Residual refractive errors in pseudophakic eyes and related factors: a population-based study
AIM: To determine residual refractive error after cataract surgery in pseudophakic eyes and its relationship with age, sex, and axial length (AL). METHODS: In this population-based cross-sectional study, the sampling was performed on individuals aged 60y and above in Tehran, Iran using a multi-stage...
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| Format: | Article |
| Language: | English |
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Press of International Journal of Ophthalmology (IJO PRESS)
2023-05-01
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| Series: | International Journal of Ophthalmology |
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| Online Access: | http://ies.ijo.cn/en_publish/2023/5/20230516.pdf |
| _version_ | 1797837873631723520 |
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| author | Hassan Hashemi Alireza Jamali Farhad Rezavn Alireza Hashemi Mehdi Khabazkhoob |
| author_facet | Hassan Hashemi Alireza Jamali Farhad Rezavn Alireza Hashemi Mehdi Khabazkhoob |
| author_sort | Hassan Hashemi |
| collection | DOAJ |
| description | AIM: To determine residual refractive error after cataract surgery in pseudophakic eyes and its relationship with age, sex, and axial length (AL). METHODS: In this population-based cross-sectional study, the sampling was performed on individuals aged 60y and above in Tehran, Iran using a multi-stage stratified random cluster sampling method. Pseudophakic eyes with a best-corrected visual acuity of 20/32 or better were analyzed and their refractive results were reported. RESULTS: The mean spherical equivalent (SE) refraction was -0.34±0.97 diopters (D) and the mean absolute SE was 0.72±0.74 D with a median of 0.5 D. Moreover, 32.68% (n=546, 95%CI: 30.27%-35.08%), 53.67% (n=900, 95%CI: 51.23%-56.1%), 68.99% (n=1157, 95%CI: 66.96%-71.02%), and 79.73% (n=1337, 95%CI: 77.69%-81.76%) of the eyes had a residual SE within ±0.25, ±0.50, ±0.75, and ±1.00 D of emmetropia, respectively. According to the multiple logistic regression model, increasing age was associated with a statistically significant decrease in predictability for all cut points. Moreover, the predictability based on all cut points was significantly lower in individuals with an AL longer than 24.5 mm than in those with an AL between 22 to 24.5 mm. CONCLUSION: Based on the results, the accuracy of intraocular lens (IOL) power calculation is lower for those who underwent cataract surgery during the last 5y in Tehran, Iran. Among the most important influential factors, the choice of IOL or it's power disproportionate to eye conditions and age can be mentioned. |
| first_indexed | 2024-04-09T15:32:45Z |
| format | Article |
| id | doaj.art-e33b9350dadc4170ac7a39c9583b7d02 |
| institution | Directory Open Access Journal |
| issn | 2222-3959 2227-4898 |
| language | English |
| last_indexed | 2024-04-09T15:32:45Z |
| publishDate | 2023-05-01 |
| publisher | Press of International Journal of Ophthalmology (IJO PRESS) |
| record_format | Article |
| series | International Journal of Ophthalmology |
| spelling | doaj.art-e33b9350dadc4170ac7a39c9583b7d022023-04-28T06:44:24ZengPress of International Journal of Ophthalmology (IJO PRESS)International Journal of Ophthalmology2222-39592227-48982023-05-0116577878610.18240/ijo.2023.05.1620230516Residual refractive errors in pseudophakic eyes and related factors: a population-based studyHassan Hashemi0Alireza Jamali1Farhad Rezavn2Alireza Hashemi3Mehdi Khabazkhoob4Hassan Hashemi. Noor Research Center for Ophthalmic Epidemiology, Noor Eye Hospital, Tehran 1968653111, Iran. hhashemi@noorvision.comNoor Research Center for Ophthalmic Epidemiology, Noor Eye Hospital, Tehran 1968653111, IranNoor Ophthalmology Research Center, Noor Eye Hospital, Tehran 1968653111, IranNoor Ophthalmology Research Center, Noor Eye Hospital, Tehran 1968653111, IranDepartment of Basic Sciences, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran 1968653111, IranAIM: To determine residual refractive error after cataract surgery in pseudophakic eyes and its relationship with age, sex, and axial length (AL). METHODS: In this population-based cross-sectional study, the sampling was performed on individuals aged 60y and above in Tehran, Iran using a multi-stage stratified random cluster sampling method. Pseudophakic eyes with a best-corrected visual acuity of 20/32 or better were analyzed and their refractive results were reported. RESULTS: The mean spherical equivalent (SE) refraction was -0.34±0.97 diopters (D) and the mean absolute SE was 0.72±0.74 D with a median of 0.5 D. Moreover, 32.68% (n=546, 95%CI: 30.27%-35.08%), 53.67% (n=900, 95%CI: 51.23%-56.1%), 68.99% (n=1157, 95%CI: 66.96%-71.02%), and 79.73% (n=1337, 95%CI: 77.69%-81.76%) of the eyes had a residual SE within ±0.25, ±0.50, ±0.75, and ±1.00 D of emmetropia, respectively. According to the multiple logistic regression model, increasing age was associated with a statistically significant decrease in predictability for all cut points. Moreover, the predictability based on all cut points was significantly lower in individuals with an AL longer than 24.5 mm than in those with an AL between 22 to 24.5 mm. CONCLUSION: Based on the results, the accuracy of intraocular lens (IOL) power calculation is lower for those who underwent cataract surgery during the last 5y in Tehran, Iran. Among the most important influential factors, the choice of IOL or it's power disproportionate to eye conditions and age can be mentioned.http://ies.ijo.cn/en_publish/2023/5/20230516.pdfcataract surgerypseudophakicaxial lengthresidual refractive errors |
| spellingShingle | Hassan Hashemi Alireza Jamali Farhad Rezavn Alireza Hashemi Mehdi Khabazkhoob Residual refractive errors in pseudophakic eyes and related factors: a population-based study International Journal of Ophthalmology cataract surgery pseudophakic axial length residual refractive errors |
| title | Residual refractive errors in pseudophakic eyes and related factors: a population-based study |
| title_full | Residual refractive errors in pseudophakic eyes and related factors: a population-based study |
| title_fullStr | Residual refractive errors in pseudophakic eyes and related factors: a population-based study |
| title_full_unstemmed | Residual refractive errors in pseudophakic eyes and related factors: a population-based study |
| title_short | Residual refractive errors in pseudophakic eyes and related factors: a population-based study |
| title_sort | residual refractive errors in pseudophakic eyes and related factors a population based study |
| topic | cataract surgery pseudophakic axial length residual refractive errors |
| url | http://ies.ijo.cn/en_publish/2023/5/20230516.pdf |
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