2017
DOI: 10.18632/aging.101208
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The impact of pseudophakia on vision-related quality of life in the general population – The Gutenberg Health Study

Abstract: Cataract surgery is the most frequently performed surgical procedure worldwide. We aim to determine the prevalence of having implanted an artificial lens (pseudophakia) and of no lens (aphakia) and to compare visual function.As part of the Gutenberg Health study, a population-based cross-sectional study was conducted in Germany. An ophthalmological examination including slit-lamp examination was conducted. Prevalence including 95% confidential intervals were calculated and analyses were conducted for systemic … Show more

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Cited by 18 publications
(17 citation statements)
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References 39 publications
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“…Defining the lens status by using ocular biometry measurements might have led to misclassification of aphakic subjects as well. Nevertheless, aphakia is a very rare condition in Germany, as previously described (Schuster et al 2017). Panretinal laser coagulation and retinal laser treatment for retinopexy could not be differentiated in our data, as well as eyes with different underlying diseases (diabetic retinopathy, peripheral vascular diseases, uveitis, other inflammatory conditions), which further represents a limitation.…”
Section: Discussioncontrasting
confidence: 55%
“…Defining the lens status by using ocular biometry measurements might have led to misclassification of aphakic subjects as well. Nevertheless, aphakia is a very rare condition in Germany, as previously described (Schuster et al 2017). Panretinal laser coagulation and retinal laser treatment for retinopexy could not be differentiated in our data, as well as eyes with different underlying diseases (diabetic retinopathy, peripheral vascular diseases, uveitis, other inflammatory conditions), which further represents a limitation.…”
Section: Discussioncontrasting
confidence: 55%
“…In this asymptomatic cohort, a low prevalence of clinically signi cant cataract, AMD and DRP was expected. The pseudophakia prevalence of 9% in the current study corresponds well with German ndings (39). The single case with signi cant cataract in the current study was associated with long-term corticosteroid treatment, a well-known risk factor for the development of cataract (40).…”
Section: Clinical Resultssupporting
confidence: 89%
“…In terms of vision-related quality of life, participants who received bilateral cataract surgery benefited the most. This is in line with previous results from the GHS, where we found similar VRQoL in bilateral phakic and pseudophakic subjects, but 6-point lower VRQoL in monolateral pseudophakic [ 16 ]. For cataract surgery, multiple studies reported an increase of VRQoL in subjects after cataract surgery of the second eye [ 40 42 ].…”
Section: Discussionsupporting
confidence: 93%
“…We recently described the prevalence of pseudophakia and aphakia and its impact on vision-related quality of life in the German population [16]. Now, we move forward and analyze the frequency of cataract surgery within 5 years and describe factors leading to higher frequency of cataract surgery.…”
Section: Introductionmentioning
confidence: 99%