Posters

Results of cataract surgery in one-eyed patients: single surgeon series – quality of life vs risk of surgery

Poster Details

First Author: T. Jaeschke ARGENTINA

Co Author(s):    G. Blanco   J. Poggio   A. Fernandez Mendy              

Abstract Details

Purpose:

Prospective study evaluating cataract surgery results in one-eyed (OE) patients. Comparing visual acuity (VA) and life quality via questionnaire previous and after surgery , surgical and post-op complications. Trying to determine a behaviour for these type of cases, based on VA, complications possibilities and postop benefits.

Setting:

The present study was conducted at Pedro Lagleyze Hospital and Instituto de la Vision both in Buenos Aires Argentina.

Methods:

Prospective analysis of all OE patients operated by the same surgeon between June 2014 and December 2015. We determined OE a best corrected visual acuity of the < 20/400, not being this correctable with surgery. 80% of the surgeries had comorbidities, and increased complexity. Surgeries were performed in the usual manner by treating these eyes no different than others.A variety of intraocular lenses was used, including the type of aphakia artisan and sutured iris lenses. We conducted a post-op questionnaire to all patients, to asses changes in quality of life.

Results:

We classified surgeries acordding to complexity. Usually the patients who had waited the longest from their initial cataract syntoms to their desicion to have surgery, were found in the most complex groups. In general terms, surgery time was longer than usual, nylon sutures were used in 30% of the surgeries, streching and iris hooks were also used more frequently. We conducted a post-op questionnaire to all patients, which shows a clear benefit and absolute satisfaction after surgery. The vast majority can perform tasks that were imposible for them before. In our analysis we found that 100% of patients have not lost lines of bcVA and 90% earn more lines of bcVA, which agrees with the results of the questionnaires.

Conclusions:

The issue of timing cataract surgery was always a difficult problem in OE patients. Some believe they should be operated when their vision is very low and thus the cost-benefit ratio is clearly favorable. We believe this only increases the complexity of the surgery. Our works shows that OE patients rely on good VA in order to have the best quality of life they can get. We couldn't find literature to help us with these decisions. This is why we believe this work has great value, it helps to have a clearer idea of ​​when to advise surgery.

Financial Disclosure:

NONE