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

Poster Details

First Author: H.Kim SOUTH KOREA

Co Author(s):    S. Park   H. Lee   J. Park        

Abstract Details



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).

Setting:

Department of Ophthalmology, Chonnam National University Medical School and Hospital, Gwangju, South Korea.

Methods:

Retrospective cross-sectional study. Eyes were divided into 2 groups: eyes with stable refractive outcome and eyes 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 and 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 for 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 IOP as soon as possible after APAC onset is recommended to obtain stable refractive outcome after cataract surgery in patients with a history of APAC. FINANCIAL INTEREST: NONE

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