Outcome of cataract surgery in children affected by malignancies other than retinoblastoma with eye-lens radiation exposure

Purpose: To describe, retrospectively, the visual outcome, feasibility, and safety of cataract surgery in a pediatric population affected by iatrogenic cataract, secondary to systemic oncological treatment for malignancies other than retinoblastoma. Methods: Young patients, affected by radiation-induced cataract, who were referred to the San Paolo Ophthalmic Center in Padova between 2010 and 2017, were included in the study. All patients had previously received radiotherapy and/or chemotherapy treatment for malignancies, between 2004 and 2013. All medical records of infants who underwent cataract surgery were accurately reviewed. Results: Eighteen eyes out of 11 patients included in the study underwent cataract surgery. The mean age at surgery was 9.7 ± 3.6 years. The interval between tumor diagnosis and cataract development was around 3 years. Mean follow-up after surgery was 15.4 ± 6.3 months. All eyes underwent posterior chamber intraocular lens implantation, posterior capsulotomy, and anterior vitrectomy in one time surgery. No intraoperative complications were shown. Post-operatively, only one eye received laser capsulotomy due to posterior capsule opacification. At the end of follow up, best-corrected visual acuity was 20/20 (LogMAR 0) in all eyes and significantly improved ( p < 0.01) compared to baseline. Conclusions: Iatrogenic-cataract surgery in pediatric oncological patients is a safe and effective way to improve visual acuity. Posterior capsulotomy and anterior vitrectomy at the time of surgery reduce the rate of posterior lens opacification and guarantee an excellent visual acuity in these patients.

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Visual outcomes of pediatric traumatic cataracts

European Journal of Ophthalmology ◽

10.1177/1120672118757657 ◽

2018 ◽

Vol 29 (1) ◽

pp. 23-27 ◽

Cited By ~ 2

Author(s):

Jitender Jinagal ◽

Gaurav Gupta ◽

Parul C Gupta ◽

Sonam Yangzes ◽

Rishiraj Singh ◽

...

Keyword(s):

Visual Acuity ◽

Cataract Surgery ◽

Visual Outcome ◽

Posterior Chamber ◽

Traumatic Cataract ◽

Anterior Vitrectomy ◽

Posterior Capsulotomy ◽

Good Visual Outcome ◽

Posterior Chamber Intraocular Lens ◽

Lens Implantation

Introduction: To report visual outcomes and risk factors of pediatric traumatic cataracts in a tertiary care referral center in northern India. Methods: We analyzed medical records of traumatic cataracts in the pediatric age group (1–15 years) operated for cataract surgery with or without posterior chamber intraocular lens implantation with or without primary posterior capsulotomy with anterior vitrectomy between 2004 and 2012. Causative agents, types of trauma, demographic factors, surgical interventions, complications, and visual acuity were recorded and compared among different groups. Results: A total of 147 children were documented to have undergone cataract surgery for traumatic cataract in the study period, male-to-female ratio being approximately 5:1. Mean age was 7.67 ± 3.30 years (range, 1–15 years). Type of primary insult was penetrating injury in 100 (68%) patients and blunt trauma in 47 (32%) patients. Mean interval between injury and cataract surgery in penetrating injury cases was 3.84 ± 7.05 months and in the blunt injury cases was 6.28 ± 11.13 months. Preoperatively, only 110 patients were cooperative for visual acuity. Out of them, none had vision better than 6/18 and only 21 patients (19.9%) had vision of ≥6/60. Visual acuity of 6/18 or better (was considered good visual outcome) was achieved by 87.9%, 97.3%, and 97.9% at 1, 6, and 36 months, postoperatively. Eyes which underwent primary posterior capsulotomy and anterior vitrectomy during cataract surgery showed statistically better visual outcome than those without it. Conclusion: Phacoaspiration with posterior chamber intraocular lens implantation along with primary posterior capsulotomy and anterior vitrectomy and timely introduction of amblyopia therapy helped in gaining good visual outcome in pediatric traumatic cataract patients irrespective of the age of presentation and the type of injury.

