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Determinants of patient satisfaction and function related to vision following cataract surgery in eyes with no visually consequential ocular co-morbidity

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An Erratum to this article was published on 26 June 2015

Abstract

Purpose

To investigate subjectively reported outcomes following cataract surgery and the relationships between such outcomes in the context of falling thresholds for cataract surgery.

Setting

Large, private, non-refractive cataract practice, Institute of Eye Surgery, Whitfield Clinic, Waterford, Ireland

Methods

Pre-operative, intra-operative and post-operative data of 2552 eyes undergoing phacoemulsification and implantation of the TecnisR ZCB00 1-piece intraocular lens (IOL) by a single surgeon between July 2009 and October 2013 was analysed. Patients without visually consequential ocular co-morbidity completed two validated questionnaires, designed to assess subjectively perceived visual functioning and identify symptoms of dysphotopsia following cataract surgery.

Results

54.8 % of questionnaire respondents were entirely satisfied (satisfaction 10/10) post-operatively, with 83.7 % reporting satisfaction of ≥7/10. Satisfaction was positively associated with patient age and negatively associated with spectacle dependence, dysphotopsia, and function related to vision (NEI VF-11) score. The mean (±standard deviation[SD]) dysphotopsia score was 1.36 (±1.9; scale 0–10), with 40 % of respondents reporting no dysphotopsia symptoms and 9.8 % reporting clinically meaningful dysphotopsia. The mean (±SD) National Eye Institute visual function-11 (NEI VF-11) score was 0.33 (±0.53; scale 0–4) and reduced function related to vision was associated with increasing severity of dysphotopsia symptoms. When linear regression was applied, 17.5 % of the variation in functionality was attributable to symptoms of dysphotopsia.

Conclusion

Dysphotopsia is an important determinant of a patient having difficulty with vision-related tasks following cataract surgery, and patient satisfaction is positively associated with patient age and negatively associated with spectacle in dependence, dysphotopsia and function related to the vision (NEI VF-11) score.

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Further Reading

  1. The threshold for elective cataract surgery. (2012) Beatty S. The Consultant; 1: 61–62.

  2. https://www.amo-inc.com/pdf/TECNIS_One_Piece_Insert.pdf

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Conflict of interest statement

This study was funded by Abbott Medical Optics, Germany. All authors certify that they have no affiliations with or involvement in any organization or entity with any financial interest (such as honoraria; educational grants; participation in speakers’ bureaus; membership, employment, consultancies, stock ownership, or other equity interest; and expert testimony or patent-licensing arrangements), or non-financial interest (such as personal or professional relationships, affiliations, knowledge or beliefs) in the subject matter or materials discussed in this manuscript.

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Authors and Affiliations

  1. Biomedical Science Research Institute, University of Ulster, Coleraine, Northern Ireland, UK

    Clare Kirwan & Tara C. B. Moore

  2. Institute of Eye Surgery and Institute of Vision Research, Whitfield Clinic, Suite 14, Cork Road, Waterford, Ireland

    Clare Kirwan & Stephen Beatty

  3. Macular Pigment Research Group, Waterford Institute of Technology, Waterford, Ireland

    Clare Kirwan, John M. Nolan, Jim Stack & Stephen Beatty

Authors
  1. Clare Kirwan
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  2. John M. Nolan
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  3. Jim Stack
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  4. Tara C. B. Moore
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  5. Stephen Beatty
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Corresponding author

Correspondence to Clare Kirwan.

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Kirwan, C., Nolan, J.M., Stack, J. et al. Determinants of patient satisfaction and function related to vision following cataract surgery in eyes with no visually consequential ocular co-morbidity. Graefes Arch Clin Exp Ophthalmol 253, 1735–1744 (2015). https://doi.org/10.1007/s00417-015-3038-7

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  • DOI: https://doi.org/10.1007/s00417-015-3038-7

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