Do patients with age related maculopathy and cataract benefit from cataract surgery?
| Autor: | A. M. AMBRECHT, C. FINDLAY, P. ASPINALL, B. DHILLON, G N SHUTTLEWORTH, E A LUHISHI, R A HARRAD |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 1998 |
| Předmět: |
Male
Reoperation medicine.medical_specialty Visual acuity genetic structures medicine.medical_treatment Eye disease Vision Disorders Visual Acuity Cataract Extraction Cataract Macular Degeneration Cellular and Molecular Neuroscience Ophthalmology Surveys and Questionnaires Correspondence Preoperative Care medicine Humans Prospective cohort study Aged Retrospective Studies Aged 80 and over business.industry Retrospective cohort study Cataract surgery Macular degeneration medicine.disease Original articles - Clinical science Sensory Systems eye diseases Surgery Age-related maculopathy Treatment Outcome Patient Satisfaction Maculopathy Female sense organs medicine.symptom business |
| Popis: | AIMS—To assess the benefits of cataract extraction in patients with age related maculopathy (ARM). METHODS—1073 randomly selected cataract operations were reviewed and 99 cases of preoperatively recognised ARM were identified for investigation. Data relating to visual function were retrieved from case notes, and patient responses to a questionnaire were analysed. RESULTS—98% had dry or unspecified ARM. Only 2% had exudative maculopathy. 81% of cases had an improvement in best distance acuity; mean change 0.44 logMAR (change of 6/36 to 6/12). 65% responded to the questionnaire; 67% felt that the operation had been worthwhile, 17% had mixed feelings, and 17% thought it not worthwhile. CONCLUSION—This study, which is the first of its kind to be reported, shows a clear benefit from cataract surgery in the majority of patients with ARM. However, the prevalence of ARM in this study is lower than expected, suggesting that some patients with both ARM and cataract were not listed for surgery. The design of a prospective study to quantify the subjective and objective benefits of cataract surgery in these patients is outlined and predictors of successful outcome identified. This will promote the development of guidelines for the surgical management of this group of patients. Keywords: age related maculopathy; cataract; cataract surgery; outcome assessment; questionnaire |
| Databáze: | OpenAIRE |
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