Visual Acuity Prior to Cataract Surgery and Risk of Retinal Detachment - A Population-Based Study
(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)
- author
- Thylefors, Joakim LU ; Jakobsson, Gunnar ; Zetterberg, Madeleine and Sheikh, Rafi LU
- organization
- publishing date
- 2023
- 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 <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.</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}}, }