Visual acuity and quality of life in heavy visual workload patients with bilateral cataract before and after phacoemulsification

Cover Page

Cite item

Full Text

Open Access Open Access
Restricted Access Access granted
Restricted Access Subscription Access

Abstract

BACKGROUND: To date, there is a number of debatable aspects of cataract phacoemulsification in the literature, one of which is the investigation of features of the surgery in patients with visually stressful work.

AIM: The aim is to investigate the dynamics of the best corrected distance visual acuity and quality of life in heavy visual workload patients with bilateral cataract before and after phacoemulsification.

MATERIALS AND METHODS: We observed 32 heavy visual workload patients with binocular cataracts. All patients underwent standard phacoemulsification using Infiniti (Alcon, USA) or Constellation (Alcon, USA) devices according to the standard technique. The quality of life was assessed using the tested in refractive surgery QOL-25 questionnaire.

RESULTS: The high efficiency of phacoemulsification surgery was established, which is confirmed (14 days after the second procedure) by an increase in best corrected distance visual acuity to an average value of 0.92–0.95 relative units. Along with this, a certain quality of life dynamics of was revealed, which is manifested by a statistically significant deterioration (by 2.3–4.7%, p = 0.02–0.008) in the index in 14 and 21 days after the first surgical procedure compared to the data obtained at 7 days after first operation.

CONCLUSION: Surgical treatment of binocular cataracts in heavy visual workload patients is based on earlier (in 7–10 days) surgery on the second eye or performing an immediately sequential bilateral cataract surgery.

