St. Erik Eye Hospital, Department of Clinical Neuroscience, Division of Ophthalmology and Vision, Karolinska Institutet, Stockholm, Sweden.
Department of Clinical Sciences/Ophthalmology, Umeå University Hospital, Umeå, Sweden.
Acta Ophthalmol. 2018 Sep;96(6):582-585. doi: 10.1111/aos.13708. Epub 2018 Feb 20.
To explore the relationship between acquisition of new spectacles after routine cataract surgery and vision-related activity limitation (VRAL) postoperatively.
This cohort study with intervention (survey) included 1329 patients in Sweden who had undergone a second-eye cataract surgery during March 2013. Data from the Swedish National Cataract Register were used, including evaluations of VRAL through the Catquest-9SF questionnaire before and 3 months after cataract surgery. Five months after the second-eye surgery, patients completed another five-item questionnaire about spectacle use preoperatively and postoperatively including an item on surgeons' advice about the need for spectacles. These responses were linked to the Rasch-analysed Catquest-9SF data to identify correlations with VRAL.
A total of 1239 patients finally participated in the study after excluding those who did not fulfil the inclusion criteria. Patients who were advised about the need for spectacles postoperatively (n = 387) had a greater (p = 0.039) improvement in the postoperative VRAL compared to patients who were not advised (n = 691). Patients who obtained new spectacles postoperatively (n = 512) also had greater improvement (p = 0.032) compared to those who did not (n = 724).
The average improvements in the VRAL after surgery were significantly higher for patients who obtained new distance spectacles postoperatively and for patients who were informed about the need for spectacles by their practitioners.
探讨常规白内障手术后新配眼镜与术后视觉相关活动受限（VRAL）之间的关系。
本队列研究包括瑞典的 1329 名接受第二只眼白内障手术的患者。使用瑞典国家白内障登记处的数据，包括通过 Catquest-9SF 问卷评估白内障手术前后的 VRAL。第二只眼手术后 5 个月，患者完成了另一个五题的问卷，内容包括术前和术后对眼镜使用的评估，其中包括一个关于外科医生建议配镜需求的项目。这些反应与 Rasch 分析的 Catquest-9SF 数据相关联，以确定与 VRAL 的相关性。
在排除不符合纳入标准的患者后，共有 1239 名患者最终参与了研究。术后被建议配镜的患者（n=387）与未被建议配镜的患者（n=691）相比，术后 VRAL 有更大的改善（p=0.039）。术后新配眼镜的患者（n=512）与未配眼镜的患者（n=724）相比，VRAL 也有更大的改善（p=0.032）。
术后 VRAL 的平均改善幅度在术后获得新的远距眼镜的患者和被医生告知配镜需求的患者中显著更高。
