Impact of First Eye versus Second Eye Cataract Surgery on Visual Function and Quality of Life

Shekhawat, Nakul; Stock, Michael V.; Baze, Elizabeth; Daly, Mary K.; Vollman, David; Lawrence, Mary G.; Chomsky, Amy

doi:10.1016/j.ophtha.2017.04.014

Cited by 38 publications

(34 citation statements)

References 26 publications

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“…Cataract surgery is the most common surgical intervention in the world, and almost half a million cataract operations are now done each year in the UK (≈430,000 NHS cataracts in England and Wales 2017/18). Cataract surgery is established as a highly cost-effective intervention with substantial quality of life gains on offer for patients, both for first and second eye surgeries [ 1 ]. It has been suggested that offering patients surgery for both eyes on the same day, termed immediate sequential bilateral cataract surgery (ISBCS), could achieve full quality of life gains faster, whilst more effectively using the finite financial, environmental and human resources available to the UK NHS.…”

Section: Introductionmentioning

confidence: 99%

The Royal College of Ophthalmologists’ National Ophthalmology Database study of cataract surgery: Report 7, immediate sequential bilateral cataract surgery in the UK: Current practice and patient selection

Donachie

Cassels-Brown

Liu

et al. 2020

Eye

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Background Cataract extraction is the most frequently performed surgical intervention in the world and demand is rising due to an ageing demography. One option to address this challenge is to offer selected patients immediate sequential bilateral cataract surgery (ISBCS). This study aims to investigate patient and operative characteristics for ISBCS and delayed bilateral cataract surgery (DSCS) in the UK. Methods Data were analysed from the Royal College of Ophthalmologists’ National Ophthalmology Database Audit (NOD) of cataract surgery. Eligible patients were those undergoing bilateral cataract extraction from centres with a record of at least one ISBCS operation between 01/04/2010 and 31/08/2018. Variable frequency comparison was undertaken with chi-square tests. Results During the study period, 1073 patients had ISBCS and 248,341 DSCS from 73 centres. A higher proportion of ISBCS patients were unable to lie flat (11.3% vs. 1.8%; p < 0.001), unable to cooperate (9.7% vs. 2.7%; p < 0.001); underwent general anaesthesia (58.7% vs. 6.6% ( p < 0.001)); had brunescent/white/mature cataracts (odds ratio (OR) 5.118); no fundal view/vitreous opacities (OR 8.381); had worse pre-operative acuity 0.60 LogMAR ISBCS vs. 0.50 (first) and 0.40 (second eye) DSCS and were younger (mean ages, 71.5 vs. 75.6 years; p < 0.001). Posterior capsular rupture (PCR) rates adjusted for case complexity were comparable (0.98% ISBCS and 0.78% DSCS). Conclusions ISBCS was performed on younger patients, with difficulty cooperating and lying flat, worse pre-operative vision, higher rates of known PCR risk factors and more frequent use of general anaesthesia than DSCS in centres recorded on NOD.

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Section: Introductionmentioning

confidence: 99%

The Royal College of Ophthalmologists’ National Ophthalmology Database study of cataract surgery: Report 7, immediate sequential bilateral cataract surgery in the UK: Current practice and patient selection

Donachie

Cassels-Brown

Liu

et al. 2020

Eye

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“…18,19 An advantage of the NEI VFQ-25 questionnaire is that it not only measures visual impairments but also its affects on social functioning, mental health, role difficulties and dependency on others. 20 Since in this study as well, patients after going through cataract surgery report not only a substantial improvement in their visual acuities, but also in their day to day activities, providing improvements in social functioning as well as in mental health activities.…”

Section: Discussionmentioning

confidence: 52%

Patient satisfaction after cataract surgery using visual functioning questionnaire

Shakeel¹,

Kazi²,

Qazi³

et al. 2019

Int J Res Med Sci

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Background: NEI VFQ-25 questionnaire is widely used to determine different health benefits to patient’s daily activities, social and mental health. The objective of this study was to determine satisfaction of patients undergoing cataract surgery.Methods: After ethical approval, a cross-sectional study using non-probability convenient sampling technique was done. Post-operative cataract patients between 18-75 years of both gender were included and patients reluctant to participate, <18 years of age or above 75 were excluded. SPSS version 20 was used for data analysis. Scoring of NEI VFQ-25 questionnaire was done. Chi-square test was applied between groups of patients with or without glasses using distant and near visual acuities keeping p-value of ≤0.05 as significant.Results: Mean age of 100 patients was 58.56±9.63 years, 78 patients were female housewives. Significant improvements in visual acuities was reported with distant or near vision with or without glasses after cataract surgery (p-value <0.01). Patient’s difficulties in worrying with eye sight, reading newspapers, reading stuff well up close, reading street signs, having issue in visiting others, going out to movies/plays, feeling of accomplishing less, having limited endurance and need for help from others in order to perform visual tasks were associated independently with reduced visual acuity and visual impairment.Conclusions: Cataract surgery significantly improved patients’ visual acuities, daily activities, mental and social health issues. Most patients were satisfied with cataract surgery and had fulfilling improvements to post-operative quality of life.

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“…Cataract surgery remains the most frequently undertaken operation with significant patient benefit (1). Surgery involves the replacement of the cloudy cataractous lens with a clear intraocular lens implant (IOL).…”

Section: Introductionmentioning

confidence: 99%

Multilevel Multivariate Modelling of The Effect of Gender and Patient Co-morbidity on Spherocylindrical Refractive Outcome Following Cataract Surgery

Hughes¹,

Aristodemou²,

Sparrow³

et al. 2021

Preprint

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Purpose To investigate effects of co-morbidities on refractive outcomes following cataract surgery.Design Case series database studyMethods Study population: patients on UK national ophthalmic cataract database. Variables examined included gender, age, diabetic retinopathy, glaucoma, high myopia, inherited eye disease, optic nerve disease, uveitis, pseudoexfoliation, vitreous opacities, retinal pathology, cataract type, previous surgery and posterior capsular rupture. A multivariate normal cross-classified model was fitted to the refractive outcome using Markov Chain Monte Carlo (MCMC) methods with diffuse priors to approximate maximum likelihood estimation. A MCMC chain was generated with a burn-in of 5000 iterations and a monitoring chain of 50,000 iterations. Main Outcome Measure Difference between postoperative and expected refractive outcome Results 490,987 cataract operations were performed on 351,864 patients by 2567 surgeons. Myopic and astigmatic errors were associated with female gender, glaucoma, previous trabeculectomy or vitrectomy, high myopia and increasing age. Hyperopic and astigmatic errors were associated with diabetic retinopathy, pseudoexfoliation and male sex. A large proportion of the unexplained variance in EERO was attributed to unobserved eye-level factors such as biometry measurements and IOL prediction formulae.Conclusions There was minimal variation between surgeons. Co-morbidities and gender accounted for small but significant differences significant differences in expected outcomes.

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Impact of First Eye versus Second Eye Cataract Surgery on Visual Function and Quality of Life

Cited by 38 publications

References 26 publications

The Royal College of Ophthalmologists’ National Ophthalmology Database study of cataract surgery: Report 7, immediate sequential bilateral cataract surgery in the UK: Current practice and patient selection

The Royal College of Ophthalmologists’ National Ophthalmology Database study of cataract surgery: Report 7, immediate sequential bilateral cataract surgery in the UK: Current practice and patient selection

Patient satisfaction after cataract surgery using visual functioning questionnaire

Multilevel Multivariate Modelling of The Effect of Gender and Patient Co-morbidity on Spherocylindrical Refractive Outcome Following Cataract Surgery

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