Outcomes Of Visual Acuity Before and After Cataract Surgery

Authors

  • Amena Fadhel Hassan Iraqi Ministry of Health, Baghdad Al-Rusafa Health Directorate, Ibn Al-Haitham Teaching Eye Hospital, Baghdad, Iraq.
  • Firas Nazar Tawfeeq Iraqi Ministry of Health, Baghdad Al-Rusafa Health Directorate, Ibn Al-Haitham Teaching Eye Hospital, Baghdad, Iraq
  • Lina Shakir Abdulameer Iraqi Ministry of Health, Baghdad Al-Rusafa Health Directorate, Ibn Al-Haitham Teaching Eye Hospital, Baghdad, Iraq

Keywords:

Cataract surgery, Cataracts, small incision, Quality of life scale, Complications

Abstract

Cataracts remain the leading cause of blindness in our country and globally. Cataract surgery has a high success rate in improving visual acuity. Objective: This study aimed to analysis and assess clinical findings of Visual acuity before and after surgery for patients who underwent Cataract surgery. Patients and methods: A cross-sectional study was conducted on 75 patients who participated in visual acuity assessments conducted in different hospitals in Iraq between 4 April 2022 and 19 August 2023. The study evaluated visual acuity before and after cataract surgery in patients aged between 50 and 70 years. Results: Our study found that males had a higher rate of cases with 60% than females with 40%, 45% of the patients developed by obesity; most comorbidity prevalence in the patients were posterior subcapsular opacity, which had 45 cases, operative time, min was 15-30 minutes per eye, postoperative days until follow-up was 22. 6 ± 8.42, cylindrical reading, dioptres were - 1.13 ± 0.94, spherical reading, dioptres were - 0.12 ± 3.68, no complications were 90.67%, while the most common complication in patients after surgery was posterior capsular tear and anterior capsular tear. In terms of visual acuity after surgery, Unaided was 0.24 ± 0.21, BCVA was 0.08 ± 0.19, Pinhole was 0.12 ± 0.14, and Best was 0.09 ± 0.14, Visual acuity variations include loss 6/9 < VA < 6/24 had 4 cases, 6/24 < VA < 6/60 had 2 cases, 6/60 < VA had only one case, while gain had 68 cases. Conclusion: The study revealed that following surgery, visual acuity exhibited a notable improvement in patients with lens opacity. This observation has prompted questions regarding the efficacy of a 20/60 level for acuity enhancement.

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References

Flaxman SR, Bourne RR, Resnikoff S, Ackland P, Braithwaite T, Cicinelli MV, et al. Global causes of blindness and distance vision impairment 1990–2020: a systematic review and meta-analysis. Lancet Glob Health. 2017;5 ((12)):e1221–e34. [PubMed] [Google Scholar]

Kelly SP, Astbury NJ. Patient safety in cataract surgery. Eye. 2006;20 ((3)):275.

Haripriya A, Sonawane H, Thulasiraj RD. Changing techniques in cataract surgery: how have patients benefited? Community Eye Health. 2017;30 ((100)):80. [PMC free article] [PubMed] [Google Scholar]

Kessel L, Haargaard B, Boberg-Ans GE, Henning VA. Time trends in indication for cataract surgery. Clin Exp Ophthalmol. 2011;2 [Google Scholar]

Falck A, Virtanen P, Tuulonen A. Is more always better in cataract surgery? Acta Ophthalmol. 2012;90 ((8)):e653. [PubMed] [Google Scholar]

Day A, Donachie P, Sparrow J, Johnston R. The Royal College of Ophthalmologists' national ophthalmology database study of cataract surgery: report 1, visual outcomes and complications. Eye. 2015;29 ((4)):552. [PMC free article] [PubMed] [Google Scholar]

Lundström M, Goh PP, Henry Y, Salowi MA, Barry P, Manning S, et al. The changing pattern of cataract surgery indications: a 5-year study of 2 cataract surgery databases. Ophthalmology. 2015;122 ((1)):31– [PubMed] [Google Scholar]

Yamaguchi T, Negishi K, Dogru M, Saiki M, Tsubota K. Improvement of functional visual acuity after cataract surgery in patients with good pre- and postoperative spectacle-corrected visual acuity. J Refract Surg. 2009 May;25 ((5)):410–5. [PubMed] [Google Scholar]

Zhu X, Ye H, He W, Yang J, Dai J, Lu Y. Objective functional visual outcomes of cataract surgery in patients with good preoperative visual acuity. Eye. 2017 Mar;31 ((3)):452–9. [PMC free article] [PubMed] [Google Scholar]

Vianya-Estopa M, Douthwaite WA, Funnell CL, Elliott DB. Clinician versus potential acuity test predictions of visual outcome after cataract surgery. Optometry. 2009;80 ((8)):447–53. [PubMed] [Google Scholar]

Skiadaresi E, McAlinden C, Pesudovs K, Polizzi S, Khadka J, Ravalico G. Subjective quality of vision before and after cataract surgery. Arch Ophthalmol. 2012;130 ((11)):1377–82. [PubMed] [Google Scholar]

