TY - JOUR
T1 - Outcomes after cataract surgery in eyes with pseudoexfoliation
T2 - Results from the Veterans Affairs Ophthalmic Surgery Outcomes Data Project
AU - Turalba, Angela
AU - Cakiner-Egilmez, Tulay
AU - Payal, Abhishek R.
AU - Gonzalez-Gonzalez, Luis A.
AU - Chomsky, Amy S.
AU - Vollman, David E.
AU - Baze, Elizabeth F.
AU - Lawrence, Mary G.
AU - Daly, Mary K.
PY - 2017/2/1
Y1 - 2017/2/1
N2 - Objective To compare clinical outcomes of cataract surgery in eyes with and without pseudoexfoliation (PXF). Design Retrospective deidentified data analysis. Participants A total of 123 PXF and 4776 non-PXF eyes of patients who underwent cataract surgery. Methods We compared data on visual acuity, Visual Function Questionnaire (VFQ)-based quality of life, and complications in PXF and non-PXF eyes from the Veterans Affairs (VA) Ophthalmic Surgery Outcomes Data Project across 5 VA medical centres. Results Pupillary expansion devices were used in 31 (25.2%) PXF cases and 398 (8.4%) non-PXF cases (p < 0.0001). Capsular tension rings were used in 6 (4.9%) PXF cases and 55 (1.2%) non-PXF cases (p < 0.004). The following complications occurred more frequently in PXF cases: zonular dehiscence without vitrectomy (4 [3.3%] PXF cases vs 40 [0.8%] non-PXF cases p = 0.02), persistent inflammation (28 [24.1%] vs 668 [14.5%]; p = 0.007), and persistent intraocular pressure elevation (5 [4.3%] vs 68 [1.5%]; p = 0.03). Best corrected visual acuity (BCVA) improved in both groups after 1 month, but 87 (83.7%) PXF cases achieved postoperative BCVA better than or equal to 20/40 compared to 3991 (93.8%) non-PXF cases (p = 0.0003). There was no significant difference in the postoperative composite VFQ scores between PXF (82.1 ± 16.9) and non-PXF cases (84.2 ± 16.8, p = 0.09). Conclusions Several complications occurred more frequently in the PXF group compared to the non-PXF group, and fewer PXF cases achieved BCVA better than or equal to 20/40. Despite this, both groups experienced similar improvement in vision-related quality of life after cataract surgery.
AB - Objective To compare clinical outcomes of cataract surgery in eyes with and without pseudoexfoliation (PXF). Design Retrospective deidentified data analysis. Participants A total of 123 PXF and 4776 non-PXF eyes of patients who underwent cataract surgery. Methods We compared data on visual acuity, Visual Function Questionnaire (VFQ)-based quality of life, and complications in PXF and non-PXF eyes from the Veterans Affairs (VA) Ophthalmic Surgery Outcomes Data Project across 5 VA medical centres. Results Pupillary expansion devices were used in 31 (25.2%) PXF cases and 398 (8.4%) non-PXF cases (p < 0.0001). Capsular tension rings were used in 6 (4.9%) PXF cases and 55 (1.2%) non-PXF cases (p < 0.004). The following complications occurred more frequently in PXF cases: zonular dehiscence without vitrectomy (4 [3.3%] PXF cases vs 40 [0.8%] non-PXF cases p = 0.02), persistent inflammation (28 [24.1%] vs 668 [14.5%]; p = 0.007), and persistent intraocular pressure elevation (5 [4.3%] vs 68 [1.5%]; p = 0.03). Best corrected visual acuity (BCVA) improved in both groups after 1 month, but 87 (83.7%) PXF cases achieved postoperative BCVA better than or equal to 20/40 compared to 3991 (93.8%) non-PXF cases (p = 0.0003). There was no significant difference in the postoperative composite VFQ scores between PXF (82.1 ± 16.9) and non-PXF cases (84.2 ± 16.8, p = 0.09). Conclusions Several complications occurred more frequently in the PXF group compared to the non-PXF group, and fewer PXF cases achieved BCVA better than or equal to 20/40. Despite this, both groups experienced similar improvement in vision-related quality of life after cataract surgery.
UR - http://www.scopus.com/inward/record.url?scp=85007569677&partnerID=8YFLogxK
U2 - 10.1016/j.jcjo.2016.07.019
DO - 10.1016/j.jcjo.2016.07.019
M3 - Article
C2 - 28237151
AN - SCOPUS:85007569677
SN - 0008-4182
VL - 52
SP - 61
EP - 68
JO - Canadian Journal of Ophthalmology
JF - Canadian Journal of Ophthalmology
IS - 1
ER -