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Intraoperative difficulties, complications and self-assessed visual function in cataract surgery.

Magnus Grimfors1, Mats Lundström2, Jonas Höijer3

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Intraoperative difficulties like posterior capsule tears can impact visual function after cataract surgery. However, factors such as using trypan blue dye and good postoperative visual acuity improve patient outcomes and satisfaction.

Keywords:
cataract surgerycomplicated cataract surgerypatient-reported outcome measuresposterior capsule tearresultsvisual function

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Area of Science:

  • Ophthalmology
  • Surgical Outcomes
  • Patient-Reported Outcomes

Background:

  • Cataract surgery is a common procedure aimed at restoring vision.
  • Patient-perceived visual function and satisfaction are crucial outcomes.
  • Understanding factors influencing these outcomes is essential for improving surgical care.

Purpose of the Study:

  • To investigate the association between intraoperative challenges and patient-reported visual function and satisfaction following cataract surgery.
  • To identify predictors of improved visual function and satisfaction after the procedure.

Main Methods:

  • A prospective, multicenter study involving 10,979 patients undergoing cataract surgery.
  • Utilized the Catquest-9SF questionnaire for pre- and post-operative visual function assessment.
  • Employed Rasch analysis and multiple regression models to analyze data and identify predictors.

Main Results:

  • Improved visual function was associated with the use of trypan blue dye, absence of posterior capsular tears or ocular comorbidities, younger age, female gender, and specific corrected distance visual acuity (CDVA) levels.
  • Higher postoperative visual function was linked to trypan blue dye use, no posterior capsular tear or ocular comorbidity, no capsular hook use, younger age, and specific CDVA.
  • Posterior capsule tears, ocular comorbidities, low postoperative CDVA, and mechanical pupillary stretching increased the risk of dissatisfaction.

Conclusions:

  • Intraoperative difficulties, including posterior capsule tears and ocular comorbidities, significantly influence patient outcomes.
  • Patient age, gender, and both preoperative and postoperative corrected distance visual acuity are key factors affecting visual function improvement and satisfaction.
  • Strategies to minimize intraoperative complications and optimize visual outcomes are crucial for enhancing patient satisfaction after cataract surgery.