Qualidade de vida de pacientes pseudofácicos submetidos à cirurgia de catarata com implante de lente intra-ocular acomodativa

PURPOSE: To evaluate the visual function and satisfaction of patients who underwent cataract surgery and were implanted with an accommodative intraocular lens and the impact in their quality of life. METHODS: Retrospectively, questionnaires applied one year after cataract surgery of 22 patients who...

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Bibliographic Details
Authors: Oliveira, Filipe de [UNIFESP], Silva, Luci Meire P. [UNIFESP], Muccioli, Cristina [UNIFESP], Soriano, Eduardo Sone [UNIFESP], Freitas, Lincoln Leme [UNIFESP], Belfort, Rubens Junior [UNIFESP]
Format: article
Status:Published version
Publication Date:2004
Country:Brasil
Institution:Universidade Federal de São Paulo (UNIFESP)
Repository:Repositório Institucional da UNIFESP
Language:Portuguese
OAI Identifier:oai:repositorio.unifesp.br:11600/2131
Online Access:http://dx.doi.org/10.1590/S0004-27492004000300019
http://repositorio.unifesp.br/handle/11600/2131
Access Level:Open access
Keyword:Quality of life
Pseudophakia
Cataract extraction
Lenses, intraocular
Qualidade de vida
Pseudofacia
Extração de catarata
Lentes intra-oculares
Description
Summary:PURPOSE: To evaluate the visual function and satisfaction of patients who underwent cataract surgery and were implanted with an accommodative intraocular lens and the impact in their quality of life. METHODS: Retrospectively, questionnaires applied one year after cataract surgery of 22 patients who were included in a clinical trial to evaluate the safety and effectiveness of a silicone multipiece intraocular lens designed to provide distance and near vision were analyzed. RESULTS: Twenty-two patients with mean age of 70.2 years were enrolled in the study. Sixteen (73%) patients received bilateral and 6 (27%) unilateral implants of the unilateral implant group, 5 (83.3%) patients declared marked improvement of vision, 1 (16.7%) referred maximum improvement. Regarding satisfaction, 5 (83.3%) declared to be satisfied and 1 (16.7%) was very satisfied with the results of the surgery in general. Night vision was declared as without difficulty by 3 patients (50.0%), mild difficulty by 2 (33.3%) and moderate difficulty by 1 (16.7%). In the bilateral group, 7 (43.8%) considered near vision to be of excellent quality, 7 (43.8%) very good, 1 (6.2%) adequate and 1 (6.2%) poor. The quality of intermediate vision was classified as excellent by 6 (37.5%) patients, very good by 9 (56.3%) and adequate by 1 (6.2%). The quality of distance vision was considered excellent by 9 (56.3%) patients, very good by 3 (43.8%), adequate by 2 (12.5%) and not very good by 2 (12.5%). Regarding night vision, 9 (56.3%) patients declared no difficulty, 5 (31.2%) mild difficulty and 2 (12.5%) moderate difficulty. CONCLUSION: Considering IOL optical property, most patients presented important improvement of visual function, without need to wear spectacles and with positive impact on their quality of life.