Офтальмохирургия. 2020; : 6-13
Распространенность хирургии катаракты и оценка послеоперационных зрительных функций у прооперированного населения Республики Башкортостан
https://doi.org/10.25276/0235-4160-2020-4-6-13Аннотация
Цель. Исследование распространенности и функциональных результатов хирургии катаракты, факторов, негативно влияющих на послеоперационные зрительные функции, у населения Республики Башкортостан.
Материал и методы. Исследование выполнено на базе данных пилотного описательного популяционного исследования – Ural Eye and Medical Study (UEMS), проведенного на базе Уфимского НИИ глазных болезней. В данный анализ включены 5 885 человек в возрасте 40 лет и старше, имеющие данные о проведении хирургического лечения катаракты. Низкий зрительный результат после хирургии катаракты был определен при остроте зрения без коррекции ниже 0,3. Статистический анализ данных проводили с использованием пакета прикладных программ IBM SPSS Statistics.
Результаты. Распространенность хирургии катаракты составила 6,1% (95% доверительный интервал (95% ДИ) 5,5–6,8%). Более высокая частота операций была ассоциирована с возрастным фак- тором (отношение шансов – ОШ 1,13, 95% ДИ 1,11–1,15%, р<0,001), с мужским полом (ОШ 1,92, 95% ДИ 1,43–2,59, р=0,003), с проживанием в городе (ОШ 1,37, 95% ДИ 1,04–1,80, р=0,02) и овдовением (ОШ 1,57, 95% ДИ 1,13–2,17, р=0,006). Низкие зрительные результаты после хирургии катаракты, учитывая максимальную послеоперационную коррекцию, выявлены в 16,1% случаев (81 глаз). Основные причины низкого послеоперационного результата: ошибка рефракции (40,4%), макулодистрофия (18,5%), глаукома (16,0%), помутнение задней капсулы (13,6%) и диабетическая ретинопатия (12,3%).
Заключение. Полученные результаты хорошей послеоперационной некорригированной остроты зрения составили 73,1% и оказались достаточно близкими к международным нормам (80%). Основными причинами низких зрительных результатов хирургии катаракты явились рефракционная ошибка и возрастная макулярная дегенерация.
Список литературы
1. Naidoo K, Gichuhi S, Basanez M, et al. Prevalence and causes of vision loss in sub-Saharan Africa: 1990–2010. Br J Ophthalmol. 2014;98: 612–618. doi: 10.1136/bjophthalmol-2013-304081
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12. Pokharel G, Selvaraj S, Ellwein L. Visual functioning and quality of life outcomes among cataract operated and unoperated blind populations in Nepal. Br J Ophthalmol. 1998;82: 606–610. doi: 10.1136 /bjo.82.6.606
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15. Murthy G, Ellwein L, Gupta S, et al. A population-based eye survey of older adults in a rural district of Rajasthan: II. Outcomes of cataract surgery. Ophthalmology. 2001;108: 686–692. doi: 10.1016/s0161-6420(00)00578-9
16. Nirmalan P, Thulasiraj R, Maneksha V, et al. A population based eye survey of older adults in Tirunelveli district of south India: blindness, cataract surgery, and visual outcomes. Br J Ophthalmol. 2002;86: 505–512. doi: 10.1136/bjo.86.5.505
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18. Lau J, Michon J, Chan W, Ellwein L. Visual acuity and quality of life outcomes in cataract surgery patients in Hong Kong. Br J Ophthalmol. 2002;86: 12–17. doi: 10.1136/bjo.86.1.12
19. Bourne R, Dineen B, Ali S, et al. Outcomes of cataract surgery in Bangladesh: results from a population based nationwide survey. Br J Ophthalmol. 2003;87: 813–819. doi: 10.1136/bjo.87.7.813
20. Bourne R, Dineen B, Jadoon Z, et al. Outcomes of cataract surgery in Pakistan: results from The Pakistan National Blindness and Visual Impairment Survey. Br J Ophthalmol. 2007;91: 420–426. doi: 10.1136/bjo.2006.106724
21. Baranano A, Wu J, Mazhar K, Azen S, Varma R. Los Angeles Latino Eye Study G. Visual acuity outcomes after cataract extraction in adult latinos. The Los Angeles Latino Eye Study. Ophthalmology. 2008;115: 815–821. doi: 10.1016/j.ophtha.2007.05.052
22. Lavanya R, Wong T, Aung T, et al. Prevalence of cataract surgery and post-surgical visual outcomes in an urban Asian population: the Singapore Malay Eye Study. Br J Ophthalmol. 2009;93: 299–304. doi: 10.1136/bjo.2008.148650
23. Kanthan G, Mitchell P, Burlutsky G. and Wang J. Intermediate and longerterm visual outcomes after cataract surgery: the Blue Mountains Eye Study. Clin Exp Ophthalmol. 2011;39: 201–206. doi: 10.1111/j.1442-9071.2010.02440.x
24. Marmamula S, Khanna R, Shekhar K, Rao G. Outcomes of cataract surgery in urban and rural population in the South Indian State of Andhra Pradesh: Rapid assessment of visual impairment (RAVI) project. PLoS ONE. 2016;11(12): e0167708. doi: 10.1371/journal.pone.0167708
25. Bikbov M, Fayzrakhmanov R, Kazakbaeva G, Zainullin R, et al. Frequency and associated factors of bone fractures in Russians: The Ural Eye and Medical Study. Sci Rep. 2018;8(1): 7483. doi: 10.1038/s41598-018-25928-1
Fyodorov Journal of Ophthalmic Surgery. 2020; : 6-13
The prevalence of cataract surgery and the assessment of postoperative visual function in the population of the Republic of Bashkortostan
https://doi.org/10.25276/0235-4160-2020-4-6-13Abstract
Purpose. Studying the prevalence and functional results of cataract surgery and factors that negatively affect postoperative visual functions in the population of the R epublic of Bashkortostan.
