Level Knowledge Of Cataract, Education, And Sosioeconomic Status With Preoperative Visual Acuity In Patients With Senile Cataract In Phc Hospital Of Surabaya

Introduction. The prognosis of postoperative visual acuity in patients with surgically treated suprasellar meningiomas is influenced not only by the size and precise localization of meningiomas in the optochiasmatic region and their compressive effect, but also by certain parameters, such as the age of patient, duration of symptoms, and preoperative visual acuity. The purpose of this study was to analyze the influence of these factors on postoperative visual acuity in the patients with surgically treated optochiasmatic meningioma as well as to determine their prognostic value in the recovery of visual function after surgery. Material and Methods. The study sample consisted of 43 patients operated for suprasellar meningioma. All tumors were diagnosed by computed tomography or nuclear magnetic resonance scans. Visual acuity was analyzed both before surgery and six months after surgery. The effects of age, preoperative visual loss, duration of visual symptoms and tumor size on visual outcome were analyzed. Results. Postoperative improvement of visual acuity was observed in 50% of eyes (68.4% of patients). Visual outcome was better in the younger patients. The patients with better preoperative visual acuity had better postoperative visual acuity outcome. Chances of achieving better postoperative visual function and favorable tumor resection outcome were inversely proportional to the increased length of history of disease and tumor size. Conclusion. Postoperative visual acuity prognosis in suprasellar meningioma surgery was favorably affected by the mean duration of symptoms of less than 24 months, tumor size less than 30 mm, and preoperative visual acuity loss below 0.1.

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Factors Influencing Visual Outcome after Penetrating Keratoplasty Combined with Intraocular Lens Implantation

European Journal of Ophthalmology ◽

10.1177/112067210301300203 ◽

2003 ◽

Vol 13 (2) ◽

pp. 134-138 ◽

Cited By ~ 3

Author(s):

J.B. Jonas ◽

R.M. Rank ◽

W.M. Budde ◽

G. Sauder

Keyword(s):

Visual Acuity ◽

Intraocular Lens ◽

Penetrating Keratoplasty ◽

Visual Outcome ◽

Intraocular Lens Implantation ◽

Postoperative Visual Acuity ◽

Factors Influencing ◽

Lens Implantation ◽

Preoperative Visual Acuity

Purpose To establish which factors influence visual outcome after penetrating keratoplasty combined with intraocular lens implantation. Methods This retrospective noncomparative clinical interventional case series study included 135 consecutive patients (mean age 70.2 ± 13.6 years) who underwent central penetrating allogenic keratoplasty combined with intraocular lens (IOL) implantation, all operated by the same surgeon. There were 79 triple procedures, 33 keratoplasties combined with an exchange of IOL, and 23 penetrating keratoplasties combined with a secondary implantation of a posterior chamber lens. Mean follow-up was 28.3 ± 18.7 months (range 3.3–112 months). Reasons for keratoplasty were herpetic or traumatic corneal scars or defects (46), Fuchs corneal endothelial dystrophy (22), pseudophakic or aphakic bullous keratopathy (49), corneal endothelial decompensation due to other reasons (15), and keratoconus (3). Main outcome measures were postoperative visual acuity and gain in visual acuity. Results Mean postoperative visual acuity and mean gain in visual acuity were 0.33 ± 0.21 (median 0.30) and 0.25 ± 0.20 (median 0.20), respectively. Compared with the preoperative measurements, mean visual acuity increased in 129 patients (129/135, 95.6%). Factors influencing postoperative visual outcome and gain in visual acuity were preoperative visual acuity (p<0.005), reason for keratoplasty (p<0.005), and diameter of the graft (p = 0.046). Postoperative visual outcome was independent of age, sex, right or left eye, presence of diabetes mellitus, preoperative refractive error, length of follow-up, duration of surgery, and preoperative intraocular pressure. Conclusions The most important factors influencing visual outcome after central penetrating allogenic keratoplasty combined with IOL surgery are preoperative visual acuity, graft size, and reason for keratoplasty. Other factors such as age, sex, diabetes mellitus, and preoperative refractive error do not substantially influence postoperative visual outcome.

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Comparison of Outcomes after Phacoemulsification with Two Different Corneal Incision Distances Anterior to the Limbus

Journal of Ophthalmology ◽

10.1155/2019/1760742 ◽

2019 ◽

Vol 2019 ◽

pp. 1-7

Author(s):

Lijun Wang ◽

Lin Zhao ◽

Xiting Yang ◽

Yi Zhang ◽

Dingying Liao ◽

...

