Distinguishing Glaucoma, Cataract, and Glaucoma Suspect Based on Visual Symptoms

Quintero, Michael A.; Mihailović, Aleksandra; Sikder, Shameema; Jun, Albert S.; Daoud, Yassine J.; Ramulu, Pradeep Y.

doi:10.1097/ijg.0000000000002244

Cited by 4 publications

(1 citation statement)

References 26 publications

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“…aged 45-89 years will reach 240.83 million in China (Song et al, 2018). Light sensitivity and worsening vision are reported to reduce postural stability and significantly increase the risk of falls and hip fractures in older adults with cataracts (Mehta et al, 2021;Quintero et al, 2023). Timely cataract surgery can be effective in improving visual function and decreasing fall risk, although there are still many potential fall risk factors in day surgery settings (Gutiérrez-Robledo et al, 2021;Keay et al, 2022).…”

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confidence: 99%

Evaluation of a concise fall risk stratification among older adults with cataracts in day surgery settings: A historically controlled study

Wang,

Dai,

Ou‐yang

et al. 2023

Japan Journal Nursing Sci

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AimThis study aimed to evaluate the use of a concise fall risk stratification in assessing and predicting falls compared with the Morse Falls Scale among older adults with cataracts in day surgery settings.MethodsA historically controlled study conducted from July 2020 to June 2022 was used in a municipal ophthalmic hospital in China. The concise fall risk stratification which directly graded fall risk by multifactorial judgment was used during the intervention period, while the Morse Falls Scale which graded fall risk by scale scores was used during the control period. The fall risk levels, fall assessment time, fall rates, fall‐related injuries, predictive validity, and patient satisfaction with day surgery care were extracted. Propensity score matching was performed to balance baselines.ResultsAfter matching, 4132 patients were included in the final analysis. Compared with the control group, the intervention group had significantly higher assessment results for fall risk level, a significantly shorter (by 48.15%) fall assessment time, and higher patient satisfaction. There were no differences in fall rates and fall‐related injuries. Compared with the Morse Falls Scale, the concise fall risk stratification had higher sensitivity and negative predictive validity, and lower specificity and positive predictive validity, while the area under curve did not differ significantly.ConclusionThe use of the concise fall risk stratification reduced fall assessment time, improved patient satisfaction, and is unlikely to impact falls with an overall predictive performance comparable to that of the Morse Falls Scale for older cataract adults in day surgery settings.

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confidence: 99%

Evaluation of a concise fall risk stratification among older adults with cataracts in day surgery settings: A historically controlled study

Wang,

Dai,

Ou‐yang

et al. 2023

Japan Journal Nursing Sci

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Variable and reversible opacification process on IOLs for cataract simulation

Akyazi,

Zolfaghari,

Sahin

et al. 2023

Preprint

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Understanding vision through mild and dense cataracts is important for vision scientists and IOL developers. There have been virtual simulators using VR headsets for subjective evaluation of cataractous vision. However, a physical intraocular lens with variable cataracts for objective evaluation is not available. In this study, we developed a reversible process that can be selectively applied to the whole or parts of an IOL to affect the opacification level. We used our eye model and developed a cataractous lens simulator for progressive levels of opacification, which is achieved by applying a reversible chemical procedure on the intraocular lens surfaces. After the lens is fully or partially immersed in acetone, subsequent testing of the lens in distilled water results in a progressive change in opacification level within minutes. We measured the quality of vision by obtaining modulation transfer function curves, transmission, and spectroscopic measurements at different opacification levels. By simulating variable opacification across the IOLs, we tested how vision changes from less dense to more dense cataractous regions in a holographic display system with programmable small exit pupils. All results were consistent with the expected vision degradation caused by natural opacification.

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Utilizing visual symptoms to distinguish dry eye from glaucoma, cataract, and suspect glaucoma patients: a cross-sectional study

Zhao,

Quintero,

Mihailovic

et al. 2024

BMC Ophthalmol

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Background The diagnosis of dry eye and other common ophthalmological conditions can be supported using patient reported symptoms, which is increasingly useful in contexts such as telemedicine. We aim to ascertain visual symptoms that differentiate dry eye from cataract, glaucoma, or glaucoma suspects. Methods Adults with dry eye, glaucoma, cataract, and suspected glaucoma (controls) completed a questionnaire to rate the frequency and severity of 28 visual symptoms. Univariate, followed by multivariable logistic regression with backward stepwise selection (p < 0.05), determined the individual symptoms and set of symptoms best distinguishing dry eye from each of the other conditions. Results Mean age of 353 patients (94 glaucoma suspect controls, 79 glaucoma, 84 cataract, and 96 dry eye) was 64.1 years (SD = 14.1); 67% were female and 68% White. Dry eye patients reported more frequent light sensitivity (OR = 15.0, 95% CI = 6.3–35.7) and spots in vision (OR = 2.8, 95% CI = 1.2–6.3) compared to glaucoma suspect controls. Compared to glaucoma patients, dry eye patients experienced more frequent light sensitivity (OR = 9.2, 95% CI = 2.0–41.7), but less frequent poor peripheral vision (OR = 0.2, 95% CI = 0.06–0.7), difference in vision between eyes (OR = 0.09, 95% CI = 0.01–0.7), and missing patches of vision (OR = 0.06, 95% CI = 0.009–0.3). Compared to cataract patients, dry eye patients reported more frequent spots in vision (OR = 4.5, 95% CI = 1.5–13.4) and vision variability across the week (OR = 4.7, 95% CI = 1.2–17.7) and were less likely to report worsening vision (OR = 0.1, 95% CI = 0.03–0.4) and blindness (OR = 0.1, 95% CI = 0.02–0.8). Conclusion Visual symptoms may serve as a complementary tool to distinguish dry eye from various ocular conditions, though the symptoms that best distinguish dry eye differ across comparisons. Differentiating how patients visually perceive common eye diseases may be used in a variety of clinical settings to rule out specific conditions.

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Distinguishing Glaucoma, Cataract, and Glaucoma Suspect Based on Visual Symptoms

Cited by 4 publications

References 26 publications

Evaluation of a concise fall risk stratification among older adults with cataracts in day surgery settings: A historically controlled study

Evaluation of a concise fall risk stratification among older adults with cataracts in day surgery settings: A historically controlled study

Variable and reversible opacification process on IOLs for cataract simulation

Utilizing visual symptoms to distinguish dry eye from glaucoma, cataract, and suspect glaucoma patients: a cross-sectional study

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