Using the postoperative visual acuity to monitor the quality of cataract surgery: Does the day one visual acuity following cataract surgery correlate with the final visual acuity?

Abstract Objective The study aimed to evaluate the safety and efficacy of resident surgeons performing femtosecond laser assisted cataract surgery (FLACS). Methods A retrospective chart review was conducted at the University of Wisconsin-Madison from postgraduate year four residents performing FLACS between 2017 and 2019. Data were also collected from residents performing manual cataract surgery, and attending surgeons performing FLACS for comparison. Recorded data included patient demographics, pre- and postoperative visual acuity, pre- and postoperative spherical equivalent, nuclear sclerotic cataract grade, ocular and systemic comorbidities, intraocular lens, duration of surgery, cumulative dissipated energy (CDE), and intraoperative and postoperative complications. Results A total of 90 cases were reviewed with 30 resident manual cases, 30 resident FLACS cases, and 30 attending FLACS cases. Resident manual (25.5 ± 6.8 minutes) and resident FLACS (17.5 ± 7.1 minutes) cases took a significantly longer time to complete compared with attending FLACS cases (13.6 ± 4.4 minutes; p < 0.001). There was higher CDE in resident FLACS and resident manual cases compared with attending FLACS cases, but the difference was not statistically significant (p = 0.06). Postoperative visual acuity was not statistically different at 1-day and 1-month after surgery among the three groups. Resident FLACS complications, which included one case requiring an intraoperative suture to close the wound, two cases with intraoperative corneal abrasions, two cases with postoperative ocular hypertension, and one case with cystoid macular edema, were not significantly greater than attending FLACS complications (p = 0.30). Conclusion The FLACS performed by resident surgeons had comparable visual acuity outcomes to FLACS performed by attending surgeons, and to manual cataract surgery performed by resident surgeons. However, resident FLACS cases took significantly longer time to complete, and they were associated with a higher CDE and minor complication rate compared with attending FLACS cases. Introducing advanced technologies into surgical training curricula improves resident preparedness for independent practice, and this study suggests FLACS can be incorporated safely and effectively into resident education.

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Dome-shaped macula: a potential protective factor for visual acuity after cataract surgery in patients with high myopia

British Journal of Ophthalmology ◽

10.1136/bjophthalmol-2018-313279 ◽

2019 ◽

Vol 103 (11) ◽

pp. 1566-1570 ◽

Cited By ~ 3

Author(s):

Xiangjia Zhu ◽

Wenwen He ◽

Shaohua Zhang ◽

Xianfang Rong ◽

Qi Fan ◽

...

Keyword(s):

Visual Acuity ◽

Cataract Surgery ◽

Axial Length ◽

High Myopia ◽

Protective Factor ◽

Choroidal Neovascularisation ◽

Postoperative Visual Acuity ◽

Younger Age ◽

Male Sex ◽

Central Fovea

PurposeTo evaluate whether the presence of dome-shaped macula (DSM) is a protective factor for visual acuity after cataract surgery in patients with high myopia.MethodsIncluded were 891 highly myopic cataract eyes (600 patients) that were examined by optical coherence tomography (OCT) through the central fovea and underwent cataract surgery in our hospital. DSM was defined as an inward bulge >50 µm in horizontal or vertical OCT sections. The incidences of various maculopathies were compared between eyes with and those without DSM. The influences of age, sex, eye laterality, axial length and DSM on postoperative visual acuity were evaluated by multivariate linear regression.ResultsOf the 891 eyes, 123 (13.8%) had DSM. There was a greater association of DSM with extrafoveal retinoschisis (RS) than with other vision-threatening complications such as foveal RS and choroidal neovascularisation. In addition to axial length and age, sex was associated with the presence of DSM (p=0.016). In bilateral high myopia, the incidence of DSM increased with the degree of anisometropia and was more common in the longer eye of patients with anisometropia. Younger age, male sex, shorter axial length and the presence of DSM were associated with better postoperative visual acuity in highly myopic cataract eyes (β=0.124, p=0.002; β=0.142, p<0.001; β=0.275, p<0.001 and β=−0.088, p=0.038, respectively).ConclusionAssociated with fewer visual threatening macular complications, presence of DSM may be a protective factor for visual function after cataract surgery in highly myopic eyes.

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Visual Acuity, Quality of Life and Visual Function Outcomes after Cataract Surgery in Bali

Ophthalmic Epidemiology ◽

10.3109/09286586.2015.1008104 ◽

2015 ◽

Vol 22 (4) ◽

pp. 274-282 ◽

Cited By ~ 3

Author(s):

Lachlan Farmer ◽

Cecilia Innes-Wong ◽

Caroline Bergman-Hart ◽

Robert J. Casson ◽

John Crompton

Keyword(s):

Quality Of Life ◽

Visual Acuity ◽

Cataract Surgery ◽

Visual Function

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Effect of hospital on variation in visual acuity and vision-specific quality of life after cataract surgery

Journal of Evaluation in Clinical Practice ◽

10.1111/j.1365-2753.2009.01157.x ◽

2010 ◽

Vol 16 (4) ◽

pp. 665-672

Author(s):

Jose M. Quintana ◽

Antonio Escobar ◽

Amaia Bilbao ◽

Gemma Navarro ◽

Jose M. Begiristain ◽

...

