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Long-term visual outcome after cataract surgery: comparison of healthy eyes and eyes with age-related macular degeneration.
J Cataract Refract Surg. 2012 Mar; 38(3):409-14.JC

Abstract

PURPOSE

To compare the long-term longitudinal visual acuity outcomes after cataract surgery in eyes with age-related macular degeneration (AMD) at surgery and eyes without comorbidity.

SETTING

University-based eye clinic.

DESIGN

Longitudinal cohort study.

METHODS

Patients having cataract surgery were evaluated over 1 year. A clinical eye examination and corrected distance visual acuity (CDVA) measurement were performed preoperatively and postoperatively as well as 5 and 10 years postoperatively for eligible patients. The patients were divided into functional groups depending on postoperative signs of macular degeneration and postoperative CDVA.

RESULTS

The study evaluated 810 patients. The rate of CDVA decline with age was faster in AMD patients than in patients without comorbidity. The slope of the visual acuity decline was similar in the 2 subgroups with AMD (almost normal CDVA and reduced CDVA postoperatively). After adjustment for age, there was a mean loss of 2.3 logMAR letters in patients with no comorbidity and 6.4 letters in patients with AMD at surgery for each decade of increasing age. More than 75% of AMD patients had better CDVA 10 years after surgery than before surgery.

CONCLUSIONS

Patients with signs of AMD at cataract surgery had a longitudinally worse visual outcome than patients without clinical signs of AMD. However, there is no reason to discourage patients with concurrent visually significant cataract and AMD from having surgery because most AMD patients had better CDVA 10 years after surgery than before surgery.

FINANCIAL DISCLOSURE

Neither author has a financial or proprietary interest in any material or method mentioned.

Authors+Show Affiliations

Department of Clinical Sciences/Ophthalmology, Faculty of Medicine, Norrlands University Hospital, Umeå University, Umeå, Sweden. eva.monestam@vll.se.No affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

22245170

Citation

Mönestam, Eva, and Britta Lundqvist. "Long-term Visual Outcome After Cataract Surgery: Comparison of Healthy Eyes and Eyes With Age-related Macular Degeneration." Journal of Cataract and Refractive Surgery, vol. 38, no. 3, 2012, pp. 409-14.
Mönestam E, Lundqvist B. Long-term visual outcome after cataract surgery: comparison of healthy eyes and eyes with age-related macular degeneration. J Cataract Refract Surg. 2012;38(3):409-14.
Mönestam, E., & Lundqvist, B. (2012). Long-term visual outcome after cataract surgery: comparison of healthy eyes and eyes with age-related macular degeneration. Journal of Cataract and Refractive Surgery, 38(3), 409-14. https://doi.org/10.1016/j.jcrs.2011.09.041
Mönestam E, Lundqvist B. Long-term Visual Outcome After Cataract Surgery: Comparison of Healthy Eyes and Eyes With Age-related Macular Degeneration. J Cataract Refract Surg. 2012;38(3):409-14. PubMed PMID: 22245170.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Long-term visual outcome after cataract surgery: comparison of healthy eyes and eyes with age-related macular degeneration. AU - Mönestam,Eva, AU - Lundqvist,Britta, Y1 - 2012/01/15/ PY - 2011/06/16/received PY - 2011/09/08/revised PY - 2011/09/11/accepted PY - 2012/1/17/entrez PY - 2012/1/17/pubmed PY - 2012/5/4/medline SP - 409 EP - 14 JF - Journal of cataract and refractive surgery JO - J Cataract Refract Surg VL - 38 IS - 3 N2 - PURPOSE: To compare the long-term longitudinal visual acuity outcomes after cataract surgery in eyes with age-related macular degeneration (AMD) at surgery and eyes without comorbidity. SETTING: University-based eye clinic. DESIGN: Longitudinal cohort study. METHODS: Patients having cataract surgery were evaluated over 1 year. A clinical eye examination and corrected distance visual acuity (CDVA) measurement were performed preoperatively and postoperatively as well as 5 and 10 years postoperatively for eligible patients. The patients were divided into functional groups depending on postoperative signs of macular degeneration and postoperative CDVA. RESULTS: The study evaluated 810 patients. The rate of CDVA decline with age was faster in AMD patients than in patients without comorbidity. The slope of the visual acuity decline was similar in the 2 subgroups with AMD (almost normal CDVA and reduced CDVA postoperatively). After adjustment for age, there was a mean loss of 2.3 logMAR letters in patients with no comorbidity and 6.4 letters in patients with AMD at surgery for each decade of increasing age. More than 75% of AMD patients had better CDVA 10 years after surgery than before surgery. CONCLUSIONS: Patients with signs of AMD at cataract surgery had a longitudinally worse visual outcome than patients without clinical signs of AMD. However, there is no reason to discourage patients with concurrent visually significant cataract and AMD from having surgery because most AMD patients had better CDVA 10 years after surgery than before surgery. FINANCIAL DISCLOSURE: Neither author has a financial or proprietary interest in any material or method mentioned. SN - 1873-4502 UR - https://www.unboundmedicine.com/medline/citation/22245170/Long_term_visual_outcome_after_cataract_surgery:_comparison_of_healthy_eyes_and_eyes_with_age_related_macular_degeneration_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0886-3350(11)01845-1 DB - PRIME DP - Unbound Medicine ER -