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Evaluation of Sutureless, Glueless, Flapless, Intrascleral Fixated Posterior Chamber Intraocular Lens in Children with Ectopia Lentis

Journal of Ophthalmology ◽

10.1155/2018/3212740 ◽

2018 ◽

Vol 2018 ◽

pp. 1-6 ◽

Cited By ~ 1

Author(s):

Kannan NB ◽

Piyush Kohli ◽

Bhanu Pratap Singh Pangtey ◽

Kim Ramasamy

Keyword(s):

Visual Acuity ◽

Intraocular Lens ◽

Pediatric Population ◽

Intraoperative Complications ◽

Vitreous Hemorrhage ◽

Posterior Chamber ◽

Ectopia Lentis ◽

Uncorrected Visual Acuity ◽

Posterior Chamber Intraocular Lens

Aim. This paper aims at evaluating refractive outcome and complication profile of sutureless, glueless, flapless, intrascleral fixation of intraocular lens (SFIOL) in pediatric population. Methods. This retrospective study included patients ≤18 years of age who underwent SFIOL for ectopia lentis. Details obtained included preoperative uncorrected visual acuity (UCVA), cycloplegic refraction, and best-corrected visual acuity (BCVA); intraoperative complications; and postoperative UCVA, cycloplegic refraction, and BCVA and complications. Results. Median pre- and postoperative UCVA was logMAR 1.78 (Snellen 20/1200) and logMAR 0.30 (Snellen 20/40), respectively, (p<0.001). Median pre- and postoperative BCVA was logMAR 0.24 (Snellen 20/34) and logMAR 0.18 (Snellen 20/30), respectively. UCVA ≥20/60 was attained in 90% of eyes. BCVA ≥20/30 was attained in 85.0% of eyes. Most common early postoperative complications were hyphaema (10%), transient vitreous hemorrhage (2.5%), and ocular hypotony (2.5%). None of these developed any long-term sequelae. Only one case of subluxation of IOL was seen. No case of late endophthalmitis or retinal detachment was seen. Conclusion. Since refractive error induced is minimal, the procedure is suitable for IOL implantation in children, who are noncompliant with spectacles. The complication profile is similar to that reported in adults.

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Management of Dislocated Intraocular Lenses with Iris Suture

European Journal of Ophthalmology ◽

10.5301/ejo.5000823 ◽

2016 ◽

Vol 27 (1) ◽

pp. 45-48 ◽

Cited By ~ 5

Author(s):

Mun Y. Faria ◽

Nuno P. Ferreira ◽

Mario Canastro

Keyword(s):

Visual Acuity ◽

Cataract Surgery ◽

Macular Edema ◽

Clinical Signs ◽

Intraocular Lenses ◽

Posterior Chamber ◽

Pigment Dispersion ◽

Corneal Incision ◽

The Mean

Purpose Subluxated or malpositioned intraocular lenses (IOLs) and inadequate capsular support is a challenge for every ophthalmic surgeon. Iris suture of an IOL seems to be an easy technique for the management of dislocated 3-piece IOL, allowing the IOL to be placed behind the iris, far from the trabecular meshwork and corneal endothelium. The purpose of this study is to assess the results of pars plana vitrectomy (PPV) and iris suture of dislocated 3-piece acrylic IOLs. Methods In this retrospective, nonrandomized, interventional case consecutive study, of a total of 103 dislocated IOLs, 36 eyes were considered for analysis. All 36 eyes had subluxated or totally luxated 3-piece IOL and underwent iris suture at the Ophthalmology Department of Santa Maria Hospital-North Lisbon Hospital Center, Portugal, from January 2011 until November 2015. All patients underwent 3-port 23-G PPV. The optic zone of the dislocated IOL was placed anterior to the iris with the haptics behind, in the posterior chamber. Haptics were sutured to iris followed by placement of the optics behind iris plane. Postoperative measures included best-corrected visual acuity (BCVA), IOL position, intraocular pressure, pigment dispersion, clinical signs of endothelial cell loss, and development of macular edema. Results A total of 36 eyes of 36 patients were included. All underwent successful iris fixation of dislocated 3-piece IOL. Mean overall follow-up was 15.9 months (range 3-58 months). At presentation, 16 eyes (44.4%) had a luxated IOL and 20 eyes (55.6%) a subluxated IOL. As underlying cause, 17 eyes (47.2%) had a history of complicated cataract surgery, 5 eyes (13.9%) had a traumatic dislocation of the IOL, and 6 eyes (16.7%) had a previous vitreoretinal surgery. A total of 8 eyes (22.2%) had late spontaneous IOL dislocation after uneventful cataract surgery. The mean preoperative BCVA was 1.09 ± 0.70 logarithm of the minimal angle of resolution (logMAR) units and mean postoperative BCVA was 0.48 ± 0.58 of logMAR units. The mean visual acuity improvement was 4.08 ± 5.33 lines on the logMAR scale. In this study, every IOL was stable at the last follow-up. As late complications, macular edema occurred in 1 patient and retinal detachment occurred in 2 patients. There were no cases of endophthalmitis. Conclusions Iris suture fixation of subluxated IOL is a good treatment option for eyes with dislocated IOLs, leading to long-term stability of the IOL. The advantage of this procedure is using the same IOL in a closed eye surgery. No astigmatic difference is expected as no large corneal incision is needed.

