Prediction on postoperative visual acuity of cataract patients by objective quality analysis system

AIM: To assess the accuracy of optical quality analysis system Ⅱ(OQAS Ⅱ)in predicting postoperative visual acuity of cataract patients.METHODS: Prospective study, patients underwent cataract surgery in Daping Hospital from June 2019 to November 2019 were recruited. According to predicted visual acui...

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Main Authors: Deng-Hao Dong, Lu-Sha Tao, Shuang Chen, Peng Yu, Hua-Lin Xu, Ling Gao, Jian Ye
Format: Article
Language:English
Published: Press of International Journal of Ophthalmology (IJO PRESS) 2021-06-01
Series:Guoji Yanke Zazhi
Subjects:
Online Access:http://ies.ijo.cn/cn_publish/2021/6/202106030.pdf
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author Deng-Hao Dong
Lu-Sha Tao
Shuang Chen
Peng Yu
Hua-Lin Xu
Ling Gao
Jian Ye
author_facet Deng-Hao Dong
Lu-Sha Tao
Shuang Chen
Peng Yu
Hua-Lin Xu
Ling Gao
Jian Ye
author_sort Deng-Hao Dong
collection DOAJ
description AIM: To assess the accuracy of optical quality analysis system Ⅱ(OQAS Ⅱ)in predicting postoperative visual acuity of cataract patients.METHODS: Prospective study, patients underwent cataract surgery in Daping Hospital from June 2019 to November 2019 were recruited. According to predicted visual acuity 100%(PVA100%)and best corrected visual acuity(BCVA), patients were dichotomized into group A(PVA100% worse than BCVA, 145 eyes)and group B(PVA100% equal to or better than BCVA, 114 eyes). Visual acuity improvement was compared between the two groups 1mo after surgery.RESULTS: In group A, visual acuity of 112 eyes(77.2%)improved at least 2 lines. While in group B, 93 eyes(81.6%)improved at least 2 lines. There was no significant difference in visual acuity improvement ratio between the two groups(P=0.394). The average BCVA improvement of group A was 0.3(0.2, 0.4)LogMAR, and that of group B was 0.4(0.2, 0.5)LogMAR, revealed statistically significant differences(P=0.001). No significant correlation was found between preoperative PVA100% and postoperative BCVA in both of the two groups(P=0.888,0.304). In patients combined with preoperative ocular comorbidity, 17 eyes(94.4%)in group A and 26 eyes(65.0%)in group B improved at least 2 lines with significant difference between the two groups(P=0.041). BCVA improved 0.3(0.2, 0.4)LogMAR in group A and 0.3(0.1, 0.5)LogMAR in group B, there was no significant difference between the two groups(P=0.597).CONCLUSION: The binary classification method based on the value of preoperative PVA100% and BCVA failed to accurately predict who shall benefit more from cataract surgery. In patients diagnosed with preoperative ocular comorbidity, BCVA is likely to be significantly improved if preoperative PVA100% were worse than BCVA. More data are needed to determine the clinical value of PVA100%.
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spelling doaj.art-035873ed97d64f66b97fb3ece87e8ced2022-12-21T18:46:45ZengPress of International Journal of Ophthalmology (IJO PRESS)Guoji Yanke Zazhi1672-51232021-06-012161086109010.3980/j.issn.1672-5123.2021.6.30202106030Prediction on postoperative visual acuity of cataract patients by objective quality analysis systemDeng-Hao Dong0Lu-Sha Tao1Shuang Chen2Peng Yu3Hua-Lin Xu4Ling Gao5Jian Ye6Department of Ophthalmology, Daping Hospital, Army Medical University, Chongqing 400000, ChinaDepartment of Ophthalmology, Daping Hospital, Army Medical University, Chongqing 400000, ChinaDepartment of Ophthalmology, Daping Hospital, Army Medical University, Chongqing 400000, ChinaDepartment of Ophthalmology, Daping Hospital, Army Medical University, Chongqing 400000, ChinaDepartment of Ophthalmology, Daping Hospital, Army Medical University, Chongqing 400000, ChinaDepartment of Ophthalmology, Daping Hospital, Army Medical University, Chongqing 400000, ChinaDepartment of Ophthalmology, Daping Hospital, Army Medical University, Chongqing 400000, ChinaAIM: To assess the accuracy of optical quality analysis system Ⅱ(OQAS Ⅱ)in predicting postoperative visual acuity of cataract patients.METHODS: Prospective study, patients underwent cataract surgery in Daping Hospital from June 2019 to November 2019 were recruited. According to predicted visual acuity 100%(PVA100%)and best corrected visual acuity(BCVA), patients were dichotomized into group A(PVA100% worse than BCVA, 145 eyes)and group B(PVA100% equal to or better than BCVA, 114 eyes). Visual acuity improvement was compared between the two groups 1mo after surgery.RESULTS: In group A, visual acuity of 112 eyes(77.2%)improved at least 2 lines. While in group B, 93 eyes(81.6%)improved at least 2 lines. There was no significant difference in visual acuity improvement ratio between the two groups(P=0.394). The average BCVA improvement of group A was 0.3(0.2, 0.4)LogMAR, and that of group B was 0.4(0.2, 0.5)LogMAR, revealed statistically significant differences(P=0.001). No significant correlation was found between preoperative PVA100% and postoperative BCVA in both of the two groups(P=0.888,0.304). In patients combined with preoperative ocular comorbidity, 17 eyes(94.4%)in group A and 26 eyes(65.0%)in group B improved at least 2 lines with significant difference between the two groups(P=0.041). BCVA improved 0.3(0.2, 0.4)LogMAR in group A and 0.3(0.1, 0.5)LogMAR in group B, there was no significant difference between the two groups(P=0.597).CONCLUSION: The binary classification method based on the value of preoperative PVA100% and BCVA failed to accurately predict who shall benefit more from cataract surgery. In patients diagnosed with preoperative ocular comorbidity, BCVA is likely to be significantly improved if preoperative PVA100% were worse than BCVA. More data are needed to determine the clinical value of PVA100%.http://ies.ijo.cn/cn_publish/2021/6/202106030.pdfcataractvisual acuityoptical quality analysis system
spellingShingle Deng-Hao Dong
Lu-Sha Tao
Shuang Chen
Peng Yu
Hua-Lin Xu
Ling Gao
Jian Ye
Prediction on postoperative visual acuity of cataract patients by objective quality analysis system
Guoji Yanke Zazhi
cataract
visual acuity
optical quality analysis system
title Prediction on postoperative visual acuity of cataract patients by objective quality analysis system
title_full Prediction on postoperative visual acuity of cataract patients by objective quality analysis system
title_fullStr Prediction on postoperative visual acuity of cataract patients by objective quality analysis system
title_full_unstemmed Prediction on postoperative visual acuity of cataract patients by objective quality analysis system
title_short Prediction on postoperative visual acuity of cataract patients by objective quality analysis system
title_sort prediction on postoperative visual acuity of cataract patients by objective quality analysis system
topic cataract
visual acuity
optical quality analysis system
url http://ies.ijo.cn/cn_publish/2021/6/202106030.pdf
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