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Evaluation of Eye Alignment before and after Cataract Surgery
Misae Ito1,2, Anna Saito2, Tetsuya Ikeda1,2
1Department of Ophthalmology, Graduate School of Medicine, International University of Health and Welfare, Tokyo, Japan.
Journal of Binocular Vision and Ocular Motility
|June 7, 2021
Summary
Cataract surgery generally maintains eye alignment, but vertical deviations preoperatively increase the risk of developing constant strabismus and diplopia post-surgery.
Area of Science:
- Ophthalmology
- Surgical Outcomes
- Strabismus Research
Background:
- Cataract surgery is a common procedure.
- Understanding its impact on pre-existing eye alignment is crucial for patient outcomes.
Purpose of the Study:
- To evaluate changes in eye alignment before and after cataract surgery.
- To identify risk factors for developing strabismus post-surgery.
Main Methods:
- Retrospective review of 786 patients undergoing bilateral cataract surgery.
- Analysis of eye alignment classifications (constant strabismus, intermittent strabismus, phoria) pre- and post-operatively.
Main Results:
- Overall eye alignment agreement was 72.3% post-surgery.
- 15.4% had constant strabismus pre-op, decreasing to 12.5% post-op.
- Patients with preoperative vertical deviation were at higher risk for developing constant strabismus and diplopia.
Conclusions:
- Uncomplicated cataract surgery typically preserves eye alignment.
- Preoperative vertical deviations are a significant risk factor for postoperative strabismus and diplopia.
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