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Progression of nonproliferative diabetic retinopathy and visual outcome after extracapsular cataract extraction and intraocular lens implantation.

Publication ,  Journal Article
Jaffe, GJ; Burton, TC; Kuhn, E; Prescott, A; Hartz, A
Published in: Am J Ophthalmol
October 15, 1992

Twenty-one patients with symmetric nonproliferative retinopathy who underwent extracapsular cataract extraction and intraocular lens implantation were followed up postoperatively for an average (+/- standard deviation) of 18 +/- 7 months to determine the incidence of progression of diabetic retinopathy, the final visual acuity, and factors predictive of progression of retinopathy and final visual acuity. Progression of retinopathy, defined as the development of clinically significant macular edema, an increase in intraretinal hemorrhages or hard exudate, or the development of proliferative diabetic retinopathy, was assessed in both eyes of 19 patients; in two remaining patients, dense preoperative cataract in the fellow eye precluded comparison of retinopathy progression in the operated-on eye to progression in the fellow eye. Overall, retinopathy progressed in 14 of 19 operated-on eyes (74%). Cataract extraction was highly associated with asymmetric progression of nonproliferative retinopathy; it progressed only in the operated-on eye in seven of 19 patients (37%), but in no patients did progression occur in the fellow eye alone (P = .0078). Women had a significantly increased risk of progression of retinopathy in the operated-on eye compared to men (P = .005). Visual acuity improved in 19 of 21 operated-on eyes (86%); however, only 11 eyes (52%) achieved a visual acuity of 20/50 or better and only six eyes (14%) achieved a visual acuity of 20/25 or better. In only five eyes was the final visual acuity in the operated-on eye more than two lines better than the final visual acuity in the fellow eye.(ABSTRACT TRUNCATED AT 250 WORDS)

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Published In

Am J Ophthalmol

DOI

ISSN

0002-9394

Publication Date

October 15, 1992

Volume

114

Issue

4

Start / End Page

448 / 456

Location

United States

Related Subject Headings

  • Visual Acuity
  • Treatment Outcome
  • Risk Factors
  • Preoperative Care
  • Postoperative Complications
  • Ophthalmology & Optometry
  • Middle Aged
  • Male
  • Lenses, Intraocular
  • Incidence
 

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Jaffe, G. J., Burton, T. C., Kuhn, E., Prescott, A., & Hartz, A. (1992). Progression of nonproliferative diabetic retinopathy and visual outcome after extracapsular cataract extraction and intraocular lens implantation. Am J Ophthalmol, 114(4), 448–456. https://doi.org/10.1016/s0002-9394(14)71857-4
Jaffe, G. J., T. C. Burton, E. Kuhn, A. Prescott, and A. Hartz. “Progression of nonproliferative diabetic retinopathy and visual outcome after extracapsular cataract extraction and intraocular lens implantation.Am J Ophthalmol 114, no. 4 (October 15, 1992): 448–56. https://doi.org/10.1016/s0002-9394(14)71857-4.
Jaffe, G. J., et al. “Progression of nonproliferative diabetic retinopathy and visual outcome after extracapsular cataract extraction and intraocular lens implantation.Am J Ophthalmol, vol. 114, no. 4, Oct. 1992, pp. 448–56. Pubmed, doi:10.1016/s0002-9394(14)71857-4.
Journal cover image

Published In

Am J Ophthalmol

DOI

ISSN

0002-9394

Publication Date

October 15, 1992

Volume

114

Issue

4

Start / End Page

448 / 456

Location

United States

Related Subject Headings

  • Visual Acuity
  • Treatment Outcome
  • Risk Factors
  • Preoperative Care
  • Postoperative Complications
  • Ophthalmology & Optometry
  • Middle Aged
  • Male
  • Lenses, Intraocular
  • Incidence