surgery also had a negative influence. Deterioration of visual acuity after the surgery (n= 6112 [1.7% of all cases]) was most common in patients with a good preoperative visual acuity. CONCLUSIONS: The visual outcomes of cataract surgery were excellent, with 61.3% of patients achieving a corrected distance visual acuity of 1.0 (20/20) or better. Age and sex influenced the visual outcomes, but the greatest influences were short-term postoperative complications, ocular comorbidity, surgical complications, and complex surgery. A weakness of the study could be that some of the data is self-reported to the registry. FINANCIAL DISCLOSURE: No author has a financial or proprietary interest in any material or method mentioned.},
  author       = {Lundström, Mats and Barry, Peter and Henry, Ype and Rosen, Paul and Stenevi, Ulf},
  issn         = {1873-4502},
  language     = {eng},
  number       = {5},
  pages        = {673--679},
  publisher    = {Elsevier},
  series       = {Journal of Cataract and Refractive Surgery},
  title        = {Visual outcome of cataract surgery; Study from the European Registry of Quality Outcomes for Cataract and Refractive Surgery.},
  url          = {http://dx.doi.org/10.1016/j.jcrs.2012.11.026},
  volume       = {39},
  year         = {2013},
}