Potential guidelines for cataract surgery and rehabilitation in visually impaired patients: Literature analysis
Abstract Cataracts can reduce the quality of vision in visually impaired patients who already have a visual impairment. The most common causes of low vision include age‐related macular degeneration (AMD), high myopia (HM), diabetic retinopathy (DR), glaucoma (GL), and inherited degenerative ocular d...
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| Format: | Article |
| Language: | English |
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Wiley
2024-12-01
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| Series: | Aging Medicine |
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| Online Access: | https://doi.org/10.1002/agm2.12386 |
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| author | Paolo Giuseppe Limoli Celeste Limoli Marcella Nebbioso |
| author_facet | Paolo Giuseppe Limoli Celeste Limoli Marcella Nebbioso |
| author_sort | Paolo Giuseppe Limoli |
| collection | DOAJ |
| description | Abstract Cataracts can reduce the quality of vision in visually impaired patients who already have a visual impairment. The most common causes of low vision include age‐related macular degeneration (AMD), high myopia (HM), diabetic retinopathy (DR), glaucoma (GL), and inherited degenerative ocular diseases. The surgery aims to improve their independence, quality of life, and ability to engage in daily, social, and work activities. Phacoemulsification and intraocular lens (IOL) implantation, combined with visual rehabilitation, can improve visual acuity of visually impaired patients. Therefore, comprehensive guidelines for cataract surgery in patients with low vision would be beneficial to ensure optimal surgical outcomes by improving surgical planning, execution, and postoperative care, along with a well‐coordinated rehabilitation process. In cases of reduced metabolism, such as low vision, oxidative stress can be aggravated by light exposure and surgical interventions. Thus, maintaining redox balance is crucial for stabilizing retinal conditions. Patients with visual impairments rely on retinal regions with the greatest residual function, and cataract surgery aims to enhance focus on these areas, improving reading quality and reducing scotoma perception. Thorough informed consent is crucial, ensuring that patients are fully aware of the potential risks, benefits, and limitations of surgery. Close postoperative follow‐up in the first 6 months is crucial to detect and manage any complications promptly, such as reactivation of maculopathy. The aim of this work is to establish potential guidelines for optimal rehabilitation outcomes through careful literature analysis. |
| format | Article |
| id | doaj-art-1c8af583fec0463c848369ee52a7fc0d |
| institution | Kabale University |
| issn | 2475-0360 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Wiley |
| record_format | Article |
| series | Aging Medicine |
| spelling | doaj-art-1c8af583fec0463c848369ee52a7fc0d2025-01-04T08:39:03ZengWileyAging Medicine2475-03602024-12-017680281210.1002/agm2.12386Potential guidelines for cataract surgery and rehabilitation in visually impaired patients: Literature analysisPaolo Giuseppe Limoli0Celeste Limoli1Marcella Nebbioso2Low Vision Research Centre of Milan Milan ItalyLow Vision Research Centre of Milan Milan ItalyDepartment of Sense Organs, Faculty of Medicine and Odontology, Rare Retinal Diseases and Ocular Electrophysiology Centre, Umberto I Policlinic Sapienza University of Rome Rome ItalyAbstract Cataracts can reduce the quality of vision in visually impaired patients who already have a visual impairment. The most common causes of low vision include age‐related macular degeneration (AMD), high myopia (HM), diabetic retinopathy (DR), glaucoma (GL), and inherited degenerative ocular diseases. The surgery aims to improve their independence, quality of life, and ability to engage in daily, social, and work activities. Phacoemulsification and intraocular lens (IOL) implantation, combined with visual rehabilitation, can improve visual acuity of visually impaired patients. Therefore, comprehensive guidelines for cataract surgery in patients with low vision would be beneficial to ensure optimal surgical outcomes by improving surgical planning, execution, and postoperative care, along with a well‐coordinated rehabilitation process. In cases of reduced metabolism, such as low vision, oxidative stress can be aggravated by light exposure and surgical interventions. Thus, maintaining redox balance is crucial for stabilizing retinal conditions. Patients with visual impairments rely on retinal regions with the greatest residual function, and cataract surgery aims to enhance focus on these areas, improving reading quality and reducing scotoma perception. Thorough informed consent is crucial, ensuring that patients are fully aware of the potential risks, benefits, and limitations of surgery. Close postoperative follow‐up in the first 6 months is crucial to detect and manage any complications promptly, such as reactivation of maculopathy. The aim of this work is to establish potential guidelines for optimal rehabilitation outcomes through careful literature analysis.https://doi.org/10.1002/agm2.12386intraocularf lenslow visionnear visionneuroretinal diseasesphacoemulsificationvisual rehabilitation |
| spellingShingle | Paolo Giuseppe Limoli Celeste Limoli Marcella Nebbioso Potential guidelines for cataract surgery and rehabilitation in visually impaired patients: Literature analysis Aging Medicine intraocularf lens low vision near vision neuroretinal diseases phacoemulsification visual rehabilitation |
| title | Potential guidelines for cataract surgery and rehabilitation in visually impaired patients: Literature analysis |
| title_full | Potential guidelines for cataract surgery and rehabilitation in visually impaired patients: Literature analysis |
| title_fullStr | Potential guidelines for cataract surgery and rehabilitation in visually impaired patients: Literature analysis |
| title_full_unstemmed | Potential guidelines for cataract surgery and rehabilitation in visually impaired patients: Literature analysis |
| title_short | Potential guidelines for cataract surgery and rehabilitation in visually impaired patients: Literature analysis |
| title_sort | potential guidelines for cataract surgery and rehabilitation in visually impaired patients literature analysis |
| topic | intraocularf lens low vision near vision neuroretinal diseases phacoemulsification visual rehabilitation |
| url | https://doi.org/10.1002/agm2.12386 |
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