Prognostic Factors for Low Visual Acuity after Cataract Surgery with Vitreous Loss
Purpose. The purpose of this study is to find prognostic factors associated with low visual acuity in patients experiencing vitreous loss during cataract surgery. Methods. A retrospective, noncomparative, interventional, case study of patients experiencing vitreous loss during cataract surgery. Data...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2021-01-01
|
| Series: | Journal of Ophthalmology |
| Online Access: | http://dx.doi.org/10.1155/2021/6691904 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1841524599751180288 |
|---|---|
| author | Michael Mimouni Michal Schaap-Fogler Philip Polkinghorne Gilad Rabina Rita Ehrlich |
| author_facet | Michael Mimouni Michal Schaap-Fogler Philip Polkinghorne Gilad Rabina Rita Ehrlich |
| author_sort | Michael Mimouni |
| collection | DOAJ |
| description | Purpose. The purpose of this study is to find prognostic factors associated with low visual acuity in patients experiencing vitreous loss during cataract surgery. Methods. A retrospective, noncomparative, interventional, case study of patients experiencing vitreous loss during cataract surgery. Data collected included demographics, best corrected visual acuity (BCVA), axial length (AL), presence of ocular comorbidity affecting central vision, timing of intraocular lens (IOL) implantation, position of the implanted lens, and the presence of corneal sutures. Low visual outcome was defined as BCVA < 20/40. Results. Overall, 179 patients (60.3% males) with a mean age of 73 ± 12 years and axial length of 23.5 ± 1.3 mm with a mean follow-up of 12 ± 13 months were included. In multivariable logistic regression analysis, low visual outcome was independently associated with persisting postoperative complications (OR 6.25, 95% CI 1.378–30.9), preexisting ocular comorbidities (OR 4.45, 95% CI 1.1–18.00), and secondary intraocular lens (IOL) implant (OR 10.36, 95% CI 1.8–60.00). Conversely, pars plana vitrectomy (PPV) for dislocated fragments of lens material, age > 70 years, gender, axial length, degree of surgeon, corneal suturing, and anterior chamber lens implantation were not found to have significant associations with low visual outcomes (P>0.05). Conclusions. Low visual outcome after vitreous loss during cataract surgery was associated with ocular comorbidities, secondary IOL implantation, development of cystoid macular edema, and additional surgical complications. |
| format | Article |
| id | doaj-art-0c20a0ab649a491693546f983e7fa891 |
| institution | Kabale University |
| issn | 2090-004X 2090-0058 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Ophthalmology |
| spelling | doaj-art-0c20a0ab649a491693546f983e7fa8912025-02-03T05:47:40ZengWileyJournal of Ophthalmology2090-004X2090-00582021-01-01202110.1155/2021/66919046691904Prognostic Factors for Low Visual Acuity after Cataract Surgery with Vitreous LossMichael Mimouni0Michal Schaap-Fogler1Philip Polkinghorne2Gilad Rabina3Rita Ehrlich4Department of Ophthalmology, Rambam Health Care Campus Affiliated with the Technion–Israel Institute of Technology, Haifa, IsraelDepartment of Ophthalmology, Rabin Medical Center, Petach Tikva, IsraelDepartment of Ophthalmology, University of Auckland, Auckland, New ZealandDepartment of Ophthalmology, Sackler Faculty of Medicine, Tel Aviv Medical Center, Tel Aviv, IsraelDepartment of Ophthalmology, Rabin Medical Center, Petach Tikva, IsraelPurpose. The purpose of this study is to find prognostic factors associated with low visual acuity in patients experiencing vitreous loss during cataract surgery. Methods. A retrospective, noncomparative, interventional, case study of patients experiencing vitreous loss during cataract surgery. Data collected included demographics, best corrected visual acuity (BCVA), axial length (AL), presence of ocular comorbidity affecting central vision, timing of intraocular lens (IOL) implantation, position of the implanted lens, and the presence of corneal sutures. Low visual outcome was defined as BCVA < 20/40. Results. Overall, 179 patients (60.3% males) with a mean age of 73 ± 12 years and axial length of 23.5 ± 1.3 mm with a mean follow-up of 12 ± 13 months were included. In multivariable logistic regression analysis, low visual outcome was independently associated with persisting postoperative complications (OR 6.25, 95% CI 1.378–30.9), preexisting ocular comorbidities (OR 4.45, 95% CI 1.1–18.00), and secondary intraocular lens (IOL) implant (OR 10.36, 95% CI 1.8–60.00). Conversely, pars plana vitrectomy (PPV) for dislocated fragments of lens material, age > 70 years, gender, axial length, degree of surgeon, corneal suturing, and anterior chamber lens implantation were not found to have significant associations with low visual outcomes (P>0.05). Conclusions. Low visual outcome after vitreous loss during cataract surgery was associated with ocular comorbidities, secondary IOL implantation, development of cystoid macular edema, and additional surgical complications.http://dx.doi.org/10.1155/2021/6691904 |
| spellingShingle | Michael Mimouni Michal Schaap-Fogler Philip Polkinghorne Gilad Rabina Rita Ehrlich Prognostic Factors for Low Visual Acuity after Cataract Surgery with Vitreous Loss Journal of Ophthalmology |
| title | Prognostic Factors for Low Visual Acuity after Cataract Surgery with Vitreous Loss |
| title_full | Prognostic Factors for Low Visual Acuity after Cataract Surgery with Vitreous Loss |
| title_fullStr | Prognostic Factors for Low Visual Acuity after Cataract Surgery with Vitreous Loss |
| title_full_unstemmed | Prognostic Factors for Low Visual Acuity after Cataract Surgery with Vitreous Loss |
| title_short | Prognostic Factors for Low Visual Acuity after Cataract Surgery with Vitreous Loss |
| title_sort | prognostic factors for low visual acuity after cataract surgery with vitreous loss |
| url | http://dx.doi.org/10.1155/2021/6691904 |
| work_keys_str_mv | AT michaelmimouni prognosticfactorsforlowvisualacuityaftercataractsurgerywithvitreousloss AT michalschaapfogler prognosticfactorsforlowvisualacuityaftercataractsurgerywithvitreousloss AT philippolkinghorne prognosticfactorsforlowvisualacuityaftercataractsurgerywithvitreousloss AT giladrabina prognosticfactorsforlowvisualacuityaftercataractsurgerywithvitreousloss AT ritaehrlich prognosticfactorsforlowvisualacuityaftercataractsurgerywithvitreousloss |