Skip to main content

Lund University Publications

LUND UNIVERSITY LIBRARIES

Visual Acuity Prior to Cataract Surgery and Risk of Retinal Detachment - A Population-Based Study

Thylefors, Joakim LU orcid ; Jakobsson, Gunnar ; Zetterberg, Madeleine and Sheikh, Rafi LU orcid (2023) In Clinical Ophthalmology 17. p.1975-1980
Abstract

PURPOSE: To analyze preoperative visual acuity before cataract surgery regarding the risk of rhegmatogenous retinal detachment (RRD) after cataract surgery.

METHODS: The preoperative visual acuity in an observational cohort study of patients undergoing cataract surgery in Skåne, southern Sweden, during 2015-2017 was analyzed with data retrieved from the Swedish National Cataract Register. This was then cross-referenced with patients undergoing surgery for retinal detachment at the Skåne University Hospital in Lund from 2015 to 2020. The main outcome was the risk-benefit ratio of measuring preoperative visual acuity before cataract surgery and the risk of RRD.

RESULTS: The mean visual acuity in the whole study group... (More)

PURPOSE: To analyze preoperative visual acuity before cataract surgery regarding the risk of rhegmatogenous retinal detachment (RRD) after cataract surgery.

METHODS: The preoperative visual acuity in an observational cohort study of patients undergoing cataract surgery in Skåne, southern Sweden, during 2015-2017 was analyzed with data retrieved from the Swedish National Cataract Register. This was then cross-referenced with patients undergoing surgery for retinal detachment at the Skåne University Hospital in Lund from 2015 to 2020. The main outcome was the risk-benefit ratio of measuring preoperative visual acuity before cataract surgery and the risk of RRD.

RESULTS: The mean visual acuity in the whole study group (N=58,624), expressed as LogMAR, was 0.40 ± 0.32 (SD). In the group with RRD (n=298), the mean visual acuity was 0.44 ± 0.36 (p=0.07). In the subgroups of RRD, those aged <60 years 0.49 ± 0.44 (p=0.07), aged <60 years and axial length (AL) >25 mm 0.42 ± 0.38 (p=0.68), and in those aged <60 years, AL >25 mm and male sex 0.44 ± 0.39 (p=0.53). However, there is considerable variations in visual acuity of the various groups and in the high-risk group with RRD aged <60 years with AL>25 mm, 15% had a visual acuity of 0.8 or better in the operated eye.

CONCLUSION: There must be strong indications for performing cataract surgery in those with a high risk of retinal detachment, and the patient must be given adequate information on the risk of retinal detachment.

(Less)
Please use this url to cite or link to this publication:
author
; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Clinical Ophthalmology
volume
17
pages
1975 - 1980
publisher
Dove Medical Press Ltd.
external identifiers
  • scopus:85165280795
  • pmid:37465271
ISSN
1177-5467
DOI
10.2147/OPTH.S410585
language
English
LU publication?
yes
additional info
© 2023 Thylefors et al.
id
ba6fce8d-ed4d-439b-8d5e-7e6570b78155
date added to LUP
2023-07-22 10:50:12
date last changed
2024-04-19 23:55:28
@article{ba6fce8d-ed4d-439b-8d5e-7e6570b78155,
  abstract     = {{<p>PURPOSE: To analyze preoperative visual acuity before cataract surgery regarding the risk of rhegmatogenous retinal detachment (RRD) after cataract surgery.</p><p>METHODS: The preoperative visual acuity in an observational cohort study of patients undergoing cataract surgery in Skåne, southern Sweden, during 2015-2017 was analyzed with data retrieved from the Swedish National Cataract Register. This was then cross-referenced with patients undergoing surgery for retinal detachment at the Skåne University Hospital in Lund from 2015 to 2020. The main outcome was the risk-benefit ratio of measuring preoperative visual acuity before cataract surgery and the risk of RRD.</p><p>RESULTS: The mean visual acuity in the whole study group (N=58,624), expressed as LogMAR, was 0.40 ± 0.32 (SD). In the group with RRD (n=298), the mean visual acuity was 0.44 ± 0.36 (p=0.07). In the subgroups of RRD, those aged &lt;60 years 0.49 ± 0.44 (p=0.07), aged &lt;60 years and axial length (AL) &gt;25 mm 0.42 ± 0.38 (p=0.68), and in those aged &lt;60 years, AL &gt;25 mm and male sex 0.44 ± 0.39 (p=0.53). However, there is considerable variations in visual acuity of the various groups and in the high-risk group with RRD aged &lt;60 years with AL&gt;25 mm, 15% had a visual acuity of 0.8 or better in the operated eye.</p><p>CONCLUSION: There must be strong indications for performing cataract surgery in those with a high risk of retinal detachment, and the patient must be given adequate information on the risk of retinal detachment.</p>}},
  author       = {{Thylefors, Joakim and Jakobsson, Gunnar and Zetterberg, Madeleine and Sheikh, Rafi}},
  issn         = {{1177-5467}},
  language     = {{eng}},
  pages        = {{1975--1980}},
  publisher    = {{Dove Medical Press Ltd.}},
  series       = {{Clinical Ophthalmology}},
  title        = {{Visual Acuity Prior to Cataract Surgery and Risk of Retinal Detachment - A Population-Based Study}},
  url          = {{http://dx.doi.org/10.2147/OPTH.S410585}},
  doi          = {{10.2147/OPTH.S410585}},
  volume       = {{17}},
  year         = {{2023}},
}