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Double-Needle Yamane Technique Using Flanged Haptics in Ocular Trauma—A Retrospective Survey of Visual Outcomes and Safety

Journal of Clinical Medicine ◽

10.3390/jcm10122562 ◽

2021 ◽

Vol 10 (12) ◽

pp. 2562

Author(s):

Katarzyna Nowomiejska ◽

Dariusz Haszcz ◽

Maksymilian Onyszkiewicz ◽

Tomasz Choragiewicz ◽

Aleksandra Czarnek-Chudzik ◽

...

Keyword(s):

Visual Acuity ◽

Retinal Detachment ◽

Ocular Trauma ◽

Intraoperative Complications ◽

Case Series ◽

Safe Procedure ◽

Anterior Vitrectomy ◽

Visual Outcomes ◽

Needle Technique

To evaluate visual outcomes and safety of the double-needle technique using flanged haptics (Yamane technique) in patients with aphakia caused by ocular trauma at a trauma referral center. Retrospective: Consecutive interventional case series of 30 patients who underwent the Yamane technique due to posttraumatic aphakia. The double-needle technique using flanged haptics was combined with anterior vitrectomy (group A) in 14 patients, and with pars plana vitrectomy (PPV) (group B) due to retinal detachment, nucleus dislocation into the vitreous cavity, or intraocular lens (IOL) displacement in 16 patients. No intraoperative complications were noted. There was significant improvement in the visual acuity in both groups at the second postoperative visit. However, the visual acuity was significantly worse in the group treated with the Yamane technique combined with PPV. Silicone oil tamponade in PPV group was associated with worse visual acuity, whereas post lensectomy status was associated with poor visual function result in the anterior vitrectomy group. There was one case of slight IOL decentration and one retinal detachment during the postoperative follow-up period in the group with PPV. In this case series, the Yamane technique applied in traumatized eyes was found to be an efficacious and safe procedure. Combining the Yamane technique with PPV due to posterior segment ocular trauma was associated with worse functional results in the follow-up at three months. Further studies with longer follow-up evaluations are required to verify long-term complications.

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A Clinical Study Comparing Different Techniques of Nucleus Delivery in Manual Small Incision Cataract Surgery

MVP Journal of Medical Sciences ◽

10.18311/mvpjms/2015/v2/i2/777 ◽

2015 ◽

Vol 2 (2) ◽

pp. 67

Author(s):

Mrunal Suresh Patil ◽

Dhiraj Namdeo Balwir ◽

Amal Gupta ◽

Ishan Kataria ◽

Sumit Chatterjee

Keyword(s):

Cataract Surgery ◽

Intraoperative Complications ◽

Posterior Chamber ◽

Small Incision Cataract Surgery ◽

Small Incision ◽

Group 2 ◽

Grade 3 ◽

Posterior Chamber Iol ◽

Group 1

Aim: To compare different technique of nucleus delivery in small manual incision cataract surgery,regarding their safety and intra operative complication. Material & Methods: A total of 285 patients with cataract undergoing SICS with posterior chamber IOL implantation were selected. Patients were randomly divided into 7 groups of nucleus delivery. All of the patients were followed up on first postoperative day and discharge. Patients were advised regular follow up at 1st week, 4th week and 6th week. Results: Out of total 285 patients 68 (23.86%) patients had intraoprative complications for all the techniques. There was no intraoperative difficulty to the surgeon for delivery of nucleus by various techniques in 210(73.68%) of cases. Group 1 (wire vectis) had minimum intraoperative complications whereas group 2 had maximum.31 (10.88%)had grade 1 (minimal) difficulty intraoperetively. 25 (8.77%)cases had grade 2 (moderate) difficulty. 19 (6.67) cases had grade 3(abandoned) difficulty. Conclusion: By adjusting parameters like size of cornean incision, hydrodissection or debulking of nucleus before delivery of nucleus in different grades of hardness of cataract, a surgeon may choose any one technique in which he or she is comfortable. Manual small incision Cataract surgery with its low complication rate has now come to be established surgical procedures for cataract surgery.

