June 2022
Volume 63, Issue 7
Open Access
ARVO Annual Meeting Abstract  |   June 2022
Cataract surgery outcomes in patients with amblyopia
Author Affiliations & Notes
  • Naomi Shehara Wijesingha
    Bedford Hospital NHS Trust, Bedford, Bedford, United Kingdom
  • Jack Bradbury
    West Suffolk NHS Foundation Trust, Bury Saint Edmunds, Suffolk, United Kingdom
  • Shafi Balal
    Moorfields Eye Hospital NHS Foundation Trust, London, London, United Kingdom
  • Anant Sharma
    Moorfields Eye Hospital NHS Foundation Trust, London, London, United Kingdom
  • Footnotes
    Commercial Relationships   Naomi Wijesingha None; Jack Bradbury None; Shafi Balal None; Anant Sharma None
  • Footnotes
    Support  None
Investigative Ophthalmology & Visual Science June 2022, Vol.63, 2871 – F0008. doi:
  • Views
  • Share
  • Tools
    • Alerts
      ×
      This feature is available to authenticated users only.
      Sign In or Create an Account ×
    • Get Citation

      Naomi Shehara Wijesingha, Jack Bradbury, Shafi Balal, Anant Sharma; Cataract surgery outcomes in patients with amblyopia. Invest. Ophthalmol. Vis. Sci. 2022;63(7):2871 – F0008.

      Download citation file:


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

      ×
  • Supplements
Abstract

Purpose : Cataract surgery associated with amblyopia can be challenging as there is an increased risk of operative complications and postoperative refractive surprise (as amblyopic eyes may be smaller or larger than other eyes), uncertain visual potential in the amblyopic eye and there is a risk of postoperative diplopia reported in the literature. Several factors may contribute to fixation switch diplopia, including surgical eye sequence, delay between surgeries and target refraction. The aim of this study was to review one year of cataract surgery in amblyopic patients at Moorfields Eye Hospital, Bedford, to assess visual potential and complications in this patient group.

Methods : Data from 42 consecutive patients who underwent bilateral phacoemulsification with known amblyopia was extracted retrospectively for cases between March 2018 and March 2019 with target refraction of emmetropia for both eyes. Parameters analysed included: preoperative and postoperative refractive status, preoperative and postoperative visual acuity (logMAR, best corrected and pinhole), presence/absence of diplopia, type of amblyopia (anisometropic, strabismic, visual deprivation), need for extra intervention/surgery, interval between surgery to fellow eye and eye sequence (dominant vs non-dominant first).

Results : The amblyopic eye was operated on first in 72% of cases, and no cases of postoperative diplopia were identified.

Conclusions : This study found no evidence for an increased risk of diplopia postoperatively. Visual acuity in the amblyopic eye can improve considerably after cataract surgery which is often delayed leading to an increased risk of complications associated with dense cataract. Operating earlier would relieve symptoms such as blur and avoid potentially difficult surgery.

This abstract was presented at the 2022 ARVO Annual Meeting, held in Denver, CO, May 1-4, 2022, and virtually.

×
×

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.

×