Autoren:	Schuster, Alexander K. Nickels, Stefan Pfeiffer, Norbert Schmidtmann, Irene Wild, Philipp S. Münzel, Thomas Beutel, Manfred E. Lackner, Karl J. Vossmerbaeumer, Urs
Titel:	Frequency of cataract surgery and its impact on visual function : results from the German Gutenberg Health Study
Online-Publikationsdatum:	6-Mai-2021
Sprache des Dokuments:	Englisch
Zusammenfassung/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-Sachgruppe:	610 Medizin 610 Medical sciences
Veröffentlichende Institution:	Johannes Gutenberg-Universität Mainz
Organisationseinheit:	FB 04 Medizin
Veröffentlichungsort:	Mainz
ROR:	https://ror.org/023b0x485
DOI:	http://doi.org/10.25358/openscience-5819
Version:	Published version
Publikationstyp:	Zeitschriftenaufsatz
Nutzungsrechte:	CC BY
Informationen zu den Nutzungsrechten:	https://creativecommons.org/licenses/by/4.0/
Zeitschrift:	Graefe's archive for clinical and experimental ophthalmology 258
Seitenzahl oder Artikelnummer:	2223 2231
Verlag:	Springer
Verlagsort:	Berlin u.a.
Erscheinungsdatum:	2020
ISSN:	1435-702X
URL der Originalveröffentlichung:	https://doi.org/10.1007/s00417-020-04770-0
DOI der Originalveröffentlichung:	10.1007/s00417-020-04770-0
Enthalten in den Sammlungen:	JGU-Publikationen