April 2014
Volume 55, Issue 13
ARVO Annual Meeting Abstract  |   April 2014
Long-time outcome of cataract surgery - 15 year results from a prospective study
Author Affiliations & Notes
  • Eva Monestam
    Eye Clinic, Clinical Science/Ophthalmology, Umea, Sweden
  • Footnotes
    Commercial Relationships Eva Monestam, None
  • Footnotes
    Support None
Investigative Ophthalmology & Visual Science April 2014, Vol.55, 2539. doi:
  • Views
  • Share
  • Tools
    • Alerts
      This feature is available to authenticated users only.
      Sign In or Create an Account ×
    • Get Citation

      Eva Monestam; Long-time outcome of cataract surgery - 15 year results from a prospective study. Invest. Ophthalmol. Vis. Sci. 2014;55(13):2539.

      Download citation file:

      © ARVO (1962-2015); The Authors (2016-present)

  • Supplements

Purpose: To report the changes in visual acuity (VA) and subjective visual function, from postoperatively to 15 years after cataract surgery.

Methods: This population-based prospective study reviewed 190 patients (83% of survivors), who underwent cataract surgery during a 1-year period 15 years previously (1997-98). All patients answered the same visual function questionnaire (VF-14) preoperatively, 4 months postoperatively, 5, 10 and 15 years after surgery. The majority of the patients (88% 168/190;74% of survivors) also had a routine eye examination including best corrected VA and low contrast VA 10% and 2,5%.

Results: Fifteen years after surgery the BCVA of the operated eye had deteriorated to a median of 0.1 (logMAR) (Snellen acuity: 20/25) from 0.0 (logMAR) (20/20) postoperatively, (p=0.0001). Sixty percent of the patients had less than 0.1 logMAR units worsening of BCVA compared with postoperatively. Eight percent of the patients (14/168) had worse BCVA 15 years after surgery compared with the preoperative VA. Fifty-four percent (103/190) had no deterioration in subjective visual function (questionnaire), and 79% (150/190) had 10 points decline or less. Eleven percent of the patients (22/190) had a worsening of more than 30 points. Twelve percent of the patients (23/190) had no surgery of the fellow eye.

Conclusions: These results confirm the effectiveness of cataract extraction, offering good long-term visual rehabilitation for the majority of the patients. The extent and distribution of loss in subjective visual function is comparable to the outcome 10 years after surgery. The median VA is three letters lower compared with 10 years after surgery, which can be explained by aging of the cohort. The most common cause for large functional loss 15 years after cataract surgery is age-related macular degeneration, the same as 10 years after surgery.

Keywords: 743 treatment outcomes of cataract surgery • 462 clinical (human) or epidemiologic studies: outcomes/complications • 445 cataract  

This PDF is available to Subscribers Only

Sign in or purchase a subscription to access this content. ×

You must be signed into an individual account to use this feature.