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Spectacle use after routine cataract surgery and vision‐related activity limitation
Author(s) -
Farhoudi Daniel B.,
Behndig Anders,
Mollazadegan Kaziwe,
Montan Per,
Lundström Mats,
Kugelberg Maria
Publication year - 2018
Publication title -
acta ophthalmologica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.534
H-Index - 87
eISSN - 1755-3768
pISSN - 1755-375X
DOI - 10.1111/aos.13708
Subject(s) - medicine , cataract surgery , rasch model , cohort , intervention (counseling) , surgery , optometry , general surgery , nursing , psychology , developmental psychology
Abstract Purpose To explore the relationship between acquisition of new spectacles after routine cataract surgery and vision‐related activity limitation ( VRAL ) postoperatively. Methods This cohort study with intervention (survey) included 1329 patients in Sweden who had undergone a second‐eye cataract surgery during March 2013. Data from the Swedish National Cataract Register were used, including evaluations of VRAL through the Catquest‐9SF questionnaire before and 3 months after cataract surgery. Five months after the second‐eye surgery, patients completed another five‐item questionnaire about spectacle use preoperatively and postoperatively including an item on surgeons’ advice about the need for spectacles. These responses were linked to the Rasch‐analysed Catquest‐9 SF data to identify correlations with VRAL . Results A total of 1239 patients finally participated in the study after excluding those who did not fulfil the inclusion criteria. Patients who were advised about the need for spectacles postoperatively ( n = 387) had a greater (p = 0.039) improvement in the postoperative VRAL compared to patients who were not advised ( n = 691). Patients who obtained new spectacles postoperatively ( n = 512) also had greater improvement (p = 0.032) compared to those who did not ( n = 724). Conclusion The average improvements in the VRAL after surgery were significantly higher for patients who obtained new distance spectacles postoperatively and for patients who were informed about the need for spectacles by their practitioners.