PMID: 19924666Nov 20, 2009Paper

Visual acuity at 6 weeks after small incision cataract surgery and role of audit in predicting visual acuity

European Journal of Ophthalmology
Rajiv KhandekarKamta P Pandey

Abstract

We present the best-corrected visual acuity (BCVA) at 6 weeks after small incision cataract surgery (SICS) and review the role of audit in predicting visual acuity (VA). This was a retrospective data analysis of 14,393 SICS performed during 2007-2008 at a hospital in central India. Ophthalmologists noted preoperative, operative, and postoperative details. The BCVA before and 1 day and 6 weeks after surgery were noted. We identified factors associated with BCVA at 1-day and 6-week follow-up. Six weeks after surgery, 12,522 (87%) and 1473 (10.2%) patients had BCVA > or =6/18 and 6/24-6/60, respectively. Vision improved between 2 follow-ups in 6695 eyes (46.5% (95% confidence interval (CI) 45.7-47.3)), remained the same in 7117 eyes (49.4%), and deteriorated in 544 (3.8%) eyes. BCVA at 6 weeks was negatively associated with blindness (VA <3/60 in the better eye) before surgery (odds ratio (OR) = 0.73, 95% CI 0.58-0.92), surgeon's experience (OR = 0.75, 95% CI 0.71-0.81), and male patients (OR = 0.73, 95% CI 0.67-0.80). BCVA at 6 weeks was positively associated with older age (OR = 1.02, 95% CI 1.01-1.03) and intraoperative complications (OR = 1.44, 95% CI 1.14-1.83). The association of VA <6/60 1 day after surgery with improved vi...Continue Reading

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Citations

Nov 20, 2010·Current Opinion in Ophthalmology·Suzann Pershing, Abha Kumar
Jan 19, 2011·Journal of Cataract and Refractive Surgery·Parikshit GogateHans Limburg
Feb 18, 2016·BioMed Research International·Xiaochun LiYongzhen Bao
Mar 28, 2012·Ophthalmic Epidemiology·Guofu HuangMingguang He

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