Causes of decreased visual acuity after cataract extraction

We analyzed a consecutive series of cataract extractions to determine the causes of unsuccessful results. Our criterion was a decrease in visual acuity from the preoperative measurement. Fourteen of 1237 eyes met this criterion. In three of the 14, visual acuity was decreased by more than two Snelle...

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Bibliographic Details
Published inJournal of cataract and refractive surgery Vol. 21; no. 1; pp. 59 - 63
Main Authors Drolsum, Liv, Haaskjold, Erling
Format Journal Article
LanguageEnglish
Published New York, NY Elsevier Inc 01.01.1995
Elsevier Science
Subjects
Aged
Aged, 80 and over
anterior vitrectomy
Biological and medical sciences
cataract extraction
Cataract Extraction - adverse effects
cystoid macular edema
Eye Diseases - complications
Eye Diseases - pathology
Female
Humans
Lenses, Intraocular
Male
Medical sciences
Middle Aged
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the eye and orbit
Vision Disorders - etiology
Visual Acuity
Vitreous Body - pathology
vitreous loss
visual acuity
anterior vitrectomy
cystoid macular edema
cataract extraction
vitreous loss
Human
Postoperative
Cataract
Retinopathy
Cystoid macular edema
Vision disorder
Deficiency
Loss
Visual acuity
Vitreous body
Maculopathy
Vitreous body disease
Eye disease
Lens disease
Complication
Extraction
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Summary:We analyzed a consecutive series of cataract extractions to determine the causes of unsuccessful results. Our criterion was a decrease in visual acuity from the preoperative measurement. Fourteen of 1237 eyes met this criterion. In three of the 14, visual acuity was decreased by more than two Snellen lines. Vitreous loss occurred in seven of the eyes. In six of these, cystoid macular edema developed. The reasons for reduced visual acuity were cystoid macular edema (eight eyes), an aggravation of age-related maculopathy (three eyes), and vitreous hemorrhage and herpetic keratitis (one eye each). A branch vein occlusion caused macular edema and vitreous hemorrhage in one eye. From this data, we recognize the importance of avoiding vitreous loss. If it does occur, we recommend that meticulous anterior vitrectomy be performed, with as little manipulation as possible.
Bibliography:ObjectType-Article-1
SourceType-Scholarly Journals-1
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ISSN:0886-3350
1873-4502
DOI:10.1016/S0886-3350(13)80481-6