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VISUAL OUTCOME AND COMPLICATIONS OF PEDIATRIC CATARACT SURGERY AT LUMBINI EYE INSTITUTE, NEPAL

Journal of Universal College of Medical Sciences ◽

10.3126/jucms.v3i2.14289 ◽

2016 ◽

Vol 3 (2) ◽

pp. 35-38

Author(s):

Hari Bahadur Thapa ◽

Salma KC Rai ◽

Arjun Malla Bhari ◽

Ken Bassett

Keyword(s):

Visual Acuity ◽

Cataract Surgery ◽

Intraoperative Complications ◽

Demographic Data ◽

Visual Outcome ◽

Posterior Capsular Opacification ◽

Eye Care ◽

Pediatric Cataract ◽

Hospital Administrative

INTRODUCTION: Pediatric eye care, including cataract surgery, has become much more common in Nepal in recent years in tertiary facilities such as the Lumbini Eye Institute (LEI). This study provides the first report of visual outcome and complications after cataract surgery at that Institute. MATERIAL AND METHODS: This is a prospective observational study of all cataract surgical patients <16 years of age between March 1, 2011, and February 28, 2012. Visual outcome was assessed by two optometrists with pediatric eye care training. Clinical data were gathered in a specifically designed pediatric eye program database and demographic data were taken from hospital administrative records. RESULTS: In 2011-12, 334 children (248 boys [74%]) underwent cataract surgery, including 89 Nepali (27%) and 245 Indian (73%) children. In total, 320 (96%), 270 (81%), and 190 (57%) attended their first, second and third follow up visits respectively. Pre-operative visual acuity was <6/60 (91%), 6/60 to <6/18 (7%) and >6/18 (2%). Post-operatively, visual acuity was <6/60(27.5%), 6/60 to <6/18 (36.5%) and 6/18 or better (36%). The mean best corrected visual acuity was 6/38 first follow up, 6/34 second follow up, and 6/30 third follow up. Intraoperative complications were 1.6% pupillary capture and post-operative complications were 35.3% posterior capsular opacification (PCO). CONCLUSION: For 63% of children, visual acuity significantly improved with cataract surgery beyond their presenting vision of <6/60, with over 38% of children achieving visual acuity (>6/18). Follow up beyond one month needs significant improvement to treat postoperative complications particularly posterior capsular opacification.Journal of Universal College of Medical Sciences (2015) Vol.03 No.02 Issue 10Page: 35-38

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CLINICAL CHARACTERISTICS AND RESULTS OF CATARACT SURGERY IN THE SMALL PUPIL EYE BY PHACOEMUSIFICATION

Journal of Medicine and Pharmacy ◽

10.34071/jmp.2018.2.13 ◽

2018 ◽

pp. 79-82

Author(s):

Van Minh Pham ◽

Van Nam Phan ◽

Thi Thu Nguyen

Keyword(s):

