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O. Abitbol, M. Nghiem-Buffet, F. Fajnkuchen, G. Chaine; Cataract and Age-related Macular Degeneration: A Retrospective Study . Invest. Ophthalmol. Vis. Sci. 2003;44(13):1826.
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Purpose: To study the evolution of visual acuity and retinal abnormalities in patients with age related macular degeneration (AMD) after cataract surgery. Methods: 40 eyes of 27 patients with AMD operated of cataract were included in the study. They were divided up into two groups according to their stage of AMD. In the first group, we gathered the eyes with drusen and retinal pigmented epithelium abnormalities, in the second, the severe stages of AMD with atrophy and neovascularization. Results: In the first group (15 eyes), we found an improvement of visual acuity in 93,3% of the eyes. New cases of neovascularization appeared in only 1 eye (8,3%), and the lesions were stable in 92,8% of the eyes, one year after surgery. In the second group (25 eyes), we found atrophy in 72% of the eyes and neovascularization in 28% of the eyes. There was an improvement of visual acuity after cataract surgery in 78% of the eyes with atrophy, and in 57% of the eyes with neovascularization. Conclusions: In our study, patients with DMA improved their visual acuity after cataract surgery, and the risk of evolution towards the severe stages was not increased.
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