TY - JOUR
T1 - Cataract Surgery in One Eye or Both
T2 - A Billion Dollar per Year Issue
AU - Javitt, Jonathan C.
AU - Steinberg, Earl P.
AU - Sharkey, Phoebe
AU - Schein, Oliver D.
AU - Tielsch, James M.
AU - West, Marie Diener
AU - Legro, Marcia
AU - Sommer, Alfred
N1 - Funding Information:
8 Department of Biostatistics, Johns Hopkins University School of Public Health, Baltimore. 9 Office of the Dean, Johns Hopkins University School of Public Health, Baltimore. Supported by grant PO 1 HS06280 from the Agency for Health Care Policy and Research, Rockville, Maryland, and grant RO 1 EY08805 from the National Eye Institute, National Institutes of Health, Bethesda, Maryland.
PY - 1995
Y1 - 1995
N2 - Purpose: To measure the relative effect of cataract surgery in the second eye compared with the first eye on functional impairment, satisfaction, and vision problems. Methods: Seventy-five randomly selected ophthalmologists in three cities in the United States were enrolled in a National Study of Cataract Outcomes. They, in turn, referred eligible, sequential patients scheduled for first-eye cataract surgery. Interviews were conducted at enrollment, 4 months after first-eye surgery, and 12 months after first-eye surgery. An attempt was made to conduct a special, preoperative interview of those patients scheduled to undergo second-eye surgery before the 4-month interview. Each interview included administration of the VF-14 (a 14-item questionnaire that assessed visual function), as well as questions about symptoms possibly related to cataract, “trouble with vision,” and satisfaction with vision. Results: Seven hundred seventy-two patients were enrolled in the study, and interview data to 12 months were obtained from 669 (86%) patients. Of these patients, 243 (36%) underwent cataract extraction in the second eye during the 12-month period of observation. Overall, subjects who underwent cataract surgery in both eyes during the 12-month period had 61% greater improvement in VF-14 score (P < 0.001), 27% more decline in trouble with vision (P < 0.001), and 24% greater improvement in satisfaction with vision (P < 0.001) compared with those who underwent surgery in only one eye. Conclusions: Cataract surgery in the second eye of patients with bilateral cataract is associated with clinically and statistically significant improvement in functional impairment, trouble with vision, and satisfaction with vision.
AB - Purpose: To measure the relative effect of cataract surgery in the second eye compared with the first eye on functional impairment, satisfaction, and vision problems. Methods: Seventy-five randomly selected ophthalmologists in three cities in the United States were enrolled in a National Study of Cataract Outcomes. They, in turn, referred eligible, sequential patients scheduled for first-eye cataract surgery. Interviews were conducted at enrollment, 4 months after first-eye surgery, and 12 months after first-eye surgery. An attempt was made to conduct a special, preoperative interview of those patients scheduled to undergo second-eye surgery before the 4-month interview. Each interview included administration of the VF-14 (a 14-item questionnaire that assessed visual function), as well as questions about symptoms possibly related to cataract, “trouble with vision,” and satisfaction with vision. Results: Seven hundred seventy-two patients were enrolled in the study, and interview data to 12 months were obtained from 669 (86%) patients. Of these patients, 243 (36%) underwent cataract extraction in the second eye during the 12-month period of observation. Overall, subjects who underwent cataract surgery in both eyes during the 12-month period had 61% greater improvement in VF-14 score (P < 0.001), 27% more decline in trouble with vision (P < 0.001), and 24% greater improvement in satisfaction with vision (P < 0.001) compared with those who underwent surgery in only one eye. Conclusions: Cataract surgery in the second eye of patients with bilateral cataract is associated with clinically and statistically significant improvement in functional impairment, trouble with vision, and satisfaction with vision.
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U2 - 10.1016/S0161-6420(95)30824-X
DO - 10.1016/S0161-6420(95)30824-X
M3 - Article
C2 - 9098247
AN - SCOPUS:0028783424
SN - 0161-6420
VL - 102
SP - 1583
EP - 1593
JO - Ophthalmology
JF - Ophthalmology
IS - 11
ER -