Melki SA, Safar A, Martin J, Ivanova A, Adi M. Potential acuity pinhole: a simple method to measure potential visual acuity in patients with cataracts, comparison to potential acuity meter. Ophthalmology. 1999;106 ((7)):1262–7. [PubMed] [Google Scholar]

Uy HS, Munoz VM. Comparison of the potential acuity meter and pinhole tests in predicting postoperative visual acuity after cataract surgery. J Cataract Refract Surg. 2005;31 ((3)):548–52. [PubMed] [Google Scholar]

Schmidt D, Grzybowski A. Vincenz Fukala (1847–1911): versatile surgeon and early historian of ophthalmology. Surv Ophthalmol. 2011 Nov–Dec;56 ((6)):550–6. [PubMed] [Google Scholar]

Zhu X, Ye H, He W, Yang J, Dai J, Lu Y. Objective functional visual outcomes of cataract surgery in patients with good preoperative visual acuity. Eye. 2017;31 ((3)):452. [PMC free article] [PubMed] [Google Scholar]

de Vries NE, Webers CA, Touwslager WR, Bauer NJ, de Brabander J, Berendschot TT, et al. Dissatisfaction after implantation of multifocal intraocular lenses. J Cataract Refract Surg. 2011 May;37 ((5)):859–65. [PubMed] [Google Scholar]

Schallhorn SC, Schallhorn JM, Pelouskova M, Venter JA, Hettinger KA, Hannan SJ, et al. Refractive lens exchange in younger and older presbyopes: comparison of complication rates, three months clinical and patient-reported outcomes. Clin Ophthalmol. 2017;11:1569–81. [PMC free article] [PubMed] [Google Scholar]

Siganos DS, Pallikaris IG. Clear lensectomy and intraocular lens implantation for hyperopia from +7 to +14 diopters. J Refract Surg. 1998 Mar–Apr;14 ((2)):105–13. [PubMed] [Google Scholar]

Laube T, Brockmann C, Lehmann N, Bornfeld N. Pseudophakic retinal detachment in young-aged patients. PLoS One. 2017;12 ((8)):e0184187. [PMC free article] [PubMed] [Google Scholar]

Grimfors M, Lundström M, Höijer J, Kugelberg M. Intraoperative difficulties, complications and self-assessed visual function in cataract surgery. Acta Ophthalmol. 2018;96 ((6)):592–9. [PubMed] [Google Scholar]

Schallhorn JM, Schallhorn SC, Teenan D, Hannan SJ, Pelouskova M, Venter JA. Incidence of intraoperative and early postoperative adverse events in a large cohort of consecutive refractive lens exchange procedures. Am J Ophthalmol. 2019 Sep 4;208:406–414. [PubMed] [Google Scholar]

Chang JS, Ng JC, Lau SY. Visual outcomes and patient satisfaction after presbyopic lens exchange with a diffractive multifocal intraocular lens. J Refract Surg. 2012 Jul;28 ((7)):468–74. [PubMed] [Google Scholar]

Amesbury EC, Grossberg AL, Hong DM, Miller KM. Functional visual outcomes of cataract surgery in patients with 20/20 or better preoperative visual acuity. J Cataract Refract Surg. 2009;35 ((9)):1505–8. [PubMed] [Google Scholar]

Kessel L, Andresen J, Erngaard D, Flesner P, Tendal B, Hjortdal J. Indication for cataract surgery. Do we have evidence of who will benefit from surgery? A systematic review and meta-analysis. Acta Ophthalmol. 2016;94 ((1)):10–20. [PMC free article] [PubMed] [Google Scholar]

Cavallotti C, Cerulli L. Age-related changes of the human eye. Springer Science & Business Media; 2008. [Google Scholar]

Ionides A, Minassian D, Tuft S. Visual outcome following posterior capsule rupture during cataract surgery. Br J Ophthalmol. 2001;85 ((2)):222–4. [PMC free article] [PubMed] [Google Scholar]

Gulkilik G, Kocabora S, Taskapili M, Engin G. Cystoid macular edema after phacoemulsification: risk factors and effect on visual acuity. Can J Ophthalmol. 2006;41 ((6)):699–703. [PubMed] [Google Scholar]

Lundström M, Pesudovs K. Catquest-9SF patient outcomes questionnaire: nine-item short-form Rasch-scaled revision of the Catquest questionnaire. J Cataract Refract Surg. 2009;35 ((3)):504–13. [PubMed] [Google Scholar

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Published

2024-06-10

How to Cite

Hassan, A. F., Tawfeeq, F. N., & Abdulameer, L. S. (2024). Outcomes Of Visual Acuity Before and After Cataract Surgery. INTERNATIONAL JOURNAL OF HEALTH SYSTEMS AND MEDICAL SCIENCES, 3(3), 181–191. Retrieved from https://inter-publishing.com/index.php/IJHSMS/article/view/3562

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