Visual Acuity ◽

Cataract Surgery ◽

Clinical Characteristics ◽

Low Vision ◽

Sample Selection ◽

Posterior Chamber ◽

Good Visual Acuity ◽

Before And After ◽

Grade Ii ◽

Small Pupil

Objectives: To investigate the clinical characteristics of cataract patients with small pupils and to evaluate the result of cataract surgery on the eye have small pupils by phacotechnique. Subjects and methods: Descriptive study, prospective, uncontrolled interventions. Sample selection. The sample size of 70 patients with 70 eyes of cataracts with small pupils was treated by phaco technique and intraocular lens implant within posterior chamber. Follow up to 3 months. Results: 70 eyes, the percentage of men and women was not different from 54.2% (38 male) compared to 45.8% (32 female). The mean age was 80 ± 8.74, from 58 to 99 years. The disease was mainly found in the age group over 70 years old with over 80% (51.5%). Visual acuity before surgery was very poor under 3m CF (count finger) for 68.6% (48/70). Visual acuity over 1/10 was only a small amount with 2.8% (2 eyes). Pseudoexfoliation was the most common reason complications of mydriasis with 32/70 eyes (45.7%) and 22/70 eyes (31.4%) for age. The preoperative pupilarysizewas mostly small with 63/70 eyes (90.0%), non-dilated pupils (7/70 eyes) (10.0%). Average pupil size was 3.34 mm (2 - 4mm). Iris condition: iris atrophy 20/10 eyes (28.6%), iris synechiae 11/10 (15.7%), irregular iris muscle with 51, 4% and good iris muscle accounted for 48.6%. Grade of cataract: Grade III: 31/70 eyes (44.3%), Grade IV: 32/70 eyes (45.7%), Grade II: 5/70 eyes (7.1%) and V:2/70 eyes (2.9%). Pupil expander technique: OVD injection with 42/70 eyes (60%), using iris hook with 23/70 eyes (32.9%). Pupillary size before and after intervention has changed from 3.7mm to 4.48mm. Conclusions: Iris expander techniques have been shown to have good dilated pupils: 60.0% OVD injection, iris hook was 32.9%, other methods 7.1% One-week visibility of good visual acuity was higher than that of postoperative one day (12.2%) and increased at 1 month and 3 months (20.0%). Very good visual acuity was not available and low vision group was 1.4% after 3 months. Key words: cataract surgery; phacoemusification, small pupil

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Safety and Efficacy of Temporal Manual Small Incision Cataract Surgery in India

European Journal of Ophthalmology ◽

10.5301/ejo.2011.6521 ◽

2011 ◽

Vol 21 (6) ◽

pp. 748-753 ◽

Cited By ~ 3

Author(s):

Swati V. Zawar ◽

Parikshit Gogate

Keyword(s):

Visual Acuity ◽

Cataract Surgery ◽

Corneal Edema ◽

Posterior Chamber ◽

Small Incision Cataract Surgery ◽

Safety And Efficacy ◽

Excellent Outcome ◽

Sutureless Technique ◽

Small Incision ◽

Sandwich Method

Purpose. To assess safety and efficacy of temporal manual small incision cataract surgery (SICS) in context to visual outcome, astigmatism, and complications. Methods. This involved sclerocorneal tunnel, capsulotomy and hydrodissection. The incision was made with number 11 disposable surgical blade (costing Indian Rs. 2.50, $0.05). Nucleus extraction was done by phaco-sandwich method with the help of vectis and dialer. Posterior chamber intraocular lens implantation was done according to biometric findings. A record of intraoperative and postoperative complications was made. The final postoperative assessment of astigmatism was done with spectacle correction on the 45th day as per the refraction findings. Results. Two thousand eyes were operated by temporal, manual small incision sutureless technique. Uncorrected visual acuity was ≥6/18 in 1636 (81.7%) patients on the first postoperative day, in 1652 (82.6%) patients at 2 weeks, and in 1732 (88.6%) patients at 6 weeks. Best-corrected visual acuity (BCVA) ≥6/18 was achieved in 1868 (93.4%) patients at 6 weeks, with 46 (2.3%) having BCVA <6/60, 24 (1.2%) of whom had preexisting retinal pathology. At 6 weeks, 1876 (93.8%) eyes had with-the-rule and 134 (6.2%) against-the-rule astigmatism (mean 0.7±1.25 D). Iris prolapse was noted in 3 (0.15%), wound leak in 3 (0.15%), and transient corneal edema in 136 (6.8%) eyes. Average surgery time was 6 minutes. Conclusions. Temporal SICS with number 11 disposable surgical blade and nucleus delivery by phaco-sandwich method gave excellent outcome with minimal astigmatism and low complication rate at economic cost.

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Seven years follow-up of corneal cross-linking (CXL) in pediatric patients: Evaluation of treated and untreated eye

European Journal of Ophthalmology ◽

10.1177/11206721211020632 ◽

2021 ◽

pp. 112067212110206

Author(s):

Iliya Simantov ◽

Lior Or ◽

Inbal Gazit ◽

Biana Dubinsky-Pertzov ◽

David Zadok ◽

...