Keyword(s):

Visual Acuity ◽

Anterior Segment ◽

Case Series ◽

Senile Cataract ◽

Retrospective Case ◽

Corneal Incision ◽

Clear Corneal Incision ◽

Corneal Aberrations ◽

Anterior Segment Parameters ◽

Group B

Purpose. To compare visual performance and visual quality outcomes after phacoemulsification with two different clear corneal incision (CCI) distances anterior to the limbus in senile cataract patients. Methods. Retrospective case series. Patients who had undergone phacoemulsification were divided into two groups according to the CCI distances anterior to the limbus. The CCI distances in group A range from 1 mm to 1.5 mm, while those in group B range from 0.5 mm to 1 mm. The visual acuity, refraction, surgically induced astigmatism (SIA), corneal aberrations, anterior segment parameters, and subjective vision quality were evaluated. Results. This study enrolled 54 eyes, with 27 eyes per group. Both groups had significant improvement in postoperative uncorrected visual acuity (UCVA) and corrected distance visual acuity (CDVA) (P<0.05). There were no statistically significant between-group differences in postoperative UDVA, CDVA, SIA, corneal aberrations, anterior segment parameters, or VF-QOL questionnaire performance (P>0.05). Conclusions. The phacoemulsification with CCI distances ranging from 0.5 mm to 1.5 mm is an effective and safe therapy to senile cataract. The CCI distance anterior to the limbus that ranges from 0.5 mm to 1.5 mm is recommended for routine phacoemulsification.

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Preoperative visual acuity among cataract surgery patients and countries’ state of development: a global study

Bulletin of the World Health Organization ◽

10.2471/blt.10.080366 ◽

2011 ◽

Vol 89 (10) ◽

pp. 749-756 ◽

Cited By ~ 19

Author(s):

Shaheen Shah ◽

Claire Gilbert ◽

Hessom Razavi ◽

Elizabeth Turner ◽

Robert Lindfield

Keyword(s):

Visual Acuity ◽

Cataract Surgery ◽

Global Study ◽

Preoperative Visual Acuity

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PARS PLANA VITRECTOMY FOR SYMPTOMATIC EPIRETINAL MEMBRANES IN EYES WITH 20/50 OR BETTER PREOPERATIVE VISUAL ACUITY

Retina ◽

10.1097/iae.0000000000000541 ◽

2015 ◽

Vol 35 (9) ◽

pp. 1822-1827 ◽

Cited By ~ 8

Author(s):

Brian P. Lehpamer ◽

Petros E. Carvounis

Keyword(s):

Visual Acuity ◽

Pars Plana Vitrectomy ◽

Epiretinal Membranes ◽

Preoperative Visual Acuity ◽

Pars Plana

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Pathogenesis, Classification, Diagnosis, and Treatment in the Secondary Macular Hole

Güncel Retina Dergisi (Current Retina Journal) ◽

10.37783/crj-0106 ◽

2018 ◽

pp. 283-292

Keyword(s):

Visual Acuity ◽

Macular Hole ◽

Clinical Features ◽

Diagnosis And Treatment ◽

Idiopathic Macular Hole ◽

Pathogenetic Mechanisms ◽

Ocular Pathology ◽

Preoperative Visual Acuity ◽

Prognostic Outcome

Secondary macular hole (SMH) is defined as the macular hole due to a specific ocular pathology. SMH is the similar clinical features with those of idiopathic macular hole (IMH). The pathogenetic mechanisms for the formation of SMH are similar to those for IMH, with small variations, although the indication of surgery and prognosis is subtle. The predictive prognostic outcome is the anatomical morphology of SMH, the preoperative visual acuity, the background pathology, and the additional ocular pathology, therefore, the prognosis of SMH is not as good as those of the prognosis of IMH.

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Analysis of retinal detachment resulted from post-operative endophthalmitis treated with 23G pars Plana Vitrectomy

BMC Ophthalmology ◽

10.1186/s12886-021-02175-z ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Zheng Ying ◽

Casagrande Maria ◽

Dimopoulos Spyridon ◽

Bartz-Schmidt Karl-Ulrich ◽

Spitzer Matin Stephan ◽

...

Keyword(s):

Visual Acuity ◽

Retinal Detachment ◽

Cataract Surgery ◽

Intravitreal Injection ◽

Pars Plana Vitrectomy ◽

Clinical Evidence ◽

Prognostic Role ◽

Preoperative Visual Acuity ◽

Pars Plana

Abstract Background To evaluate the rate, risk factors, functional outcome and prognosis in eyes with retinal detachment after post-operative endophthalmitis treated with 23G Pars Plana Vitrectomy. Methods Electronic patient files from 2009 until 2018 were screened for the presence of an endophthalmitis. Included were 116 eyes of 116 patients. This population was evaluated for the rate of retinal detachment after 23G Pars Plana Vitrectomy for endophthalmitis following cataract surgery or intravitreal injection. The main outcome measures were retinal detachment and visual acuity. Results The reasons for endophthalmitis were previous cataract surgery in 78 patients and following intravitreal injection in 38 patients. The first clinical evidence of endophthalmitis was present in median 5 days after the triggering intervention. Twenty-five eyes (21.55%) developed a retinal detachment an average of 25 days after endophthalmitis. RD is significantly associated with preoperative visual acuity (p = 0.001). Conclusions We emphasize the prognostic role of preoperative visual acuity in RD development of the endophthalmitis treated with 23G Pars Plana Vitrectomy.

