Cataract surgery in retinitis pigmentosa
Purpose: The aim of this study was to evaluate visual outcomes of cataract surgery in patients with retinitis pigmentosa. Methods: This retrospective case series includes a review of the medical records of all patients with retinitis pigmentosa undergoing cataract surgery between 2005 and 2018. The...
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Wolters Kluwer Medknow Publications
2021-01-01
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doaj-076d25114109472d80494bf01c0155c22021-08-09T09:54:26ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47381998-36892021-01-016971753175710.4103/ijo.IJO_2916_20Cataract surgery in retinitis pigmentosaSamrat ChatterjeeDeepshikha AgrawalDeepanshu AgrawalSwapnil M ParchandAnupam SahuPurpose: The aim of this study was to evaluate visual outcomes of cataract surgery in patients with retinitis pigmentosa. Methods: This retrospective case series includes a review of the medical records of all patients with retinitis pigmentosa undergoing cataract surgery between 2005 and 2018. The primary outcome measure was corrected distant visual acuity and change in vision impairment after surgery. Results: Of the 103 (132) patients, 60 (58.3%) were men and 43 (41.7%) were women. The mean age of the study population was 51.3 ± 11.3 (22–74) years. The mean symptom duration was 35.4 ± 44.5 (1–300) months. The most common morphology of cataracts was a combination of nuclear sclerosis, posterior subcapsular, and cortical cataract (n = 65 eyes, 49.3%). Phacoemulsification (87 eyes, 65.9%) was the preferred surgical technique. The mean preoperative corrected distant visual acuity of 1.21 ± 0.87 log MAR units improved significantly (P < 0.001) to 0.60 ± 0.56 log MAR units after surgery. The number of blind patients reduced from 27 (26.2%) to 8 (7.8%) patients. Zonular dialysis and posterior capsule tear were seen in six (4.5%) eyes each. Good preoperative vision (odds ratio: 6.1 [95% confidence interval: 2.9–13.0], P < 0.0001) was associated with better outcome, wheras reduced central macular thickness (odds ratio: 3.5 [95% confidence interval: 1.3–9.2], P = 0.011) was associated with poor outcome. Conclusion: A considerable number of patients presented with advanced cataracts and severe vision impairment. Significant improvement in visual acuity and alleviation of vision impairment was seen after surgery, with few complications. Good preoperative visual acuity predicted a good outcome, whereas macular thinning predicted a poor outcome.http://www.ijo.in/article.asp?issn=0301-4738;year=2021;volume=69;issue=7;spage=1753;epage=1757;aulast=Chatterjeecataractcataract surgeryphacoemulsificationretinitis pigmentosavisual acuityvision impairment |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Samrat Chatterjee Deepshikha Agrawal Deepanshu Agrawal Swapnil M Parchand Anupam Sahu |
spellingShingle |
Samrat Chatterjee Deepshikha Agrawal Deepanshu Agrawal Swapnil M Parchand Anupam Sahu Cataract surgery in retinitis pigmentosa Indian Journal of Ophthalmology cataract cataract surgery phacoemulsification retinitis pigmentosa visual acuity vision impairment |
author_facet |
Samrat Chatterjee Deepshikha Agrawal Deepanshu Agrawal Swapnil M Parchand Anupam Sahu |
author_sort |
Samrat Chatterjee |
title |
Cataract surgery in retinitis pigmentosa |
title_short |
Cataract surgery in retinitis pigmentosa |
title_full |
Cataract surgery in retinitis pigmentosa |
title_fullStr |
Cataract surgery in retinitis pigmentosa |
title_full_unstemmed |
Cataract surgery in retinitis pigmentosa |
title_sort |
cataract surgery in retinitis pigmentosa |
publisher |
Wolters Kluwer Medknow Publications |
series |
Indian Journal of Ophthalmology |
issn |
0301-4738 1998-3689 |
publishDate |
2021-01-01 |
description |
Purpose: The aim of this study was to evaluate visual outcomes of cataract surgery in patients with retinitis pigmentosa. Methods: This retrospective case series includes a review of the medical records of all patients with retinitis pigmentosa undergoing cataract surgery between 2005 and 2018. The primary outcome measure was corrected distant visual acuity and change in vision impairment after surgery. Results: Of the 103 (132) patients, 60 (58.3%) were men and 43 (41.7%) were women. The mean age of the study population was 51.3 ± 11.3 (22–74) years. The mean symptom duration was 35.4 ± 44.5 (1–300) months. The most common morphology of cataracts was a combination of nuclear sclerosis, posterior subcapsular, and cortical cataract (n = 65 eyes, 49.3%). Phacoemulsification (87 eyes, 65.9%) was the preferred surgical technique. The mean preoperative corrected distant visual acuity of 1.21 ± 0.87 log MAR units improved significantly (P < 0.001) to 0.60 ± 0.56 log MAR units after surgery. The number of blind patients reduced from 27 (26.2%) to 8 (7.8%) patients. Zonular dialysis and posterior capsule tear were seen in six (4.5%) eyes each. Good preoperative vision (odds ratio: 6.1 [95% confidence interval: 2.9–13.0], P < 0.0001) was associated with better outcome, wheras reduced central macular thickness (odds ratio: 3.5 [95% confidence interval: 1.3–9.2], P = 0.011) was associated with poor outcome. Conclusion: A considerable number of patients presented with advanced cataracts and severe vision impairment. Significant improvement in visual acuity and alleviation of vision impairment was seen after surgery, with few complications. Good preoperative visual acuity predicted a good outcome, whereas macular thinning predicted a poor outcome. |
topic |
cataract cataract surgery phacoemulsification retinitis pigmentosa visual acuity vision impairment |
url |
http://www.ijo.in/article.asp?issn=0301-4738;year=2021;volume=69;issue=7;spage=1753;epage=1757;aulast=Chatterjee |
work_keys_str_mv |
AT samratchatterjee cataractsurgeryinretinitispigmentosa AT deepshikhaagrawal cataractsurgeryinretinitispigmentosa AT deepanshuagrawal cataractsurgeryinretinitispigmentosa AT swapnilmparchand cataractsurgeryinretinitispigmentosa AT anupamsahu cataractsurgeryinretinitispigmentosa |
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1721214456402280448 |