Effects of cataract surgery in Japanese patients with neovascular age-related macular degeneration

Graefes Arch Clin Exp Ophthalmol. 2021 May;259(5):1145-1151. doi: 10.1007/s00417-020-05015-w. Epub 2020 Nov 18.

Abstract

Purpose: To investigate the effects of cataract surgery in Japanese patients with neovascular age-related macular degeneration (nAMD).

Methods: The primary endpoint in this prospective, observational study was patient satisfaction at 6 months after cataract surgery in patients with nAMD. Secondary endpoints comprised changes in best-corrected visual acuity (BCVA), M-chart score, central retinal thickness (CRT), AMD status, and number of AMD treatments. All examinations were performed before surgery, and at 1, 3, and 6 months postoperatively.

Results: Fifty patients (52 eyes) were included in this study (32 men; mean age, 76.1 ± 7.1 years). Thirty-nine patients (75.0%) reported satisfaction with cataract surgery. BCVA significantly improved at all postoperative timepoints (all p < 0.0001), whereas differences in M-chart scores were not statistically significant. The number of eyes with BCVA ≤ 0.3 logarithm of the minimum angle of resolution (logMAR) increased from 21 to 38; however, CRT did not change. The number of AMD treatments did not change during follow-up. All questionnaire scores showed postoperative improvement. Univariate and multivariate analyses revealed that final BCVA ≤ 0.3 logMAR was significantly associated with patient satisfaction.

Conclusion: Cataract surgery significantly improved vision in Japanese patients with nAMD, without affecting AMD status. Patients were satisfied with cataract surgery, especially with respect to improvement of distance vision.

Keywords: Age-related macular degeneration; Cataract surgery; Intraocular lens; Metamorphopsia; Patient satisfaction; Postoperative survey.

Publication types

  • Observational Study

MeSH terms

  • Aged
  • Aged, 80 and over
  • Cataract* / complications
  • Cataract* / epidemiology
  • Female
  • Humans
  • Japan / epidemiology
  • Macular Degeneration*
  • Male
  • Prospective Studies
  • Treatment Outcome
  • Visual Acuity