Keyword(s):

Visual Acuity ◽

Pediatric Patients ◽

Pediatric Population ◽

Corneal Thickness ◽

Cross Linking ◽

Uncorrected Distance Visual Acuity ◽

Mild Reduction ◽

Change In The Mean ◽

The Mean

Background: Retrospective cohort study evaluating long term keratoconus progression amongst cross-linking (CXL) treated pediatric patients in the treated and the fellow untreated eyes. Methods: Data on 60 eyes of 30 patients, 18 years old or younger, who underwent CXL in at least one eye was collected and analyzed. Follow-up measurements taken from the treated and untreated eye up to 7 years after CXL treatment, were compared to baseline measurements. Parameters included uncorrected distance visual acuity (UCDVA), best-corrected spectacle visual acuity (BCSVA), manifest refraction, pachymetry, corneal tomography, and topography. Results: Mean age of patients was 16 ± 2.1 years. For the treated eyes, during follow-up period mean UCDVA had improved (from 0.78 ± 0.22 at baseline to 0.58 ± 0.26 logMAR at 7 years; p = 0.13), as well as mean BCSVA (from 0.23 ± 0.107 at baseline to 0.172 ± 0.05 logMAR at 7 years; p = 0.37). The mean average keratometry showed a significant flattening (from 49.95 ± 4.04 to 47.94 ± 3.3 diopters (D); p < 0.001), However there was no change in the mean maximal keratometry. The mean minimal corneal thickness (MCT) showed a significant mild reduction of 26 µm ( p = 0.006). Although statistically insignificant, the mean manifest cylinder was also reduced to 2D ( p = 0.15). During the follow-up period, eight untreated eyes (26.6%) deteriorated and underwent CXL, while only one treated eye (3.33%) required an additional CXL. Conclusion: CXL is a safe and efficient procedure in halting keratoconus progression in the pediatric population, the fellow eye needs to be carefully monitored but only a 25% of the patients will require CXL in that eye during a period of 7 years.

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The patient-reported outcome of age-related cataract using Catquest-8SF questionnaire

International Eye Research ◽

10.18240/ier.2020.03.03 ◽

2020 ◽

Vol 1 (3) ◽

pp. 145-153

Author(s):

Sheng-Xia Wang ◽

◽

Yun-Hong Du ◽

Wen-Jing Liu ◽

Ping Liu ◽

...

Keyword(s):

Visual Acuity ◽

Cataract Surgery ◽

Patient Reported Outcome ◽

Chinese Version ◽

Surgery Group ◽

Age Related ◽

Patient Reported ◽

Degree Of Satisfaction ◽

Improvement Score

AIM: To assess the patient-reported outcome of phacoemulsification with posterior chamber single focus foldable intraocular lens (SIOL) using the Chinese version of Catquest-8SF questionnaire (Catquest-8SF-CN), evaluate the applicability of Catquest-8SF scale in northern Chinese and its sensitivity to cataract surgery. METHODS: Prospective clinical case follow-up study. The patients were recruited from the Central Hospital of Tai’an and completed the Catquest-8SF questionnaire by face-to-face interviews before and 3mo after surgery at the hospital. RESULTS: A total of 120 cataract patients with median age 67.6y and 52.5% female completed the Catquest-8SF. The Cronbach’s α coefficient of the total scale, daily-activity sub-table and comprehensive-evaluation sub-table were 0.861, 0.853 and 0.748 respectively. There was a high level of consistency between two investigators. The cumulative contribution rate was 66.64% by using the principal component analysis and the maximum variance orthogonal rotation method. The preoperative score of the Catquest-8SF-CN had a significant negative correlation with preoperative binocular mean weighted visual acuity and age (P<0.05), while a significant positive correlation with education level (F=6.094, P<0.001). The patients without systemic comorbidities got higher score than those who with (P<0.05). Three months after surgery, 102 (85%) patients came for follow-up and completed the questionnaire. Significant improvement of visual acuity was observed in both binocular and monocular surgery groups (t=10.404, P<0.001). There was higher improvement in binocular weighted visual acuity of binocular surgery group than in monocular surgery group (t=-20.77, P<0.001). The postoperative score was significantly higher in both groups than before (P<0.001). There was a significant improvement in the total score after cataract surgery. The 94 patients (92.2%) were very satisfied or satisfied with the operation; 92 patients (90.2%) thought the surgery achieved their expectations, and they all felt satisfactory. The degree of satisfaction was significantly correlated with the improvement score of the scale and it was also correlated with their expectation of the surgery. CONCLUSION: The Chinese version of Catquest-8SF questionnaire is suitable for the age-related cataract population in northern China. It is highly responsive to cataract surgery and brief, so it may have the potential to become part of a routine clinical assessment for cataract surgery in China. The patient’s overall satisfaction is high, which illustrates that the medical service we provide matches the patient’s needs. The degree of satisfaction was significantly correlated with the improvement score of the scale and it was also correlated with their expectation of the surgery.

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