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Straylight before and after phacoemulsification in eyes with preoperative corrected distance visual acuity better than 0.1 logMAR

Publication year 2014
Published in Journal of Cataract and Refractive Surgery
Authors T.J.T.P. van den Berg, Ruth Lapid-Gortzak, Ivanka J E van der Meulen, Jan Willem van der Linden, Maarten P Mourits,

PURPOSE: To report the outcomes of changes in straylight before and after phacoemulsification in eyes with preoperative corrected distance visual acuity (CDVA) better than 0.1 logMAR.

SETTING: Private refractive surgery clinic, Driebergen, the Netherlands.

DESIGN: Cohort study.

METHODS: Standard phacoemulsification with implantation of a monofocal or multifocal intraocular lens (IOL) was performed. Preoperative and 3-month postoperative straylight values, CDVA, and refractive error were compared.

RESULTS: The study enrolled 160 eyes (89 patients). The mean CDVA was 0.02 ± 0.05 logMAR (range -0.1 to 0.1 logMAR) preoperatively and 0.00 ± 0.04 logMAR (range -0.1 to 0.2 logMAR) postoperatively. The mean preoperative straylight was 1.21 ± 0.20 log(s) (range 0.80 to 1.74 log[s]) and 1.11 ± 1.16 log(s) (range 0.76 to 1.63 log[s]), respectively; the improvement was statistically significant. There was a correlation between high preoperative straylight values and postoperative improvement in straylight values.

CONCLUSIONS: In eyes with relatively good CDVA of 0.1 logMAR or better (decimal 0.8 or better; Snellen 20/25 or better), straylight improved by 0.10 log(s) after cataract surgery. A subgroup of 44 eyes had an improvement of more than 0.20 log(s), which is comparable to a 2-line improvement on the vision chart.

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