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Strategy to reduce the number of patients perceiving impaired visual function after cataract surgery

Lundstrom, M (author)
Brege, KG (author)
Florén, Ingrid (author)
Lund University,Lunds universitet,Oftalmologi, Lund,Sektion IV,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Ophthalmology, Lund,Section IV,Department of Clinical Sciences, Lund,Faculty of Medicine
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Stenevi, U (author)
Thorburn, W (author)
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 (creator_code:org_t)
2002
2002
English.
In: Journal of Cataract and Refractive Surgery. - 1873-4502. ; 28:6, s. 971-976
  • Journal article (peer-reviewed)
Abstract Subject headings
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  • Purpose: To reduce the number of patients who perceive more difficulties performing daily life activities 6 months after cataract extraction than before surgery. Setting: Surgeons at 4 surgical units participating in the yearly outcome studies organized by the Swedish National Cataract Register. Methods: This study comprised surgical outcomes data and completed Catquest results before and after surgery collected from consecutive patients during a 1-month period yearly since 1995. The reasons for a no-benefit outcome from 1995 to 1997 were identified. During the 1-month study period in 1999, a strategy was launched to reduce postoperative anisometropia and disturbances from cataract in the fellow eye through better surgical planning. Results: The percentage of patients with a no-benefit outcome who had anisometropia or cataract in the fellow eye as a probable reason for the outcome decreased from 27.3% and 13.0%, respectively, in the 1995 to 1997 study to 10.5% and 10.5%, respectively, in the 1999 study. Other reasons for a no-benefit outcome such as ocular co-morbidity or few preoperative problems increased in frequency, presumably as a result of a change in case mix. Conclusions: A strategy to reduce the number of patients perceiving more difficulties in performing daily life activities after cataract extraction than before surgery was tested, The number of patients with reasons for a poor outcome that the study focused on was reduced. Patients who gave reasons for a poor outcome other than anisometropia or cataract in the fellow eye increased in frequency, probably as a result of a change in case mix.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Oftalmologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Ophthalmology (hsv//eng)

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Lundstrom, M
Brege, KG
Florén, Ingrid
Stenevi, U
Thorburn, W
About the subject
MEDICAL AND HEALTH SCIENCES
MEDICAL AND HEAL ...
and Clinical Medicin ...
and Ophthalmology
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Journal of Catar ...
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Lund University

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