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M. Lussato, A. Giocanti, C. Rohart, F. Fajnkuchen, S. Buffet, T. Grenet, G. Chaine; Eye Disease Associated With Cataract Surgery in a Referal University Based Center. Invest. Ophthalmol. Vis. Sci. 2009;50(13):5591.
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Cataract surgery is the most practised surgery with more than 450000 operations a year in France. The aim of this surgery being visual improvement, other ophthalmologic diseases that could prevent from a full vision recovery are reported.
A retrospective study was conducted concerning 1062 patients who underwent cataract surgery between 2007, January and 2008, November at hospital (Avicenne, Bobigny).We studied the various ophthalmologic cataract associated affections noticed during the pre operative control..
One thousand and sixty two patients underwent cataract surgery between January 2007 and November 2008. Mean age was 68 years old with a proportion of 53% of women and 47% of men. We find a proportion of 51% simple cataracts that is to say without any associated ophthalmologic affection. Twenty five percent suffered from diabetes (25% with diabetic retinopathy and 38% without retinopathy). Fundus examination show early stage of age related maculopathy in 3% of the patients, atrophic age related macular degeneration in 3%. No patient with exudative age related macular degeneration had cataract surgery during this period. Six percent showed hypertonia or glaucoma, 3% mature cataract, 3% pseudoexfoliation syndrome and 3% severe myopia.
More than half of the cataracts in this study are considered as isolated and simple. The other half concerns cataracts associated with another ophthalmologic or general disease possibly responsible for a modification of the visual result. Careful information toward the patient is mandatory when associated disease is present to avoid disappointment if the visual result is less than expected.
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