Official ESCRS | European Society of Cataract & Refractive Surgeons
Copenhagen 2016 Registration Programme Exhibitor Information Virtual Exhibition Satellite Meetings Glaucoma Day 2016 Hotel Star Alliance

10 - 14 Sept. 2016, Bella Center, Copenhagen, Denmark

This Meeting has been awarded 27 CME credits


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Visual acuity and vision-related quality of life outcomes of cataract surgery in patients with a history of anxiety

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Session Details

Session Title: Cataract Surgery Outcomes/Practice Styles/Biometry

Session Date/Time: Monday 12/09/2016 | 14:00-16:00

Paper Time: 14:24

Venue: Auditorium C6

First Author: : M.Daly USA

Co Author(s): :    A. Payal   L. Gonzalez-Gonzalez   A. Chomsky   D. Vollman   M. Lawrence   T. Cakiner-Egilmez     

Abstract Details


To analyze visual acuity outcomes and functional visual improvement after cataract surgery in veterans who have anxiety.


Retrospective analysis of deidentified data from the Ophthalmic Surgery Outcomes Data project from five Veterans Affairs Medical Centers in the United States.


We analyzed 3154 cataract surgery cases from the Ophthalmic Surgical Outcomes Database (OSOD), comparing those without (Group A) and with anxiety (Group B – documented history of anxiety disorder, post-traumatic stress disorder (PTSD), or claustrophobia). All cases analyzed had completed both pre- and postoperative National Eye Institute-Visual Function Questionnaire (NEI-VFQ 25). The two groups were compared on best-corrected visual acuity (BCVA, logMAR scale) and all NEI-VFQ 25 subscales. Data were analyzed using analysis of variance and nonparametric tests. Correlation was estimated using Pearson’s correlation coefficient.


BCVA improved significantly from pre- to post-surgery in A (0.08 ± 0.23, P<.0001) and B (0.08 ± 0.24, P<.0001). The level of improvement was comparable in both groups (P=.32). Anxiety didn’t increase the risk of postoperative BCVA < 20/40 (A: 6.73% vs. B: 6.15%, OR 0.92, 95% CI 0.58 – 1.1, P=0.72). VFQ composite scores increased significantly in A (84.02 ± 16.8, P<.0001) and B (80.26 ± 18.74, P<.0001). Improvement in VFQ composite scores was greater in B than A (P=.02). In both groups, improvement in BCVA correlated with improvement in VFQ composite scores (Group A-Pearson’s r =0.17; B r=0.16).


Cataract surgery offers significant improvement in vision and vision-related quality of life (VRQoL) for eyes in both groups. The improvement in quality-of-life appears to be greater for Veterans with anxiety. Our findings merit further research and suggest cataract surgery for Veterans with anxiety should be prioritized by healthcare systems.

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