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Cataract Surgery Audit at a Private Hospital in Saudi Arabia.

Alasbali T, Lofty NM, Al-Gehaban S, Alkuraya HS, Alsharif AM, Khandekar R - Middle East Afr J Ophthalmol (2015 Oct-Dec)

Bottom Line: Postoperative BCVA was classified as a "good outcome" (≥ 6/18) in 320 (80%) and a "poor outcome" (< 6/60) in 24 (6%) eyes.Two hundred and fifty-two (63%) eyes were emmetropic or intentionally myopic for distance.Astigmatism < 2 D was present in 264 (66%) eyes and astigmatism > 2 D was present in 33 (8%) eyes.

View Article: PubMed Central - PubMed

Affiliation: Department of Ophthalmology, Imam Mohammed bin Saud Islamic University College of Medicine, Riyadh, Saudi Arabia ; Department of Ophthalmology, Specialised Medical Hospital, Riyadh, Saudi Arabia.

ABSTRACT

Background: To assess the visual outcomes following cataract surgeries at a Private Eye Hospital in Riyadh, Saudi Arabia.

Methods: This was a cohort study of cataract surgeries performed from January to June 2014. Preoperative data were collected on patient demographics presenting and best corrected distance visual acuity (BCVA) and ocular comorbidity. Data were also collected on the type of surgery, type of intraocular lens (IOLs) implanted, and complications. BCVA and refractive status at 6-8 weeks postoperatively were noted. The predictors of vision ≥ 6/18 were identified.

Results: Four hundred eyes of 400 patients underwent cataract surgery. There were 235 (59%) males. Presenting preoperative vision was < 6/60 in 52 (13%) eyes. There were 395 (99%) eyes that underwent IOL implantation following phacoemulsification and 4 eyes received a sulcus fixated IOL. A single piece aspheric IOL was implanted in 358 (90%) eyes and a toric IOL was implanted in 31 (8%) eyes. Postoperative BCVA was classified as a "good outcome" (≥ 6/18) in 320 (80%) and a "poor outcome" (< 6/60) in 24 (6%) eyes. Young age (adjusted odds ratio (OR) = 0.97, P = 0.01), male (adjusted OR = 2.4, P = 0.002), and ocular co-morbidities (adjusted OR = 0.2, P < 0.001) were predictors of vision ≥ 6/18. Complications included a dropped nucleus and a posterior capsular tear in 2 eyes each. Two hundred and fifty-two (63%) eyes were emmetropic or intentionally myopic for distance. Astigmatism < 2 D was present in 264 (66%) eyes and astigmatism > 2 D was present in 33 (8%) eyes.

Conclusion: The recent trend of intentional overcorrection in one eye following modern cataract surgery in order to provide some functional near vision indicates that benchmark for success in getting "good visual outcomes" postoperatively (vision of ≥ 6/18) may need to be revised.

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Related in: MedlinePlus

Best corrected visual outcome 6–8 weeks following cataract surgery based on gender
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Figure 1: Best corrected visual outcome 6–8 weeks following cataract surgery based on gender

Mentions: The gender variation in visual outcome suggested that good visual outcome (≥6/18) in males was significantly greater than in females (relative risk [RR] =1.3 [1.1–1.7], P = 0.01) [Figure 1].


Cataract Surgery Audit at a Private Hospital in Saudi Arabia.

Alasbali T, Lofty NM, Al-Gehaban S, Alkuraya HS, Alsharif AM, Khandekar R - Middle East Afr J Ophthalmol (2015 Oct-Dec)

Best corrected visual outcome 6–8 weeks following cataract surgery based on gender
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4660540&req=5

Figure 1: Best corrected visual outcome 6–8 weeks following cataract surgery based on gender
Mentions: The gender variation in visual outcome suggested that good visual outcome (≥6/18) in males was significantly greater than in females (relative risk [RR] =1.3 [1.1–1.7], P = 0.01) [Figure 1].

Bottom Line: Postoperative BCVA was classified as a "good outcome" (≥ 6/18) in 320 (80%) and a "poor outcome" (< 6/60) in 24 (6%) eyes.Two hundred and fifty-two (63%) eyes were emmetropic or intentionally myopic for distance.Astigmatism < 2 D was present in 264 (66%) eyes and astigmatism > 2 D was present in 33 (8%) eyes.

View Article: PubMed Central - PubMed

Affiliation: Department of Ophthalmology, Imam Mohammed bin Saud Islamic University College of Medicine, Riyadh, Saudi Arabia ; Department of Ophthalmology, Specialised Medical Hospital, Riyadh, Saudi Arabia.

ABSTRACT

Background: To assess the visual outcomes following cataract surgeries at a Private Eye Hospital in Riyadh, Saudi Arabia.

Methods: This was a cohort study of cataract surgeries performed from January to June 2014. Preoperative data were collected on patient demographics presenting and best corrected distance visual acuity (BCVA) and ocular comorbidity. Data were also collected on the type of surgery, type of intraocular lens (IOLs) implanted, and complications. BCVA and refractive status at 6-8 weeks postoperatively were noted. The predictors of vision ≥ 6/18 were identified.

Results: Four hundred eyes of 400 patients underwent cataract surgery. There were 235 (59%) males. Presenting preoperative vision was < 6/60 in 52 (13%) eyes. There were 395 (99%) eyes that underwent IOL implantation following phacoemulsification and 4 eyes received a sulcus fixated IOL. A single piece aspheric IOL was implanted in 358 (90%) eyes and a toric IOL was implanted in 31 (8%) eyes. Postoperative BCVA was classified as a "good outcome" (≥ 6/18) in 320 (80%) and a "poor outcome" (< 6/60) in 24 (6%) eyes. Young age (adjusted odds ratio (OR) = 0.97, P = 0.01), male (adjusted OR = 2.4, P = 0.002), and ocular co-morbidities (adjusted OR = 0.2, P < 0.001) were predictors of vision ≥ 6/18. Complications included a dropped nucleus and a posterior capsular tear in 2 eyes each. Two hundred and fifty-two (63%) eyes were emmetropic or intentionally myopic for distance. Astigmatism < 2 D was present in 264 (66%) eyes and astigmatism > 2 D was present in 33 (8%) eyes.

Conclusion: The recent trend of intentional overcorrection in one eye following modern cataract surgery in order to provide some functional near vision indicates that benchmark for success in getting "good visual outcomes" postoperatively (vision of ≥ 6/18) may need to be revised.

Show MeSH
Related in: MedlinePlus