TY - JOUR
T1 - Age-related maculopathy and cataract surgery outcomes:
T2 - visual acuity and health-related quality of life
AU - Pham, T. Q.
AU - Cugati, S.
AU - Rochtchina, E.
AU - Mitchell, P.
AU - Maloof, A.
AU - Wang, J. J.
PY - 2007/3
Y1 - 2007/3
N2 - Purpose: To assess visual acuity (VA) and health-related quality of life (HRQoL) outcomes in patients with and without age-related maculopathy (ARM) after cataract surgery. Methods: Patients aged 60+ years who had undergone cataract surgery at the Westmead Hospital during 2001-2003 were re-examined 1-3 years after surgery. Tests included VA and assessment of visual- and HRQoL using standardised questionnaires (VF-14, SF-12). Preoperative comorbidity data were collected from medical records. Poor surgical outcomes (VA<6/12; no VA improvement; lowest quintile of VF-14, SF-12 scores) were compared in patients with and without ARM, adjusting for age, sex, preoperative systemic comorbidities, ocular comorbidities and surgical or postoperative complications. Results: Of 622 surviving patients, 454 (73%) were followed up for a mean period of 2.8 years. Similar proportions with VA≥6/12 were observed in patients with (80.2%) and without (88.8%) pre-existing ARM. Preoperative early ARM was only associated with slightly lower mean VF-14 scores (87.64 with vs92.58 without ARM, P=0.01). Increasing age and preoperative ocular comorbidities were associated with all poor outcomes measured. Low SF-12 scores were associated with preoperative systemic comorbidities. Conclusion: Our study documents favourable cataract surgical outcomes 1-3 years after cataract surgery in patients with preoperative ARM.
AB - Purpose: To assess visual acuity (VA) and health-related quality of life (HRQoL) outcomes in patients with and without age-related maculopathy (ARM) after cataract surgery. Methods: Patients aged 60+ years who had undergone cataract surgery at the Westmead Hospital during 2001-2003 were re-examined 1-3 years after surgery. Tests included VA and assessment of visual- and HRQoL using standardised questionnaires (VF-14, SF-12). Preoperative comorbidity data were collected from medical records. Poor surgical outcomes (VA<6/12; no VA improvement; lowest quintile of VF-14, SF-12 scores) were compared in patients with and without ARM, adjusting for age, sex, preoperative systemic comorbidities, ocular comorbidities and surgical or postoperative complications. Results: Of 622 surviving patients, 454 (73%) were followed up for a mean period of 2.8 years. Similar proportions with VA≥6/12 were observed in patients with (80.2%) and without (88.8%) pre-existing ARM. Preoperative early ARM was only associated with slightly lower mean VF-14 scores (87.64 with vs92.58 without ARM, P=0.01). Increasing age and preoperative ocular comorbidities were associated with all poor outcomes measured. Low SF-12 scores were associated with preoperative systemic comorbidities. Conclusion: Our study documents favourable cataract surgical outcomes 1-3 years after cataract surgery in patients with preoperative ARM.
UR - http://www.scopus.com/inward/record.url?scp=33847633443&partnerID=8YFLogxK
U2 - 10.1038/sj.eye.6702171
DO - 10.1038/sj.eye.6702171
M3 - Article
C2 - 16284600
AN - SCOPUS:33847633443
SN - 0950-222X
VL - 21
SP - 324
EP - 330
JO - Eye
JF - Eye
IS - 3
ER -