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Predictive Value of Excellent Uncorrected Visual Acuity Post-Operative Day One After Cataract Surgery

Authors Young JW, Law NW, Tu DC

Received 8 July 2020

Accepted for publication 27 August 2020

Published 23 September 2020 Volume 2020:14 Pages 2777—2782


Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 2

Editor who approved publication: Dr Scott Fraser

Jonathan W Young1 ,* Nathan W Law2 ,* Daniel C Tu2,3

1Devers Eye Institute, Legacy Health, Portland, OR, USA; 2Casey Eye Institute, Oregon Health & Science University, Portland, OR, USA; 3Operative Care Division, VA Portland Health Care System, Portland, OR, USA

*These authors contributed equally to this work

Correspondence: Daniel C Tu
Casey Eye Institute, 515 SW Campus Dr, Portland, OR 97239, USA
Tel +1 503-494-3000
Fax +1 503-494-9259

Purpose: Patients and physicians are often pleased when uncorrected visual acuity (UCVA) on post-operative day 1 (POD1) after cataract surgery is 20/20. Unfortunately, this UCVA does not always last. This article aims to investigate the relationship between excellent uncorrected visual acuity on post-operative day 1 and final post-operative UCVA after uncomplicated cataract surgery.
Patients and Methods: The medical records of patients who had undergone uncomplicated cataract surgery between 2012 and 2017 were assessed. UCVA on POD1 and final UCVA were obtained for patients who had a final best-corrected visual acuity of 20/20 or better.
Results: Of 309 patients with UCVA of 20/20 on POD 1, 62.4% maintained 20/20 and 87.4% maintained 20/25 or better as their final uncorrected visual outcome. Of 204 patients with UCVA of 20/25 on POD 1, 44.1% achieved 20/20 and 69.6% maintained 20/25 or better as their final uncorrected visual outcome. Patients with 20/20 UCVA on POD1 were more likely to have a better final UCVA compared with those who were 20/25 on POD1. Of the 531 patients with UCVA of 20/25 or better on POD1, 20% had final UCVA worse than 20/25 with 4% losing more than 2 lines for their final UCVA.
Conclusion: The majority of patients with 20/20 UCVA on POD1 after cataract surgery maintained excellent UCVA as their final visual outcome. However, a significant percentage of these patients experienced a decrease in UCVA over the course of the postoperative period.

Keywords: phacoemulsification, cataract, pseudophakia, visual acuity, treatment outcome

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