Transparence of Intraocular Lens and its Influence on Distinguishing Ability of
the Eye
Hejcmanová D., Bytton L., Langrová H., Hejcmanová M.*
Oční klinika FN, Hradec Králové, přednosta prof. MUDr. P. Rozsíval, CSc. *Oční klinika FN MU, Brno - Bohunice, přednosta prof. MUDr. E. Vlková, CSc. |
|
Summary:
Purpose: To compare logMAR best corrected visual acuity (BCVA) and contrast
sensitivity (CS) in four types of early cataract and to evaluate influence of cataract
surgery on visual functions.
Patients and methods: 53 eyes (14 men, 39 women) with early cataract (BCVA 20/30
and 20/20 using Snellen charts) were examined before and within 3 and 12 months
after cataract surgery. BCVA was tested using logMAR charts with Landolt rings.
CSwasexaminedoncomputerized systemof 8010 type(Neuroscientific corp.,USA)
in 6 spatial frequencies between 0.74 d/deg and 29.55 c(deg. Influence of glare of
342.6 cd/m2 was tested using Brightness Acuity tester. The cataract was devided
into 4 types: a) cortical (n=19); b) posterior subcapsular (n=9); c) nuclear (n=9) and
d) corticonuclear (n=16). Twenty subjects were examined in the control group.
Results: BCVA using logMAR charts was 0.52 (0.22-1.05) preoperatively, and 0.83
(0.37-1.26) at 12 months postoperatively in the whole group of 53 patients. BCVA
in patients before and after cataract surgery was significantly lower compared to
the control group (p<0.001, p<0.05). Postoperative improvement of BCVA was markedly higher on logMAR charts (up to 4 lines) than using Snellen charts (1
line). CS in patients before and after cataract surgery was significantly lower
compared to the control group (p<0.05 to p<0.001) in spite of significant improvement
postoperatively (p<0.05 to p<0.001), first of all at intermediate and high
spatial frequencies. Glare had only nonsignificant influence. The values of both
BCVA and CS did not differ between 4 types of the cataract.
Conclusions: The significant improvement of both BCVA and CS suggest that
cataract surgery improve quality of life in early cataract.
Key words:
early cataract, logMAR charts, contrast sensitivity, glare
|