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Cataract surgery and quality of life in patients with age related macular degeneration
Linköping University, Faculty of Health Sciences. Linköping University, Department of Neuroscience and Locomotion, Ophthalmology. Östergötlands Läns Landsting, Reconstruction Centre, Department of Ophthalmology UHL/MH.
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2002 (English)In: British Journal of Ophthalmology, ISSN 0007-1161, Vol. 86, no 12, 1330-1335 p.Article in journal (Refereed) Published
Abstract [en]

Background: The coexistence of cataract and age related macular degeneration (AMD) is not unusual, especially in the very elderly. The outcome of cataract surgery in these cases depends on the effect of AMD on vision. In this study the authors have compared the outcome of cataract patients with AMD to that of cataract patients with no vision threatening ocular comorbidity, and analysed possible predictors of good or poor outcome. Methods: An observational prospective study on consecutive cases operated for cataract during 1 month at six surgical departments affiliated to the Swedish National Cataract Register (NCR). Data were collected according to the protocol of NCR and subjects completed the Catquest questionnaire before and 6 months after surgery. 90 subjects with AMD were compared to 335 subjects with no sight threatening ocular comorbidity. Results: Difficulties in performing various daily life activities improved significantly for AMD subjects after surgery (p<0.001, Wilcoxon signed rank test). Satisfaction with vision also improved significantly after surgery (p<0.001, Wilcoxon signed rank test). Activity level and independence were unchanged. Subjects with no ocular comorbidity had a still better outcome. The most important variable related to a good self assessed functional outcome was postoperative visual acuity irrespective of the presence of AMD. AMD subjects scheduled for second eye surgery and AMD subjects dissatisfied with their vision before surgery had a poorer outcome. Conclusion: Subjects with various stages of dry AMD and cataract improved their self assessed visual function and satisfaction with vision significantly after cataract extraction.

Place, publisher, year, edition, pages
2002. Vol. 86, no 12, 1330-1335 p.
National Category
Medical and Health Sciences
URN: urn:nbn:se:liu:diva-27854DOI: 10.1136/bjo.86.12.1330Local ID: 12613OAI: diva2:248406
Available from: 2009-10-08 Created: 2009-10-08 Last updated: 2011-01-13

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Lundh, Björn
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Faculty of Health SciencesOphthalmologyDepartment of Ophthalmology UHL/MH
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British Journal of Ophthalmology
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