Age-related maculopathy and cataract surgery outcomes: visual acuity and health-related quality of life.
Eye (Lond)
; 21(3): 324-30, 2007 Mar.
Article
in En
| MEDLINE
| ID: mdl-16284600
ABSTRACT
PURPOSE:
To assess visual acuity (VA) and health-related quality of life (HRQoL) outcomes in patients with and without age-related maculopathy (ARM) after cataract surgery.METHODS:
Patients aged 60+ years who had undergone cataract surgery at the Westmead Hospital during 2001-2003 were re-examined 1-3 years after surgery. Tests included VA and assessment of visual- and HRQoL using standardised questionnaires (VF-14, SF-12). Preoperative comorbidity data were collected from medical records. Poor surgical outcomes (VA<6/12; no VA improvement; lowest quintile of VF-14, SF-12 scores) were compared in patients with and without ARM, adjusting for age, sex, preoperative systemic comorbidities, ocular comorbidities and surgical or postoperative complications.RESULTS:
Of 622 surviving patients, 454 (73%) were followed up for a mean period of 2.8 years. Similar proportions with VA>or=6/12 were observed in patients with (80.2%) and without (88.8%) pre-existing ARM. Preoperative early ARM was only associated with slightly lower mean VF-14 scores (87.64 with vs 92.58 without ARM, P=0.01). Increasing age and preoperative ocular comorbidities were associated with all poor outcomes measured. Low SF-12 scores were associated with preoperative systemic comorbidities.CONCLUSION:
Our study documents favourable cataract surgical outcomes 1-3 years after cataract surgery in patients with preoperative ARM.
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Collection:
01-internacional
Database:
MEDLINE
Main subject:
Quality of Life
/
Cataract Extraction
/
Visual Acuity
/
Macular Degeneration
Aspects:
Patient_preference
Limits:
Aged
/
Aged80
/
Female
/
Humans
/
Male
/
Middle aged
Language:
En
Journal:
Eye (Lond)
Journal subject:
OFTALMOLOGIA
Year:
2007
Document type:
Article
Affiliation country:
Australia