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Visual Outcome of Combined Descemet Stripping Endothelial Keratoplasty and Sutured Scleral Fixated Intraocular Lens in Endothelial Decompensation with Coexistent Aphakia or Intra Ocular Lens Subluxation

Annals of the National Academy of Medical Sciences (India) ◽

10.1055/s-0041-1739036 ◽

2021 ◽

Author(s):

Jaya Kaushik ◽

Ankita Singh ◽

Rakesh Shetty ◽

Jitendra Kumar Singh Parihar ◽

Divya Kochhar ◽

...

Keyword(s):

Visual Acuity ◽

Visual Outcome ◽

Bullous Keratopathy ◽

Endothelial Keratoplasty ◽

Ocular Lens ◽

Descemet Stripping Endothelial Keratoplasty ◽

Lens Subluxation ◽

Preoperative Visual Acuity ◽

Endothelial Decompensation

Abstract Purpose To elucidate visual outcome of patients after combined Descemet stripping endothelial keratoplasty (DSEK) with scleral fixated intra ocular lens (SFIOL) implantation in patients of endothelial decompensation with coexistent aphakia or lens subluxation. Materials and Methods A prospective interventional study of combined DSEK with sutured SFIOL in the patients who have undergone surgery at our center over 6-month follow-up period. Preoperative visual acuity and slit lamp findings were documented. Postoperative follow-up was done at days 1, 3, and 7 subsequently, months 1 and 3, and thereafter monthly till the sixth month. Results Mean age of the patients was 60.47 years. Six patients had aphakic bullous keratopathy, while 11 patients had pseudophakic bullous keratopathy with subluxated posterior chamber IOL (PCIOL). Preoperative visual acuity ranged from hand movements close to face (LogMar 2.4) with accurate projection of rays to 1/60 (LogMar 2) due to existing corneal edema and aphakia. Postoperatively uncorrected visual acuity at 6 months improved up to 6/36 (LogMar 0.8) in all cases. There was gradual improvement in corneal clarity and compactness during the follow-up. A good donor tissue endothelial count and an adequate IOP control were vital prognostic factors for the successful outcome. Conclusion This novel surgical merger reduces the complications of lenticule dislocation into vitreous and repeated surgeries and shows results akin to when performed in a staged manner.

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Analysis of retinal detachment after post-operative endophthalmitis treated with 23G Pars Plana Vitrectomy

10.21203/rs.3.rs-223374/v1 ◽

2021 ◽

Author(s):

Ying Zheng ◽

Maria Casagrande ◽

Spyridon Dimopoulos ◽

Ulrich Bartz-Schmidt ◽

Martin Spitzer ◽

...

Keyword(s):

Visual Acuity ◽

Retinal Detachment ◽

Cataract Surgery ◽

Intravitreal Injection ◽

Pars Plana Vitrectomy ◽

Clinical Evidence ◽

Prognostic Role ◽

Preoperative Visual Acuity ◽

Pars Plana

Abstract Background To evaluate the rate, risk factors, functional outcome and prognosis in eyes with retinal detachment after post-operative endophthalmitis treated with 23G pars plana vitrectomy. Methods Electronic patient files from 2009 until 2018 were screened for the presence of an endophthalmitis. Included were 116 eyes of 116 patients. This population was evaluated for the rate of retinal detachment after 23G Pars Plana Vitrectomy for endophthalmitis following cataract surgery or intravitreal injection. The main outcome measures are retinal detachment and visual acuity. Results Reason for endophthalmitis was previous cataract surgery in 78 patients and following intravitreal injection in 38 patients. First clinical evidence of endophthalmitis was present in median 5 days after the triggering surgery. Twenty-five eyes (21.55%) developed a retinal detachment in average 25 days after endophthalmitis. RD is significantly associated with preoperative visual acuity (p = 0.001). Conclusions Modern 23G vitrectomy technique seems not to lower the rate of retinal detachment after vitrectomy for endophthalmitis. And we also emphasize the prognostic role of preoperative visual acuity in RD development of the endophthalmitis treated with 23G pars plana vitrectomy.

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