Comparison of the results of first and second cataract eye surgery☆
Section snippets
Patients
Data were obtained in a prospective, randomized study designed to compare the outcomes (VA, visual function, and global health status) of inpatient and outpatient cataract surgery. The study involved ophthalmologists from three public hospitals in Barcelona, Spain, in which cataract surgery represented approximately 90% of the ophthalmology department activity. Patients were eligible for the study if they were scheduled for cataract surgery that did not involve a combined procedure and they met
Results
A total of 403 patients were included in the study: 314 in the first eye surgery group and 89 in the second eye surgery group. Initially, 19 patients were excluded because they did not meet the telephone interview criteria: 13 (4.1%) in the first eye group and 6 (6.7%) in the second eye group (P = 0.307). Sixty-nine patients were lost to follow-up (18%): 52 (17.3%) in the first eye surgery group and 17 (20.5%) in the second eye surgery group (P = 0.501). Of the patients lost to follow-up, 7.6%
Discussion
According to the results of our study, patients who underwent second eye surgery improved their VA, visual function, and the SIP psychosocial dimension significantly, but not the physical dimension or the SIP global score. However, these improvements were smaller than those observed among patients who underwent first eye surgery. Visual acuity improved by 1.4 Snellen lines, and VF-14 increased nine points more in the first eye group than in the second eye group. The fact that the patients
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Audit of cataract surgery in Cadiz: visual outcomes and complications
2018, Archivos de la Sociedad Espanola de OftalmologiaImpact of First Eye versus Second Eye Cataract Surgery on Visual Function and Quality of Life
2017, OphthalmologyCitation Excerpt :Questions comprising the Rasch-refined visual function subscale (listed in Table 4) dealt with everyday activities typical for elderly patients, such as reading newspapers, performing housework, and navigating unfamiliar or dimly lit environments. Prior studies have noted improvement in patient-reported visual functioning after second eye surgery using the Visual Function Index 14,5,8,14 the Activities of Daily Vision Scale,6,10,17 and tailored questionnaires.7,9 However, at least 4 studies report less visual function gain with second eye surgery than with first eye surgery.5,6,8,10
Cataract in the Adult Eye Preferred Practice Pattern®
2017, OphthalmologyBilateral cataract, crash risk, driving performance, and self-regulation practices among older drivers
2016, Journal of Cataract and Refractive SurgeryEvaluating the benefits of second-eye cataract surgery among the elderly
2013, Journal of Cataract and Refractive SurgeryCitation Excerpt :Self-reported visual functioning improved after second-eye surgery. However, among the 7 studies that reported this outcome, 4 found that the magnitude of improvement was smaller after second-eye surgery than after first-eye surgery.23,27,30,31 One study found comparable levels of self-reported visual functioning improvement after both first- and second-eye surgeries,28 while another study reported an improvement in self-reported visual functioning that was significantly higher for the second-eye surgery group than the first-eye group.32
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Supported by grants from the Fondo de Investigaciones Sanitarias (FIS) (Expte. No. 96/1569), Madrid, Spain, and from the Agència d’Avaluació de Tecnologia Mèdica (AATM) de Catalunya, Spain (17/331/1996). Also supported by Generalitat de Catalunya (CIRIT 1997-SGR 00359).