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Distribution and visual impact of postoperative refractive error after cataract surgery in rural China: study of cataract outcomes and up-take of services report 4.

Distribution and visual impact of postoperative refractive error after cataract surgery in rural China: study of cataract outcomes and up-take of services report 4. Research Abstract Details 

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  • Distribution and visual impact of postoperative refractive error after cataract surgery in rural China: study of cataract outcomes and up-take of services report 4. Abstract Text:

    zhongxia zhouZhongxia Zhou,nathan g congdonNathan G Congdon,mingzhi zhangMingzhi Zhang,lijia chenLijia Chen,zhongren zhengZhongren Zheng,lishan zhangLishan Zhang,xiaofang linXiaofang Lin,lijuan heLijuan He,kai choiKai Choi,dennis s c lamDennis S C Lam,zhongxia zhouZhongxia Zhou,nathan g congdonNathan G Congdon,mingzhi zhangMingzhi Zhang,lijia chenLijia Chen,zhongren zhengZhongren Zheng,lishan zhangLishan Zhang,xiaofang linXiaofang Lin,lijuan heLijuan He,kai choiKai Choi,dennis s c lamDennis S C Lam,

    PURPOSE: To model the possible impact of using average-power intraocular lenses (IOLs) and evaluate the postoperative refractive error in patients having cataract surgery in rural China. SETTING: Rural Guangdong, China. METHODS: Patients having cataract surgery by local surgeons were examined and visual function was assessed 10 to 14 months after surgery. Subjective refraction at near and distance was performed bilaterally by an ophthalmologist. Patients had a target refraction of -0.50 diopter (D) based on ocular biometry. RESULTS: Of the 313 eligible patients, 242 (77%) could be contacted and 176 (74% of contacted patients, 56% overall) were examined. Examined patients had a mean age of 69.4 +/- 10.5 years. Of the 211 operated eyes, 73.2% were within +/-1.0 D of the target refraction after surgery. The best presenting distance vision was in patients within +/-1.0 D of plano and the best presenting near vision, in those with mild myopia (<-1.0 D to > or =2.0 D) (P= .005). However, patients with hyperopia (>+1.0 D) reported significantly better adjusted visual function than those with emmetropia or myopia (<-1.0 D). When the predicted use of an average-power IOL (median +21.5 D) was modeled, predicted visual acuity was significantly reduced (P= .001); however, predicted visual function was not significantly altered (P>.3). CONCLUSIONS: Accurate selection of postoperative refractive error was achieved by local surgeons in this rural area. Based on visual function results, aiming for mild postoperative myopia may not be suitable in this setting. Implanting average-power IOLs significantly reduced postoperative presenting vision, but not visual function.

    Distribution and visual impact of postoperative refractive error after cataract surgery in rural China: study of cataract outcomes and up-take of services report 4. Publishing Authors By Initials

    z zhouZ Zhou,ng congdonNG Congdon,m zhangM Zhang,l chenL Chen,z zhengZ Zheng,l zhangL Zhang,x linX Lin,l heL He,k choiK Choi,ds lamDS Lam,z zhouZ Zhou,ng congdonNG Congdon,m zhangM Zhang,l chenL Chen,z zhengZ Zheng,l zhangL Zhang,x linX Lin,l heL He,k choiK Choi,ds lamDS Lam,

    For similar abstracts research abstracts see: abstracts research

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    Distribution and visual impact of postoperative refractive error after cataract surgery in rural China: study of cataract outcomes and up-take of services report 4. Journal Published:

    PUBLICATION TYPE: Research Support, Non-U.S. Gov

    Journal: Journal of cataract and refractive surgery

    VOLUME: 33

    Page Numbers: 2083-90

    Journal Abbreviation:

    ISSN: 0886-3350

    DAY: 6

    MONTH: Dec

    YEAR: 2007

    Distribution and visual impact of postoperative refractive error after cataract surgery in rural China: study of cataract outcomes and up-take of services report 4. Information

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    LANGUAGE: eng

    NlmUniqueID: 8604171

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    Grant and Affiliation Information for Distribution and visual impact of postoperative refractive error after cataract surgery in rural China: study of cataract outcomes and up-take of services report 4.

    AFFILIATION: Joint Shantou International Eye Center, Shantou University and Chinese University of Hong Kong, Shantou, Guangdong, China. zzx@jsiec.org

    Country: United States

    United States Research PublicationUnited States Research Publication

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    MEDLINETA: J Cataract Refract Surg

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