Posterior segment causes of reduced visual acuity after phacoemulsification in eyes with cataract and obscured fundus view

Figures & data

Table 1 Preoperative ocular comorbidity

Condition	Number of eyes	Percentage
None	170	84.5
Phacodonesis/PXF	17	8.5
High myopia	7	3.5
Corneal pathology	5	2.5
CNS disease (empty sella syndrome)	1	0.5
Usher syndrome	1	0.5
Total	201	100.0

Abbreviations: CNS, central nervous system; PXF, pseudoexfoliation.

Table 2 Intraoperative complications

Intraoperative complication	Number of eyes	Percentage
None	181	90.0
PC rupture with vitreous loss	7	3.5
PC rupture no vitreous loss	4	2.0
Zonule dialysis no vitreous loss	4	2.0
Zonule dialysis with vitreous loss	2	1.0
Iris damage from the phaco tip	2	1.0
Cortical matter remnants	1	0.5
Total	201	100.0

Abbreviation: PC, posterior capsule.

Table 3 Postoperative complications

Postoperative complication	Number of eyes	Percentage
None	167	83.0
Corneal edema/striae	17	8.5
PCO/YAG not indicated	8	4.0
High IOP	5	2.5
Cystoid macular edema	2	1.0
PCO/YAG indicated	1	0.5
Decentered IOL	1	0.5
Total	201	100.0

Abbreviations: IOP, intraocular pressure; IOL, intraocular lens; PCO, posterior capsule opacification; YAG, yttrium aluminum garnet.

Figure 1 The postoperative best corrected visual acuity (BCVA) in eyes of diabetic patients and nondiabetic patients.

Table 4 Final best corrected visual acuity (BCVA) recorded at one month after surgery

BCVA	Number of eyes	Percentage	Cumulative percentage
6/6	122	60.7	60.7
6/9	36	17.9	78.6
6/12	17	8.5	87.1
6/18	10	5.0	92.0
6/24	3	1.5	93.5
6/36	3	1.5	95.0
6/60	4	2.0	97.0
CF	6	3.0	100.0
Total	201	100.0

Abbreviation: CF, counting fingers.

Table 5 Posterior segment causes of reduced postoperative best corrected visual acuity (BCVA) (,6/12) at one month after surgery

Fundus findings in the operated eye	Number of eyes			Percentage	Similar fundus findings in fellow eye
	No diabetes	Diabetes	All		Yes	No	No view
ARM: RPE atrophy/drusen	4	2	6	23.1	3	2	1
CSME/ischemic maculopathy	0	6	6	23.1	3	2	1
Dry AMD/wet AMD	3	1	4	15.4	2	0	2
Optic atrophy	2	1	3	11.5	0	2	1
BRVO, macular edema	2	0	2	7.7	0	2	0
Myopic maculopathy	2	0	2	7.7	2	0	0
Diffuse chorioretinal degeneration	1	0	1	3.8	0	0	1
Nonspecific macular scar	1	0	1	3.8	0	0	1
Old posterior uveitis and macular scar	1	0	1	3.8	0	1	0
Total	16	10	26	100.0	10	9	7

Abbreviations: AMD, age-related macular degeneration; ARM, age-related maculopathy; BRVO, branch retinal vein occlusion; CSME, clinically significant macular edema; RPE, retinal pigment epithelium.