Refractive Outcomes After Immediate Sequential vs Delayed Sequential Bilateral Cataract Surgery

医学 白内障手术 视力 眼科 回顾性队列研究 青光眼 黄斑变性 外科
作者
Julia P. Owen,Marian Blazes,Megan Lacy,Ryan T. Yanagihara,Russell N. Van Gelder,Aaron Lee,Cecilia S. Lee,Flora Lum,Julia A. Haller,Leslie Hyman,Anja Lorch,Joan W. Miller,Suzann Pershing
出处
期刊:JAMA Ophthalmology [American Medical Association]
卷期号:139 (8): 876-876 被引量:34
标识
DOI:10.1001/jamaophthalmol.2021.2032
摘要

Approximately 2 million cataract operations are performed annually in the US, and patterns of cataract surgery delivery are changing to meet the increasing demand. Therefore, a comparative analysis of visual acuity outcomes after immediate sequential bilateral cataract surgery (ISBCS) vs delayed sequential bilateral cataract surgery (DSBCS) is important for informing future best practices.To compare refractive outcomes of patients who underwent ISBCS, short-interval (1-14 days between operations) DSBCS (DSBCS-14), and long-interval (15-90 days) DSBCS (DSBCS-90) procedures.This retrospective cohort study used population-based data from the American Academy of Ophthalmology Intelligent Research in Sight (IRIS) Registry. A total of 1 824 196 IRIS Registry participants with bilateral visual acuity measurements who underwent bilateral cataract surgery were assessed.Participants were divided into 3 groups (DSBCS-90, DSBCS-14, and ISBCS groups) based on the timing of the second eye surgery. Univariable and multivariable linear regression models were used to analyze the refractive outcomes of the first and second surgery eye.Mean postoperative uncorrected visual acuity (UCVA) and best-corrected visual acuity (BCVA) after cataract surgery.This study analyzed data from 1 824 196 patients undergoing bilateral cataract surgery (mean [SD] age for those <87 years, 70.03 [7.77]; 684 916 [37.5%] male). Compared with the DSBCS-90 group, after age, self-reported race, insurance status, history of age-related macular degeneration, diabetic retinopathy, and glaucoma were controlled for, the UCVA of the first surgical eye was higher by 0.41 (95% CI, 0.36-0.45; P < .001) letters, and the BCVA was higher by 0.89 (95% CI, 0.86-0.92; P < .001) letters in the DSBCS-14 group, whereas in the ISBCS group, the UCVA was lower by 2.79 (95% CI, -2.95 to -2.63; P < .001) letters and the BCVA by 1.64 (95% CI, -1.74 to -1.53; P < .001) letters. Similarly, compared with the DSBCS-90 group for the second eye, in the DSBCS-14 group, the UCVA was higher by 0.79 (95% CI, 0.74-0.83; P < .001) letters and the BCVA by 0.48 (95% CI, 0.45-0.51; P < .001) letters, whereas in the ISBCS group, the UCVA was lower by -1.67 (95% CI, -1.83 to -1.51; P < .001) letters and the BCVA by -1.88 (95% CI, -1.98 to -1.78; P < .001) letters.The results of this cohort study of patients in the IRIS Registry suggest that compared with DSBCS-14 or DSBCS-90, ISBCS is associated with worse visual outcomes, which may or may not be clinically relevant, depending on patients' additional risk factors. Nonrandom surgery group assignment, confounding factors, and large sample size could account for the small but statistically significant differences noted. Further studies are warranted to determine whether these factors should be considered clinically relevant when counseling patients before cataract surgery.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
PDF的下载单位、IP信息已删除 (2025-6-4)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
刚刚
1秒前
yydragen应助给他来个地瓜采纳,获得30
2秒前
宋璐宏完成签到,获得积分10
2秒前
zzz发布了新的文献求助10
4秒前
扶桑完成签到,获得积分10
4秒前
Liufgui应助七七采纳,获得10
4秒前
敏感板栗完成签到,获得积分10
6秒前
大个应助Ren采纳,获得10
6秒前
zjw发布了新的文献求助10
6秒前
宋璐宏发布了新的文献求助10
6秒前
SciGPT应助hufan2441采纳,获得10
9秒前
11秒前
11秒前
JamesPei应助810采纳,获得30
11秒前
janie发布了新的文献求助10
14秒前
乱武发布了新的文献求助10
14秒前
安静的思远完成签到,获得积分20
14秒前
少爷发布了新的文献求助10
14秒前
深情安青应助QYPANG采纳,获得10
14秒前
15秒前
17秒前
20秒前
wpx发布了新的文献求助10
20秒前
20秒前
FashionBoy应助kk采纳,获得10
22秒前
22秒前
22秒前
23秒前
24秒前
zzz完成签到,获得积分20
24秒前
平淡汽车发布了新的文献求助10
24秒前
26秒前
hufan2441发布了新的文献求助10
26秒前
Ren发布了新的文献求助10
27秒前
27秒前
27秒前
淘宝叮咚发布了新的文献求助10
28秒前
28秒前
孙燕应助sc30采纳,获得20
29秒前
高分求助中
A new approach to the extrapolation of accelerated life test data 1000
ACSM’s Guidelines for Exercise Testing and Prescription, 12th edition 500
‘Unruly’ Children: Historical Fieldnotes and Learning Morality in a Taiwan Village (New Departures in Anthropology) 400
Indomethacinのヒトにおける経皮吸収 400
Phylogenetic study of the order Polydesmida (Myriapoda: Diplopoda) 370
基于可调谐半导体激光吸收光谱技术泄漏气体检测系统的研究 350
Robot-supported joining of reinforcement textiles with one-sided sewing heads 320
热门求助领域 (近24小时)
化学 材料科学 医学 生物 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 遗传学 基因 物理化学 催化作用 冶金 细胞生物学 免疫学
热门帖子
关注 科研通微信公众号,转发送积分 3989711
求助须知:如何正确求助?哪些是违规求助? 3531864
关于积分的说明 11255235
捐赠科研通 3270505
什么是DOI,文献DOI怎么找? 1804983
邀请新用户注册赠送积分活动 882157
科研通“疑难数据库(出版商)”最低求助积分说明 809176