Uncorrected visual acuity in the immediate postoperative period following uncomplicated cataract surgery: bimanual microincision cataract surgery versus standard coaxial phacoemulsification.

Hdl Handle:
http://hdl.handle.net/10147/207957
Title:
Uncorrected visual acuity in the immediate postoperative period following uncomplicated cataract surgery: bimanual microincision cataract surgery versus standard coaxial phacoemulsification.
Authors:
Saeed, Ayman; O'Connor, Jeremy; Cunnife, Geraldine; Stack, Jim; Mullhern, Mark G; Beatty, Stephen
Affiliation:
Waterford Regional Hospital, Waterford, Ireland. aymantalat@gmail.com
Citation:
Int Ophthalmol. 2009 Oct;29(5):393-400. Epub 2008 Jul 23.
Journal:
International ophthalmology
Issue Date:
1-Feb-2012
URI:
http://hdl.handle.net/10147/207957
DOI:
10.1007/s10792-008-9255-x
PubMed ID:
18649045
Abstract:
AIM: We compared bimanual microincision cataract surgery (MICS) and standard coaxial phacoemulsification (CAP) in terms of uncorrected visual acuity (UCVA) recorded 1 h and 2 weeks postoperatively. METHODS: This was a prospective, nonrandomised comparative study. All MICS procedures were performed by one surgeon (MGM), and all CAP procedures were performed by another surgeon (SB). Eyes with visually consequential ocular morbidity were excluded. The primary outcome measure was UCVA recorded 1 h postoperatively. RESULTS: One hundred eyes underwent MICS and CAP (50 eyes in each group). The treatment groups did not differ significantly in terms of preoperative mean best corrected visual acuity (6/24 +/- 4.3 lines and 6/20 +/- 4.4 lines in the MICS and the CAP groups, respectively; P = 0.65). Also, there was no significant difference in terms of postoperative UCVA at 1 h or at 2 weeks (mean +/- standard deviation UCVA 1 h postoperatively: MICS: 6/36 +/- 5.7 lines; CAP: 6/30 +/- 4.7 lines; P = 0.80; UCVA 2 weeks postoperatively: MICS: 6/10 +/- 1.9 lines; CAP: 6/10 +/- 2.2 lines; P = 0.90). However, nine eyes (18%) and one eye (2%) achieved a UCVA of C6/12 at 1 h following MICS and CAP, respectively, and this difference was statistically significant (P = 0.02). CONCLUSION: Mean UCVA at 1 h and at 2 weeks following cataract surgery was not significantly different between eyes undergoing MICS and CAP. However, a greater proportion of patients achieved a UCVA of C6/12 following MICS when compared with CAP.
Language:
eng
MeSH:
Aged; Aged, 80 and over; Cataract Extraction/*methods; Female; Humans; Male; *Microsurgery; Middle Aged; Phacoemulsification/*methods; Postoperative Period; Prospective Studies; Time Factors; *Visual Acuity
ISSN:
1573-2630 (Electronic); 0165-5701 (Linking)

Full metadata record

DC FieldValue Language
dc.contributor.authorSaeed, Aymanen_GB
dc.contributor.authorO'Connor, Jeremyen_GB
dc.contributor.authorCunnife, Geraldineen_GB
dc.contributor.authorStack, Jimen_GB
dc.contributor.authorMullhern, Mark Gen_GB
dc.contributor.authorBeatty, Stephenen_GB
dc.date.accessioned2012-02-01T10:52:32Z-
dc.date.available2012-02-01T10:52:32Z-
dc.date.issued2012-02-01T10:52:32Z-
dc.identifier.citationInt Ophthalmol. 2009 Oct;29(5):393-400. Epub 2008 Jul 23.en_GB
dc.identifier.issn1573-2630 (Electronic)en_GB
dc.identifier.issn0165-5701 (Linking)en_GB
dc.identifier.pmid18649045en_GB
dc.identifier.doi10.1007/s10792-008-9255-xen_GB
dc.identifier.urihttp://hdl.handle.net/10147/207957-
dc.description.abstractAIM: We compared bimanual microincision cataract surgery (MICS) and standard coaxial phacoemulsification (CAP) in terms of uncorrected visual acuity (UCVA) recorded 1 h and 2 weeks postoperatively. METHODS: This was a prospective, nonrandomised comparative study. All MICS procedures were performed by one surgeon (MGM), and all CAP procedures were performed by another surgeon (SB). Eyes with visually consequential ocular morbidity were excluded. The primary outcome measure was UCVA recorded 1 h postoperatively. RESULTS: One hundred eyes underwent MICS and CAP (50 eyes in each group). The treatment groups did not differ significantly in terms of preoperative mean best corrected visual acuity (6/24 +/- 4.3 lines and 6/20 +/- 4.4 lines in the MICS and the CAP groups, respectively; P = 0.65). Also, there was no significant difference in terms of postoperative UCVA at 1 h or at 2 weeks (mean +/- standard deviation UCVA 1 h postoperatively: MICS: 6/36 +/- 5.7 lines; CAP: 6/30 +/- 4.7 lines; P = 0.80; UCVA 2 weeks postoperatively: MICS: 6/10 +/- 1.9 lines; CAP: 6/10 +/- 2.2 lines; P = 0.90). However, nine eyes (18%) and one eye (2%) achieved a UCVA of C6/12 at 1 h following MICS and CAP, respectively, and this difference was statistically significant (P = 0.02). CONCLUSION: Mean UCVA at 1 h and at 2 weeks following cataract surgery was not significantly different between eyes undergoing MICS and CAP. However, a greater proportion of patients achieved a UCVA of C6/12 following MICS when compared with CAP.en_GB
dc.language.isoengen_GB
dc.subject.meshAgeden_GB
dc.subject.meshAged, 80 and overen_GB
dc.subject.meshCataract Extraction/*methodsen_GB
dc.subject.meshFemaleen_GB
dc.subject.meshHumansen_GB
dc.subject.meshMaleen_GB
dc.subject.mesh*Microsurgeryen_GB
dc.subject.meshMiddle Ageden_GB
dc.subject.meshPhacoemulsification/*methodsen_GB
dc.subject.meshPostoperative Perioden_GB
dc.subject.meshProspective Studiesen_GB
dc.subject.meshTime Factorsen_GB
dc.subject.mesh*Visual Acuityen_GB
dc.titleUncorrected visual acuity in the immediate postoperative period following uncomplicated cataract surgery: bimanual microincision cataract surgery versus standard coaxial phacoemulsification.en_GB
dc.contributor.departmentWaterford Regional Hospital, Waterford, Ireland. aymantalat@gmail.comen_GB
dc.identifier.journalInternational ophthalmologyen_GB
dc.description.provinceMunster-
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