Comment on: Immediately sequential bilateral cataract surgery (ISBCS): an Academic Teaching Center's experience

Abstract Background The purpose of the study was to investigate whether dynamic monocyte chemoattractant protein-1 (MCP-1) level might be as predictors of perceived pain during the first and second phacoemulsification eye surgeries in patients with bilateral cataract. Methods Consecutive bilateral cataract patients undergoing bilateral sequential phacoemulsification were retrospectively enrolled. Patients’ preoperative anxiety score and intraoperative pain score were registered. Aqueous humor samples were obtained during surgery. MCP-1 level in the aqueous humor was measured by enzyme linked immunosorbent assay (Elisa). Patients were assigned to seven subgroups based on the interval between first-eye and second-eye cataract surgery. Comparisons were performed for a subjective sensation and MCP-1 levels among different subgroups. Results pain score during second-eye surgery was significantly higher than during first-eye surgery. Whereas there was no statistical difference in anxiety score between both surgeries. Result from subgroups comparison showed that the visual analog scale (VAS) pain score was statistically greater in 1-group and 6-group during the second eye surgery. Anxiety score did not statistically differ in subgroups. Additionally, the second-eye MCP-1 level was significantly higher at week 1and 6 intervals. Preoperative MCP-1 level was positively correlated with perceiving pain score during both surgeries. Conclusions MCP-1 level in aqueous humor significantly correlated with perceived pain during cataract surgery. Dynamic MCP-1 level could function as predictors of perceived pain during the first and second phacoemulsification eye surgeries in patients with bilateral cataract, which might support clinicians in treatment optimization and clinical decision-making.

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The impact of cataract surgery on depressive symptoms for bilateral cataract patients in Ho Chi Minh City, Vietnam

International Psychogeriatrics ◽

10.1017/s1041610213001907 ◽

2013 ◽

Vol 26 (2) ◽

pp. 307-313 ◽

Cited By ~ 6

Author(s):

Kien Gia To ◽

Lynn B. Meuleners ◽

Michelle L. Fraser ◽

Dat Van Duong ◽

Dung Van Do ◽

...

Keyword(s):

Visual Acuity ◽

Depressive Symptoms ◽

Cataract Surgery ◽

Contrast Sensitivity ◽

Depression Scale ◽

Epidemiological Studies ◽

Ho Chi Minh City ◽

Bilateral Cataract ◽

Vietnamese Population ◽

The Impact

ABSTRACTBackground:Depression is common among older populations with cataract. However, the impact of cataract surgery on depression in both developed and developing countries remains unclear. The aim of this study is to determine the impact of cataract surgery on depressive symptoms and to examine the association between objective visual measures and change in depressive symptoms after surgery among a Vietnamese population in Ho Chi Minh City.Methods:A cohort of older patients with bilateral cataract were assessed the week before and one to three months after first eye surgery only or first- and second-eye cataract surgeries. Visual measures including visual acuity, contrast sensitivity, and stereopsis were obtained. Depressive symptoms were assessed using the 20-item Center for Epidemiological Studies-Depression Scale (CES-D). Descriptive analyses and a generalized estimating equations (GEE) analysis were undertaken to determine the impact of cataract surgery on depressive symptoms.Results:Four hundred and thirteen participants were recruited into the study before cataract surgery. Two hundred and forty-seven completed the follow-up assessment after surgery. There was a significant decrease (improvement) of one point in the depressive symptoms score (p = 0.04) after cataract surgery, after accounting for potential confounding factors. In addition, females reported a significantly greater decrease (improvement) of two points in depressive symptom scores (p = 0.01), compared to males. However, contrast sensitivity, visual acuity, and stereopsis were not significantly associated with change in depressive symptoms scores. First-eye cataract surgery or both-eye cataract surgery did not modify the change in depressive symptoms score.Conclusion:There was a small but significant improvement in depressive symptoms score after cataract surgery for an older population in Vietnam.

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Simultaneous bilateral cataract surgery

British Journal of Ophthalmology ◽

10.1136/bjo.87.3.253 ◽

2003 ◽

Vol 87 (3) ◽

pp. 253-254 ◽

Cited By ~ 14

Author(s):

D F Chang

Keyword(s):

Cataract Surgery ◽

Bilateral Cataract

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Faculty Opinions recommendation of Association between conventional or blue-light-filtering intraocular lenses and survival in bilateral cataract surgery patients.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.739427387.793582277 ◽

2021 ◽

Author(s):

Mark Packer

Keyword(s):

Cataract Surgery ◽

Blue Light ◽

Intraocular Lenses ◽

Bilateral Cataract

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Cataract in Seckel Syndrome

Asian Journal of Ophthalmology ◽

10.35119/asjoo.v13i1.19 ◽

1970 ◽

Vol 13 (1) ◽

pp. 12-15

Author(s):

Vinita Girish Rao ◽

Gunjan Abhijit Deshpande ◽

Girish Shiva Rao ◽

Pooja G Rehman

Keyword(s):

Mental Retardation ◽

Cataract Surgery ◽

Short Stature ◽

Growth Retardation ◽

In Utero ◽

Small Incision Cataract Surgery ◽

Seckel Syndrome ◽

Bilateral Cataract ◽

Small Incision ◽

Severe Growth

Seckel syndrome is an extremely rare inherited disorder characterised by severe growth retardation in utero, which continues later in life, resulting in short stature. Seckel syndrome presents as microcephaly, mental retardation, and a beak-like nose. This report describes a patient with Seckel syndrome who had bilateral cataract and underwent uneventful small incision cataract surgery in both eyes. The association of cataract with Seckel syndrome has not been described in the literature to the best of the authors’ knowledge.

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Simultaneous bilateral cataract surgery in developing countries

Journal of Cataract & Refractive Surgery ◽

10.1016/j.jcrs.2006.10.064 ◽

2007 ◽

Vol 33 (3) ◽

pp. 363 ◽

Cited By ~ 3

Author(s):

Vishal Jhanji ◽

Namrata Sharma ◽

Gaurav Prakash ◽

Jeewan S. Titiyal

Keyword(s):

Developing Countries ◽

Cataract Surgery ◽

Bilateral Cataract

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The Impact of Unilateral or Bilateral Cataract Surgery on Visual Acuity and Life Quality of Elderly Patients

Journal of Ophthalmology ◽

10.1155/2015/509049 ◽

2015 ◽

Vol 2015 ◽

pp. 1-6 ◽

Cited By ~ 1

Author(s):

Lei Zuo ◽

Haidong Zou ◽

Xinfeng Fei ◽

Weiqi Xu ◽

Jianhong Zhang

Keyword(s):

Visual Acuity ◽

Elderly Patients ◽

Cataract Surgery ◽

Life Quality ◽

Weighted Average ◽

Bilateral Cataract ◽

Surgical Methods ◽

Group A ◽

Group B ◽

The Impact

In the current study, the CLVQOL was used to assess VRQOL before unilateral or bilateral cataract surgery and at the end of the follow-up period in order to determine the greater beneficial mode of surgery for patients, if one of the two surgical methods is more beneficial over the other. The patients were classified as receiving unilateral (group A) and bilateral cataract surgery (group B). There were no significant differences between groups A and B before the operation in terms of life quality scores, binocular weighted average LogMAR BCVA, age, educational level, gender, systematic and ocular comorbidities, and the complications of the operation. It was shown that visual acuity improved more significantly with bilateral cataract surgery than with unilateral surgery in elderly patients with a high preoperative disease burden in Shanghai city. However, the improvement in life quality was not different in patients receiving either bilateral or unilateral cataract surgery.

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