Keyword(s):

Quality Of Life ◽

Visual Acuity ◽

Cataract Surgery

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Cataract Surgery With Toric Intraocular Lenses Can Optimize Uncorrected Postoperative Visual Acuity in Patients With Marked Corneal Astigmatism

Cornea ◽

10.1097/ico.0b013e31802be5cc ◽

2007 ◽

Vol 26 (2) ◽

pp. 133-135 ◽

Cited By ~ 24

Author(s):

James P Kersey ◽

Annie OʼDonnell ◽

Christopher D Illingworth

Keyword(s):

Visual Acuity ◽

Cataract Surgery ◽

Corneal Astigmatism ◽

Intraocular Lenses ◽

Postoperative Visual Acuity

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Pediatric Traumatic Cataracts : 10 Year-experience of a Tertiary Referral Center

10.21203/rs.3.rs-132751/v1 ◽

2021 ◽

Author(s):

Nesrin Tutas Gunaydın ◽

Ayse Aydın Oral

Keyword(s):

Visual Acuity ◽

Cataract Surgery ◽

Final Visual Acuity ◽

Close Monitoring ◽

Iol Implantation ◽

Tertiary Referral Center ◽

Corrected Distance Visual Acuity ◽

The Mean ◽

Visual Results ◽

Trauma Type

Abstract Background: To evaluate the factors influencing final visual acuity in pediatric traumatic cataracts. Methods: Data of patients who presented with traumatic cataracts were reviewed retrospectively. We evaluated sex; age at trauma; trauma type, cause, and zone; duration between the time of trauma and cataract surgery; surgical method used; time, location, and type of intraocular lens (IOL) implantation; initial and final corrected distance visual acuity (CDVA); amblyopia rate and complications. Results: In all, 61 eyes of 59 patients with cataracts after trauma, under 16 years of age, were included. The mean age of the children was 7.2 ± 3.9 years. Primary IOL implantation was performed in 70.9% of eyes. The CDVA was 0.7 LogMAR or better in 16.3% of the 49 eyes where the visual acuity could be measured at the time of trauma and in 69.1% of 55 eyes in which it could be measured after treatment. The evaluation of factors potentially influencing the final visual acuity revealed that eyes that had undergone posterior capsulotomy (PC) and anterior vitrectomy (AV) during cataract surgery had significantly better final vision compared to eyes that did not undergo these procedures. Conclusion: Good visual results can be obtained in children with traumatic cataracts using PC and AV together with lens aspiration and IOL implantation, followed by effective amblyopia treatment and close monitoring.

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The Impact of Cataract Surgery on Contrast Visual Acuity and Retinal Sensitivity in Patients with Retinitis Pigmentosa

Journal of Ophthalmology ◽

10.1155/2021/2281834 ◽

2021 ◽

Vol 2021 ◽

pp. 1-6

Author(s):

Gen Miura ◽

Takayuki Baba ◽

Tomoaki Tatsumi ◽

Hirotaka Yokouchi ◽

Shuichi Yamamoto

Keyword(s):

Visual Acuity ◽

Retinitis Pigmentosa ◽

Cataract Surgery ◽

Contrast Sensitivity ◽

Retinal Sensitivity ◽

Zone Length ◽

Ellipsoid Zone ◽

Postoperative Visual Acuity ◽

Before And After ◽

The Impact

Purpose. To determine the effects of cataract surgery on contrast visual acuity and retinal sensitivity in patients with retinitis pigmentosa. Methods. Retinal sensitivity and contrast visual acuity were determined by microperimetry (MAIA) and contrast sensitivity acuity tester (CAT-CP), respectively, before and after cataract surgery. The significance of the correlations between visual acuity, retinal sensitivity, contrast visual acuity, improvements after surgery, and macular structure before and after cataract surgery was determined. Results. Retinal sensitivity and contrast visual acuity were significantly improved after cataract surgery. The correlations among postoperative visual acuity, postoperative retinal sensitivities, and preoperative ellipsoid zone length were significant. The postoperative retinal sensitivity of the central 10° and the ellipsoid zone length was particularly significantly correlated. Preoperative contrast visual acuity and the amount of improvement and preoperative retinal sensitivity and the amount of improvement were significantly negatively correlated. The contrast visual acuity under both the 100% and 10% photopic and mesopic conditions improved significantly after cataract surgery. Conclusions. Cataract surgery in retinitis pigmentosa patients with preserved ellipsoid zones significantly improved retinal sensitivity and contrast visual acuity. Cataract surgery can be expected to improve retinal sensitivity and contrast visual acuity under various conditions, even if preoperative visual parameters are low, as long as the ellipsoid zone is preserved.

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