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. 1997 Oct;81(10):889–895. doi: 10.1136/bjo.81.10.889

Improvements in clinical and functional vision and perceived visual disability after first and second eye cataract surgery

D Elliott 1, A Patla 1, M Bullimore 1
PMCID: PMC1722018  PMID: 9486032

Abstract

AIMS—To determine the improvements in clinical and functional vision and perceived visual disability after first and second eye cataract surgery.
METHODS—Clinical vision (monocular and binocular high and low contrast visual acuity, contrast sensitivity, and disability glare), functional vision (face identity and expression recognition, reading speed, word acuity, and mobility orientation), and perceived visual disability (Activities of Daily Vision Scale) were measured in 25 subjects before and after uncomplicated cataract surgery (10 first eye surgery and 15 second eye surgery) and in 10 age matched controls.
RESULTS—Significant improvements were found after surgery in clinical and functional vision and perceived visual disability. Greater improvements were found after first eye surgery than after second eye surgery. However, first eye surgery did not return all scores to age matched normal levels. There were significant improvements in several of the tests measured after second eye surgery, and all postoperative values were similar to those from age matched normals.
CONCLUSIONS—Significant improvements in clinical, functional, and perceived vision are obtained by cataract surgery. The improvements in objective measures of functional vision found in this study support previous findings of improvements in patients' perceived functional vision. In addition, these data provide support to the necessity of second eye surgery in some patients to improve certain aspects of visual function to age matched normal levels.



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Figure 1  .

Figure 1  

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Pre and postoperative values of high contrast visual acuity after first (n=10) and second eye (n=15) cataract surgery compared with age matched control (n=10).

Figure 2  .

Figure 2  

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Pre and postoperative values of low contrast visual acuity (with and without glare) after first (n=10) and second eye (n=15) cataract surgery compared with age matched control (n=10).

Figure 3  .

Figure 3  

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Pre and postoperative values of face identity and face expression recognition after first (n=10) and second eye (n=15) cataract surgery compared with age matched control (n=10).

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

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