About the authors

Dmitry F. Pokrovsky

N.I. Pirogov Russian National Research Medical University

Email: dfpokrovskiy@gmail.com
ORCID iD: 0000-0002-5475-0398
SPIN-code: 6487-5793

Cand. Sci. (Med.), MD, Ophthalmologist, Assistant Professor

Russian Federation, 1, Ostrovityanova st., Moscow, 1117997

Nikolay I. Ovechkin

Helmholtz National Medical Research Center of Eye Diseases

Author for correspondence.
Email: n.ovechkin@gmail.com
SPIN-code: 3248-2607

Cand. Sci. (Med.), MD, Head of operation unit

Russian Federation, Moscow

References

  1. Orlova OM, Trubilin VN, Zudenkov KV. Analysis of cataract progression in Russia based on the natural mortality data. Practical medicine. 2016;(2–1):70–73. (In Russ.)
  2. Branchevsky SL, Malyugin BE. Incidence of visual impairment due to cataract according to the RAAB study in Samara. Fyodorov Journal of Ophthalmic Surgery. 2013;(3):82–85. (In Russ.)
  3. Bourne RR, Stevens GA, White RA, et al. Causes of vision loss worldwide, 1990–2010: a systematic analysis. Lancet. 2013;1(6): e339–e349. doi: 10.1016/S2214–109X(13)70113-X
  4. OOO Mezhregional’naya assotsiatsiya vrachei-oftal’mologov. Federal’nye klinicheskie rekomendatsii po okazaniyu oftal’mologicheskoi pomoshchi patsientam s vozrastnoi kataraktoi. Ehkspertnyi sovet po probleme khirurgicheskogo lecheniya katarakty. Moscow: Oftal’mologiya, 2015. 32 p. (In Russ.)
  5. Mahmud I, Kelley T, Stowell C, et al. A Proposed Minimum Standard Set of Outcome Measures for Cataract Surgery. JAMA Ophthalmol. 2015;133(11):1247–1252. doi: 10.1001/jamaophthalmol.2015.2810
  6. Hashemi H, Seyedian MA, Mohammadpour M. Small pupil and cataract surgery. Curr Opin Ophthalmol. 2015;26(1):3–9. doi: 10.1097/ICU.0000000000000116
  7. Potyomkin VV, Ageeva EV. Zonular instability in patients with pseudoexfoliative syndrome: the analysis of 1000 consecutive phacoemulsifications. Ophthalmology Journal. 2018;11(1):41–46. (In Russ.) doi: 10.17816/OV11141-46
  8. Potyomkin VV, Goltsman EV. Cataract surgery in pseudoexfoliation syndrome. Ophthalmology Journal. 2020;13(1):37–42. (In Russ.) doi: 10.17816/OV25739
  9. Alekseev IB, Khatsukova BN, Soshina MM, et al. Fixed combination bimatoprost-timolol in prevention of ocular hypertension after phacoemulsification of uncomplicated cataract. Ophthalmology Journal. 2016;9(2):69–73. (In Russ.) doi: 10.17816/OV9269-73
  10. Astakhov SY, Tkachenko NV. Trehalose efficacy in dry eye syndrome treatment after phacoemulsification. Ophthalmology Journal. 2016;9(4):79–89. (In Russ.) doi: 10.17816/OV9479-89
  11. Orlova OM. Kompleksnaya otsenka ehffektivnosti rannei khirurgii katarakty u patsientov zritel’no-napryazhennogo truda [dissertation]. Moscow, 2017. (In Russ.)
  12. Kirwan C, Lanigan B, O’Keefe MJ. Vision-related quality of life assessment using the NEI-VFQ-25 in adolescents and young adults with a history of congenital cataract. Pediatr Ophthalmol Strabismus. 2012;49(1):26–31. doi: 10.3928/01913913-20110517-02
  13. He L, Cui Y, Tang X, et al. Changes in visual function and quality of life in patients with senile cataract following phacoemulsification. Ann Palliat Med. 2020;9(6):3802–3809. doi: 10.21037/apm-20-1709
  14. Lundström M, Pesudovs KJ. Questionnaires for measuring cataract surgery outcomes. Cataract Refract Surg. 2011;37(5):945–959. doi: 10.1016/j.jcrs.2011.03.010
  15. Trubilin VN, Ovechkin IG, Pozharitsky MD, et al. The study of quality of life after excimer laser operations. Sovremennaya optometriya. 2012;(5):39–43. (In Russ.)
  16. Maliugin BÉ. State-of-the-art cataract surgery and intraocular optical correction. The Russian annals of ophthalmology. 2014;130(6):80–88. (In Russ.)
  17. Talukder AK, Zakia S, Khanam M, et al. Binocular Visual Discomfort after First Eye Cataract Surgery: An Inattentive Burning Issue. Mymensingh Med J. 2019;28(2):302–305.
  18. Rutstein RP, Fullard RJ, Wilson JA, Gordon A. Aniseikonia induced by cataract surgery and its effect on binocular vision. Optom Vis Sci. 2015;92(2):201–207. doi: 10.1097/OPX.0000000000000491
  19. Krarup TG, Nisted I, Christensen U, et al. The tolerance of anisometropia. Acta Ophthalmol. 2020;98(4):418–426. doi: 10.1111/aos.14310
  20. Volkov VV. Psikhofiziologiya zritel’nogo protsessa i metody ego izucheniya. Klinicheskaya fiziologiya zreniya. Moscow: Rusomed, 1993. P. 158–179. (In Russ.)
  21. Lansingh Van C, Eckert KA, Strauss G. Benefits and risks of immediately sequential bilateral cataract surgery: a literature review. Clin Experimуте Ophthalmol 2015;43(7):666–672. doi: 10.1111/ceo.12527
  22. Lee E, Balasingam B, Mills EC, et al. A survey exploring ophthalmologists’ attitudes and beliefs in performing Immediately Sequential Bilateral Cataract Surgery in the United Kingdom. BMC Ophthalmol. 2020;20:210. doi: 10.1186/s12886-020-01475-0
  23. Rönbeck M, Lundström M, Kugelberg M. Study of possible predictors associated with self-assessed visual function after cataract surgery. Ophthalmology. 2011;118(9):1732–1738. doi: 10.1016/j.ophtha.2011.04.013

Supplementary files

Supplementary Files
Action
1. JATS XML
Download
2. Figure. The results of the investigation of the quality of life dynamics in a patient before and after phacoemulsification

Download (122KB)
Indexing metadata

Copyright (c) 2021 Pokrovsky D.F., Ovechkin N.I.

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.
 


This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies