Please use this identifier to cite or link to this item:
http://doi.org/10.25358/openscience-5819
Authors: | Schuster, Alexander K. Nickels, Stefan Pfeiffer, Norbert Schmidtmann, Irene Wild, Philipp S. Münzel, Thomas Beutel, Manfred E. Lackner, Karl J. Vossmerbaeumer, Urs |
Title: | Frequency of cataract surgery and its impact on visual function : results from the German Gutenberg Health Study |
Online publication date: | 6-May-2021 |
Year of first publication: | 2020 |
Language: | english |
Abstract: | PURPOSE To determine the frequency of cataract surgery in Germany and to evaluate its impact on visual function in an adult population. METHODS The population-based Gutenberg Health Study was conducted in Germany with its baseline examination between 2007 and 2012 and a 5-year follow-up examiantion. An ophthalmological examination including slit-lamp examination, ocular biometry, and Scheimpflug imaging was carried out. Overall and age-specific frequencies of unilateral and bilateral cataract surgery within 5 years were computed including the 95% confidential intervals [95%-CI]. Association analyses were conducted to determine social and ocular associated factors using multivariable logistic regression analysis. Vision-related quality of life was assessed using NEI VFQ-25. RESULTS A total of 10,544 people aged 35 to 74 years were bilateral phakic at baseline and had information on lens status at the 5-year examination. Of these, 168 had unilateral cataract surgery (1.6% [1.4–1.9%]), and 448 had bilateral cataract surgery (4.2% [3.9–4.7%]) in the following 5 years. The frequency of cataract surgery increased with age: 45–54-year-old subjects had twice as often cataract surgery (in at least on eye: OR = 2.32) than at age 35–44 years. The frequency further strongly increases with age (55–64 years: OR = 10.5; 65–74 years: OR = 43.8, p < 0.001). Subjects with glaucoma were more likely to have cataract surgery (OR = 2.52, p < 0.001). Visual function increased when undergoing bilateral cataract surgery. CONCLUSIONS The frequency of cataract surgery is low at younger ages and increases up to 26% at age 70–74 years. Persons with glaucoma are more likely to undergo cataract surgery at population-based level in Germany. |
DDC: | 610 Medizin 610 Medical sciences |
Institution: | Johannes Gutenberg-Universität Mainz |
Department: | FB 04 Medizin |
Place: | Mainz |
ROR: | https://ror.org/023b0x485 |
DOI: | http://doi.org/10.25358/openscience-5819 |
Version: | Published version |
Publication type: | Zeitschriftenaufsatz |
License: | CC BY |
Information on rights of use: | https://creativecommons.org/licenses/by/4.0/ |
Journal: | Graefe's archive for clinical and experimental ophthalmology 258 |
Pages or article number: | 2223 2231 |
Publisher: | Springer |
Publisher place: | Berlin u.a. |
Issue date: | 2020 |
ISSN: | 1435-702X |
Publisher URL: | https://doi.org/10.1007/s00417-020-04770-0 |
Publisher DOI: | 10.1007/s00417-020-04770-0 |
Appears in collections: | JGU-Publikationen |
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schuster_alexander_k.-frequency_of_c-20210423125213386.pdf | 539.3 kB | Adobe PDF | View/Open |