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Cataract surgery in patients with bilateral advanced age-related macular degeneration: Measurement of visual acuity and quality of life.
J Cataract Refract Surg. 2015 Jun; 41(6):1248-55.JC

Abstract

PURPOSE

To measure the change in visual acuity and vision-related quality of life in patients with both age-related cataract and bilateral age-related macular degeneration (AMD) after cataract surgery.

SETTING

Department of Ophthalmology, Shanghai General Hospital, Shanghai Jiao Tong University, Shanghai, China.

DESIGN

Prospective case series.

METHODS

Patients with age-related cataract and bilateral advanced AMD who were diagnosed and treated between January 2006 and January 2012 were enrolled. The patients had successful phacoemulsification with foldable posterior chamber intraocular lens implantation. The corrected distance visual acuity (CDVA) and vision-related quality of life measured by the Chinese-version Low Vision Quality of Life (CLVQOL) questionnaire were collected. The Wilcoxon signed-rank test was used to compare the differences. Binary logistic regression analysis was performed to explore potential factors associated with the change in CLVQOL scores.

RESULTS

Sixty eyes of 51 patients were included. The CDVA improved significantly (median difference 0.30 logMAR; range 0 to 1.38 logMAR; P < .001). The CLVQOL composite scores and the 4 subscale scores improved significantly (all P < .001). A greater increase in the CLVQOL scores was associated with inferior preoperative logMAR CDVA in the more severely affected eye (regression coefficient 3.36; P < .001).

CONCLUSIONS

Cataract surgery improved visual acuity and the vision-related quality of life in patients with both age-related cataract and bilateral advanced AMD. Thus, it is beneficial for patients with coexistent advanced AMD to have cataract surgery.

FINANCIAL DISCLOSURE

No author has a financial or proprietary interest in any material or method mentioned.

Authors+Show Affiliations

From Shanghai Eye Hospital, Shanghai Eye Disease Prevention & Treatment Center (Ma, Huang, Zou), and the Department of Ophthalmology (Ma, Huang, Zhu, Sun, Miao, Zou), Shanghai General Hospital, Shanghai Jiao Tong University, Shanghai, China.From Shanghai Eye Hospital, Shanghai Eye Disease Prevention & Treatment Center (Ma, Huang, Zou), and the Department of Ophthalmology (Ma, Huang, Zhu, Sun, Miao, Zou), Shanghai General Hospital, Shanghai Jiao Tong University, Shanghai, China.From Shanghai Eye Hospital, Shanghai Eye Disease Prevention & Treatment Center (Ma, Huang, Zou), and the Department of Ophthalmology (Ma, Huang, Zhu, Sun, Miao, Zou), Shanghai General Hospital, Shanghai Jiao Tong University, Shanghai, China.From Shanghai Eye Hospital, Shanghai Eye Disease Prevention & Treatment Center (Ma, Huang, Zou), and the Department of Ophthalmology (Ma, Huang, Zhu, Sun, Miao, Zou), Shanghai General Hospital, Shanghai Jiao Tong University, Shanghai, China.From Shanghai Eye Hospital, Shanghai Eye Disease Prevention & Treatment Center (Ma, Huang, Zou), and the Department of Ophthalmology (Ma, Huang, Zhu, Sun, Miao, Zou), Shanghai General Hospital, Shanghai Jiao Tong University, Shanghai, China.From Shanghai Eye Hospital, Shanghai Eye Disease Prevention & Treatment Center (Ma, Huang, Zou), and the Department of Ophthalmology (Ma, Huang, Zhu, Sun, Miao, Zou), Shanghai General Hospital, Shanghai Jiao Tong University, Shanghai, China. Electronic address: zouhaidong@hotmail.com.

Pub Type(s)

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

Language

eng

PubMed ID

26189380

Citation

Ma, Yingyan, et al. "Cataract Surgery in Patients With Bilateral Advanced Age-related Macular Degeneration: Measurement of Visual Acuity and Quality of Life." Journal of Cataract and Refractive Surgery, vol. 41, no. 6, 2015, pp. 1248-55.
Ma Y, Huang J, Zhu B, et al. Cataract surgery in patients with bilateral advanced age-related macular degeneration: Measurement of visual acuity and quality of life. J Cataract Refract Surg. 2015;41(6):1248-55.
Ma, Y., Huang, J., Zhu, B., Sun, Q., Miao, Y., & Zou, H. (2015). Cataract surgery in patients with bilateral advanced age-related macular degeneration: Measurement of visual acuity and quality of life. Journal of Cataract and Refractive Surgery, 41(6), 1248-55. https://doi.org/10.1016/j.jcrs.2014.09.046
Ma Y, et al. Cataract Surgery in Patients With Bilateral Advanced Age-related Macular Degeneration: Measurement of Visual Acuity and Quality of Life. J Cataract Refract Surg. 2015;41(6):1248-55. PubMed PMID: 26189380.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Cataract surgery in patients with bilateral advanced age-related macular degeneration: Measurement of visual acuity and quality of life. AU - Ma,Yingyan, AU - Huang,Jiannan, AU - Zhu,Bijun, AU - Sun,Qian, AU - Miao,Yuyu, AU - Zou,Haidong, PY - 2014/07/15/received PY - 2014/09/03/revised PY - 2014/09/21/accepted PY - 2015/7/21/entrez PY - 2015/7/21/pubmed PY - 2016/2/9/medline SP - 1248 EP - 55 JF - Journal of cataract and refractive surgery JO - J Cataract Refract Surg VL - 41 IS - 6 N2 - PURPOSE: To measure the change in visual acuity and vision-related quality of life in patients with both age-related cataract and bilateral age-related macular degeneration (AMD) after cataract surgery. SETTING: Department of Ophthalmology, Shanghai General Hospital, Shanghai Jiao Tong University, Shanghai, China. DESIGN: Prospective case series. METHODS: Patients with age-related cataract and bilateral advanced AMD who were diagnosed and treated between January 2006 and January 2012 were enrolled. The patients had successful phacoemulsification with foldable posterior chamber intraocular lens implantation. The corrected distance visual acuity (CDVA) and vision-related quality of life measured by the Chinese-version Low Vision Quality of Life (CLVQOL) questionnaire were collected. The Wilcoxon signed-rank test was used to compare the differences. Binary logistic regression analysis was performed to explore potential factors associated with the change in CLVQOL scores. RESULTS: Sixty eyes of 51 patients were included. The CDVA improved significantly (median difference 0.30 logMAR; range 0 to 1.38 logMAR; P < .001). The CLVQOL composite scores and the 4 subscale scores improved significantly (all P < .001). A greater increase in the CLVQOL scores was associated with inferior preoperative logMAR CDVA in the more severely affected eye (regression coefficient 3.36; P < .001). CONCLUSIONS: Cataract surgery improved visual acuity and the vision-related quality of life in patients with both age-related cataract and bilateral advanced AMD. Thus, it is beneficial for patients with coexistent advanced AMD to have cataract surgery. FINANCIAL DISCLOSURE: No author has a financial or proprietary interest in any material or method mentioned. SN - 1873-4502 UR - https://www.unboundmedicine.com/medline/citation/26189380/Cataract_surgery_in_patients_with_bilateral_advanced_age_related_macular_degeneration:_Measurement_of_visual_acuity_and_quality_of_life_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0886-3350(15)00599-4 DB - PRIME DP - Unbound Medicine ER -