Prediction of postoperative outcome in cataract subjects: A pre and postoperative study

Aim: To assess the ability of critical flicker frequency (CFF) and optimal reading speed (ORS) to predict the potential vision in patients with cataract with and without ocular comorbidity. Methods: The two novel tests were compared with two well established potential vision tests (PVTs), the potential acuity meter (PAM) and the laser interferometer (LI). Measurements were made preoperatively in 1 eye of 88 subjects using the battery of 4 PVTs. Postoperative measurements were made with the CFF and the ORS. The subjects studied were consecutive cases over a 12-month period who fulfilled the inclusion and exclusion criteria, and agreed to participate in this study. Results: CFF was the PVT most resistant to the presence of cataract. Both CFF and ORS give a similar predictive precision in the presence of cataract and ocular comorbidity, although CFF seems more precise when the cataract is dense. Conclusions: The PAM and the LI showed a limited clinical capability in predicting postoperative visual acuity, particularly with dense opacities. The CFF shows the most promise as a PVT, particularly with dense cataract. Further evaluation is required for both CFF and ORS.

URI

http://hdl.handle.net/10454/4487

Version

Published version p

Citation

Douthwaite WA, Vianya-Estopa M and Elliott DB (2007) Predictions of postoperative visual outcome in subjects with cataract: a preoperative and postoperative study. British Journal of Ophthalmology. 91(5): 638-643.

Link to Version of Record

https://doi.org/10.1136/bjo.2006.093401

Type

Article