Definition and clinical relevance of the concept of functional vision in cataract surgery ESCRS Position Statement on Intermediate Vision

Topic: Empress Eugénie (1826–1920), the widow of Emperor Napoléon III of France, developed mature cataracts late in life. In 1920, at age 94, she underwent surgery to one eye by Ignacio Barraquer (1884–1965), a member of the famous dynasty of ophthalmologists originally from Barcelona, Spain. Clinical relevance: Barraquer used his new instrument which employed a vacuum cup to hold the lens for intracapsular extraction. Methods: Research of historical documents. Results: The surgery was a success; the Empress was pleased that she could read again although she did not have long to live. She was his first famous cataract patient and his fame spread internationally. Barraquer spoke at the International Congress of Ophthalmology held in Washington, DC, in 1922 and demonstrated his technique on patients in Washington, DC, New York, Boston, Philadelphia and Richmond, VA. Conclusion: Barraquer's surgery on Éugenie, who was the most powerful woman in Europe during her husband's reign, influenced the course of development of cataract surgical technique.

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Significant Improvement in Dynamic Visual Acuity after Cataract Surgery: A Promising Potential Parameter for Functional Vision

PLoS ONE ◽

10.1371/journal.pone.0115812 ◽

2014 ◽

Vol 9 (12) ◽

pp. e115812 ◽

Cited By ~ 7

Author(s):

Mingxin Ao ◽

Xuemin Li ◽

Chen Huang ◽

Zhiqiang Hou ◽

Weiqiang Qiu ◽

...

Keyword(s):

Visual Acuity ◽

Cataract Surgery ◽

Potential Parameter ◽

Dynamic Visual Acuity ◽

Functional Vision

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Improvements in clinical and functional vision and perceived visual disability after first and second eye cataract surgery

British Journal of Ophthalmology ◽

10.1136/bjo.81.10.889 ◽

1997 ◽

Vol 81 (10) ◽

pp. 889-895 ◽

Cited By ~ 36

Author(s):

D. B Elliott ◽

A. Patla ◽

M. A Bullimore

Keyword(s):

Cataract Surgery ◽

Visual Disability ◽

Functional Vision

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Improvements in Clinical and Functional Vision and Quality of Life after Second Eye Cataract Surgery

Optometry and Vision Science ◽

10.1097/00006324-200001000-00009 ◽

2000 ◽

Vol 77 (1) ◽

pp. 13-24 ◽

Cited By ~ 73

Author(s):

David B. Elliott ◽

Aftab E. Patla ◽

Monica Furniss ◽

Allan Adkin

Keyword(s):

Quality Of Life ◽

Cataract Surgery ◽

Functional Vision

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Cataract standard set for outcome measures: An Italian tertiary referral centre experience

European Journal of Ophthalmology ◽

10.1177/11206721211018370 ◽

2021 ◽

pp. 112067212110183

Author(s):

Daniele Tognetto ◽

Rosa Giglio ◽

Chiara De Giacinto ◽

Carmen Dell’Aquila ◽

Giulia Pian ◽

...

Keyword(s):

Cataract Surgery ◽

Outcome Measures ◽

Intraoperative Complications ◽

Average Score ◽

Referral Centre ◽

Tertiary Referral ◽

Tertiary Referral Centre ◽

Intermediate Vision ◽

Patient Reported ◽

Standard Set

Purpose: Implementation of the International Consortium for Health Outcomes Measurements (ICHOM) standard for cataract surgery into clinical practice at an Italian tertiary referral centre. Methods: Prospective, observational, descriptive study consisting of the registry and analysis of cataract surgeries performed during a 6-month enrolment period at the University Eye Clinic of Trieste, Trieste, Italy. Outcomes were recorded and analysed according to the ICHOM Cataract Standard Set version 2.0.1. Records included clinician-reported outcome measures (CROMs) – visual outcome and complications – and patient-reported outcome measures (PROMs) – self-assessed vision with the Catquest-9SF questionnaire. Correlations between PROMs and CROMs were evaluated. A multiple linear regression was used for predicting the change in PROMs with surgery. Results: A total of 218 eyes (of 218 patients) were analysed. Postoperative corrected distance visual acuity (CDVA) was ⩾0.3 in 89.0% (194/218) of eyes. There was a statistically significant improvement of the post-operative Catquest-9SF global average score. ( p < 0.001). The change in the Catquest-9SF score significantly correlated with the change in Item 2 score (related to intermediate vision) ( r = 0.634, p < 0.001). A predictive model of the change in the Catquest-9SF score was found ( p < 0.001, R2: 0.527) based on preoperative Catquest-9SF total score, presence or not of macular degeneration, presence or not of intraoperative complications, age >75 years old, and preoperative CDVA. Conclusions: Cataract surgery improves the functional vision, with some factors limiting the outcomes such as comorbidities. Self-perceived improvement in intermediate vision significantly influenced the improvement in self-assessed vision.

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