Impact of First Eye versus Second Eye Cataract Surgery on Visual Function and Quality of Life

Ophthalmology
Nakul S ShekhawatAmy S Chomsky

Abstract

To compare the impact of first eye versus second eye cataract surgery on visual function and quality of life. Cohort study. A total of 328 patients undergoing separate first eye and second eye phacoemulsification cataract surgeries at 5 veterans affairs centers in the United States. Patients with previous ocular surgery, postoperative endophthalmitis, postoperative retinal detachment, reoperation within 30 days, dementia, anxiety disorder, hearing difficulty, or history of drug abuse were excluded. Patients received complete preoperative and postoperative ophthalmic examinations for first eye and second eye cataract surgeries. Best-corrected visual acuity (BCVA) was measured 30 to 90 days preoperatively and postoperatively. Patients completed the National Eye Institute Visual Functioning Questionnaire (NEI-VFQ) 30 to 90 days preoperatively and postoperatively. The NEI-VFQ scores were calculated using a traditional subscale scoring algorithm and a Rasch-refined approach producing visual function and socioemotional subscale scores. Postoperative NEI-VFQ scores and improvement in NEI-VFQ scores comparing first eye versus second eye cataract surgery. Mean age was 70.4 years (±9.6 standard deviation [SD]). Compared with second eyes,...Continue Reading

Citations

Apr 9, 2019·Journal of Alzheimer's Disease : JAD·Suzann PershingJoshua D Stein
May 3, 2019·JAMA Ophthalmology·Alan Sugar
May 14, 2021·Clinical & Experimental Ophthalmology·Brendon W H LeeChameen Samarawickrama
May 1, 2021·Journal of Cataract and Refractive Surgery·Yunqian YaoXiangjia Zhu

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