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Factors affecting refractive outcome after cataract surgery in patients with a history of acute primary angle closure

  • Clinical Investigation
  • Published:
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Abstract

Purpose

This study was conducted to evaluate the influence of preoperative or intraoperative factors on the refractive outcome after cataract surgery in patients with a history of acute primary angle closure (APAC).

Methods

Eyes were divided into two groups: those with stable refractive outcome and those with unstable refractive outcome at 8 weeks after uneventful cataract surgery. Univariate and multivariate regression analyses were performed to investigate factors associated with the postoperative refractive outcome.

Results

Fifty-three eyes of 53 patients with a history of APAC (21 eyes with stable refractive outcome, 32 eyes with unstable refractive outcome) were enrolled. In the univariate regression analysis, longer duration of APAC [odds ratio (OR) 1.328; 95 % confidence interval (CI) 1.137–1.552; P = 0.001] and poor preoperative best corrected visual acuity (OR 4.648; 95 % CI 1.071–20.168; P = 0.040) were associated with unstable refractive outcome after cataract surgery in patients with a history of APAC. In the multivariate regression analysis, the duration of APAC was the only independent factor predicting refractive outcome after cataract surgery in patients with a history of APAC (OR 1.317; 95 % CI 1.113–1.558; P = 0.001).

Conclusions

Normalization of elevated intraocular pressure as soon as possible after APAC onset is recommended to obtain a stable refractive outcome after cataract surgery in patients with a history of APAC.

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Conflicts of interest

H.S. Lee, None; J.W. Park, None; S.W. Park, None.

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Correspondence to Sang Woo Park.

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Lee, H.S., Park, J.W. & Park, S.W. Factors affecting refractive outcome after cataract surgery in patients with a history of acute primary angle closure. Jpn J Ophthalmol 58, 33–39 (2014). https://doi.org/10.1007/s10384-013-0285-1

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  • DOI: https://doi.org/10.1007/s10384-013-0285-1

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