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Cataract extraction In patients with no self-assessed visual problems :a critical evaluation of 11,904 cataract extractions

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Session Details

Session Title: Cataract Surgery Outcomes and Practice Styles

Session Date/Time: Wednesday 09/09/2015 | 08:00-09:30

Paper Time: 08:50

Venue: Room 17

First Author: : M.Lundström SWEDEN

Co Author(s): :    C. Zetterstrom                    

Abstract Details


To analyze indications for a cataract extraction.


Fifty-four clinics affiliated to the Swedish National Cataract Register (NCR) ,Sweden and reporting outcomes data.


Database study of prospectively collected data on patients going through a cataract extraction. Preoperative, intraoperative and follow up data was reported to the NCR database during one month each year 2012-2014. Preoperative data included the surgeon's opinion on indications for surgery. All patients completed the Catquest-9SF questionnaire before and 3 months after surgery. Data were analyzed regarding preoperative visual acuity, surgeon's opinion of indications and patients' perceived visual function before surgery.


During the study period 11,904 cataract extractions were reported. Mean age was 74.1 years, 60.2% were females and 39.9% were 2nd-eye surgeries. The majority (85%) had a preoperative visual acuity below 6/9 (0.66) in the surgery eye. Most patients were dissatisfied with their vision before surgery (72.6%) or reported visual problems in performing daily life activities (93.7%). In 5.5% of all cases the patients reported that they were satisfied with vision before surgery and had no vision-related problems. In 0.4% the surgeon marked other indication than poor vision. In 5.1% no obvious reason for a cataract extraction was found.


In the majority of 11,904 cataract extractions obvious reasons for surgery in terms of poor vision, dissatisfaction with vision, and vision-related daily life activity problems were reported. In another group of patients the surgeon reported specific reasons other than poor vision for surgery. In the remaining 5.1% of surgeries no obvious indication for surgery was found. These cases will be discussed in detail.

Financial Interest:


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