Methods for evaluating quality of life and vision in patients undergoing lens refractive surgery

Grzybowski, Andrzej; Kanclerz, Piotr; Muzyka−Woźniak, Maria

doi:10.1007/s00417-019-04270-w

Cited by 38 publications

(34 citation statements)

References 56 publications

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“…However, the quality of evidence is poor. Furthermore, none of the studies presented an association between CS and the quality of vision [31]. CS improved with time and achieved an age normal range of 3-12 months after surgery.…”

Section: Cs and Miolsmentioning

confidence: 93%

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Multifocal intraocular lenses and retinal diseases

Grzybowski

Kanclerz²,

Tuuminen

2020

Graefes Arch Clin Exp Ophthalmol

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Purpose Multifocal intraocular lenses (MIOLs) are often discouraged in patients with or at risk of retinal disorders (including diabetic retinopathy, age-related macular degeneration, and epiretinal membranes), as MIOLs are believed to reduce contrast sensitivity (CS). Concerns with MIOLs have also been raised in individuals with visual field defects, fixation instability or eccentric preferred retinal locations. The aim of this study is to review the influence of MIOL on quality of vision in patients with retinal diseases. Methods We reviewed the PubMed and Web of Science databases to identify relevant studies using the following keywords: multifocal intraocular lens, cataract surgery, cataract extraction, lens exchange, diabetic retinopathy, age-related macular degeneration, and contrast sensitivity. Results Studies evaluating CS in MIOLs present conflicting results: MIOLs either did not influence CS or resulted in worse performance under low-illuminance conditions and higher spatial frequencies when compared to monofocal IOLs. Nevertheless, MIOLs preserved CS levels within the age-matched normal range. Two studies reported that patients with concurrent retinal diseases receiving a MIOL, both unilaterally and bilaterally, reported a significant improvement in visual-related outcomes. Individuals with a monofocal IOL in one eye and a MIOL in the fellow eye reported greater subjective satisfaction with the MIOL. Conclusion We were unable to find evidence suggesting that patients with retinal diseases should be advised against MIOLs. Nevertheless, more research is needed to address the aforementioned concerns and to optimize the use of MIOLs in eyes with retinal disease.

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Section: Cs and Miolsmentioning

confidence: 93%

“…The CDVA improved in 14 out of 20 eyes (70%) and the UNVA in 18 out of 20 (90%) eyes. Particularly for patients receiving MIOLs, evaluation of vision-related quality of life shoud be considered [66]. Within this study patients…”

Section: Evidence On Miols and Retinal Diseasesmentioning

confidence: 99%

Multifocal intraocular lenses and retinal diseases

Grzybowski

Kanclerz²,

Tuuminen

2020

Graefes Arch Clin Exp Ophthalmol

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“…In 2012, myopia was estimated to affect 108 million people globally (Kandel et al, 2018;Stone & Shea, 2019). According to the 2010 Global Burden of Disease Study, approximately 1893 million people suffered from myopia worldwide in 2016 (Grzybowski, Kanclerz, & Muzyka-wo, 2019) Moreover, this number is estimated to increase to 4949 million by 2050, and the majority of these individuals will likely come from low-and middleincome countries (Ferraz, Corrente, Opromolla, & Schellini, 2014;Phec, 2017). Unfortunately, to date, no treatments are available to cure myopia or alter its progressive course unless a proper correction is given at the right time.…”

Section: Introductionmentioning

confidence: 99%

Public Awareness And Knowledge Of Factors Associated With Myopia In Kisumu County, Western Kenya

Muma¹,

Obonyo²

2020

Preprint

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Background: Myopia is a global public health priority. Many modifiable and non modifiable risk factors have been shown to influence the development of myopia, but these factors are not adequately known by the general public. This study assessed public awareness of the factors that are associated with myopia among the general population in Kisumu County, Kenya. Methods: A cross-sectional study was conducted from October 2019 to February 2020 using an Internet-based questionnaire. We collected basic socio demographic characteristics and investigated participants’ knowledge of risk and protective factors that are associated with myopia. The primary outcome measures were the proportions of participants who identified each option as a risk factor. Logistic regression analysis was performed to compare levels of the knowledge of factors that are associated with myopia across populations with different demographic characteristics. Results: Data from a total of 3,000 respondents were analyzed. The percentages of participants who accurately identified myopia risk factors were the following: 84.24% for genetics, 65.07% for reading and close up work, 56.68% for environmental conditions, 48.74% for visual stress, and 42.66% for diabetes. The percentages of participants who accurately identified myopia corrections were as follows: 90.00% for corrective lenses, 84.69% for corneal refractive surgery and 80.92% for refractive surgery. The majority of Kisumu residents correctly recognized the role of lifestyle factors in the development of myopia but not genetic factors. Levels of knowledge of the factors that are associated with myopia were significantly distinct across populations with different characteristics. The following socio demographic characteristics were associated with more comprehensive knowledge of myopia risk and corrective measures: women, young age, high education levels, white- collar jobs, and history of myopia in a family. Conclusions: Public awareness and knowledge of risk and corrective measures for myopia in Kisumu is still insufficient. More efforts are needed to publicize information about myopia to reduce risk and prevent myopia

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“…Most randomised controlled trials report visual acuity and complications, whereas patient quality of life is measured with questionnaires (Grzybowski et al. ) that are not falls and injuries specific; hence, our study provides real‐world evidence of this relevant outcome.…”

Section: Discussionmentioning

confidence: 92%

Risk of falls and injuries requiring hospitalisation after first‐eye cataract surgery in elderly Australians

Gadzhanova

Gillam

Roughead

2019

Acta Ophthalmologica

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Purpose: To investigate the impact of the type of the intraocular lenses (IOLs) in first-eye cataract surgery in elderly people on the risk of hospitalisation due to falls and injuries. Methods: A retrospective cohort study was conducted using the Australian Government Department Veterans' Affairs claims data. All people aged 65 years and above who had first cataract surgery between January 2007 and July 2017 were identified. Two cohorts were established depending on the type of IOLmonofocal and multifocal. The risk of injuries and falls requiring hospitalisation in the first 3 months post the surgery was assessed using Cox proportional hazard models with age at entry as primary time scale and adjusting for gender, comorbidities and prior history of falls. Results: There were 45 728 people across the two cohorts with the majority receiving monofocal lenses (97%), followed by multifocal lenses (3%) at the time of first cataract surgery. The risk of injury and falls was lower (but not significant) in the multifocal cohort compared to monofocal cohort (adjusted hazard ratio (aHR) 0.56, 95% CI 0.26-1.17). The risk was also lower (but not significant) when stratifying by age group at the time of the surgery. Conclusions: Regardless of age, multifocal lenses did not appear to be associated with the higher risk of serious injuries and falls after first-eye cataract surgery compared to monofocal lenses.

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Methods for evaluating quality of life and vision in patients undergoing lens refractive surgery

Cited by 38 publications

References 56 publications

Multifocal intraocular lenses and retinal diseases

Multifocal intraocular lenses and retinal diseases

Public Awareness And Knowledge Of Factors Associated With Myopia In Kisumu County, Western Kenya

Risk of falls and injuries requiring hospitalisation after first‐eye cataract surgery in elderly Australians

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