Material and methods. The study was carried out on the basis of a pilot descriptive population study – Ural Eye and Medical Study (UEMS), conducted on the basis of the Ufa Research Institute of Eye Diseases. This analysis included 5 885 people aged 40 and over with data on performing cataract surgery. Poor visual outcome after cataract surgery was defined with uncorrected visual acuity below 0.3. Statistical data analysis was performed using the IBM SPSS Statistics application package.
Results. The prevalence of cataract surgery was 6.1% (95% confidence interval (95% CI) 5.5–6.8%). A higher frequency of operations was associated with the age factor (odds ratio – OR 1.13, 95% CI 1.11– 1.15%, p<0.001), male gender (OR 1.92, 95% CI 1.43–2.59, p=0.003), urban living (OR 1.37, 95% CI 1.04–1.80, p=0.02) and widowhood (OR 1.57, 95% CI 1.13–2.17, p=0.006). Low visual results after cataract surgery, considering the maximum postoperative correction, were found in 16.1% of cases (81 eyes). The main reasons for the low postoperative outcome: refractive error (40.4%), macular degeneration (18.5%), glaucoma (16.0%), posterior capsule opacification (13.6%) and diabetic retinopathy (12.3%).
Conclusion. The obtained results of good postoperative uncorrected visual acuity amounted to 73.1% and turned out to be quite close to international standards (80%). The main reasons for the low visual results of cataract surgery were refractive error and age-related macular degeneration.
References
1. Naidoo K, Gichuhi S, Basanez M, et al. Prevalence and causes of vision loss in sub-Saharan Africa: 1990–2010. Br J Ophthalmol. 2014;98: 612–618. doi: 10.1136/bjophthalmol-2013-304081
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3. Huang W, Huang G, Wang D, et al. Outcomes of cataract surgery in urban southern China: the Liwan Eye Study. Invest Ophthalmol Vis Sci. 2011;52(1): 16–20. doi: 10.1167/iovs.10-5382
4. Anisimova S.Yu., Anisimov S.I., Trubilin V.N., Trubilin A.V. Femtolazernoe soprovozhdenie khirurgii katarakty. M., 2013. [Anisimova SYu, Anisimov SI, Trubilin VN, Trubilin AV. Femtolazernoe soprovozhdenie khirurgii katarakty. M., 2013. (In Russ.)]
5. Bikbov M, Kazakbaeva G, Gilmanshin T, Zainullin R, et al. Axial length and its associations in a Russian population: The Ural Eye and Medical Study. PLoS ONE. 2019;14(2): e0211186. doi: 10.1371/journal.pone.0211186
6. WHO Working Group, 1998. Informal consultation on analysis of prevention of blindness outcomes. Geneva; 1998. WHO/PBL/98.68.
7. Bikbov M, Fayzrakhmanov R, Kazakbaeva G, Jonas JB. Ural Eye and Medical Study: description of study design and methodology. Ophthalmic Epidemiol. 2018;25(3): 187–198. doi: 10.1080/09286586.2017.1384504
8. Foster P, Buhrmann R, Quigley H, Johnson G. The definition and classification of glaucoma in prevalence surveys. Br J Ophthalmol. 2002;86(2): 238–242. doi: 10.1136/bjo.86.2.238
9. Ferris F, Wilkinson C, Bird A, et al. Beckman initiative for macular research classification committee. Clinical classification of age-related macular degeneration. Ophthalmology. 2013;120(4): 844–851. doi: 10.1016/j.ophtha.2012.10.036
10. Grading diabetic retinopathy from stereoscopic color fundus photographsan extension of the modified Airlie House classification. ETDRS report number 10. Early Treatment Diabetic Retinopathy Study Research Group. Ophthalmology. 1991;98(Suppl 5): 786–806.
11. Zhao J, Sui R, Jia L, Fletcher A, Ellwein L. Visual acuity and quality of life outcomes in patients with cataract in Shunyi County, China. Am J Ophthalmol. 1998;126: 515–523. doi: 10.1016/S0002-9394(98)00274-8
12. Pokharel G, Selvaraj S, Ellwein L. Visual functioning and quality of life outcomes among cataract operated and unoperated blind populations in Nepal. Br J Ophthalmol. 1998;82: 606–610. doi: 10.1136 /bjo.82.6.606
13. He M, Xu J, Li S, Wu K, et al. Visual acuity and quality of life in patients with cataract in Doumen County, China. Ophthalmology. 1999;106: 1609–1615. doi: 10.1016/S0161-6420(99)90460-8
14. Dandona L, Dandona R, Naduvilath T, et al. Population-based assessment of the outcome of cataract surgery in an urban population in southern India. Am J Ophthalmol. 1999;127: 650–658. doi: 10.1016/s0002-9394 (99)00044-6
15. Murthy G, Ellwein L, Gupta S, et al. A population-based eye survey of older adults in a rural district of Rajasthan: II. Outcomes of cataract surgery. Ophthalmology. 2001;108: 686–692. doi: 10.1016/s0161-6420(00)00578-9
16. Nirmalan P, Thulasiraj R, Maneksha V, et al. A population based eye survey of older adults in Tirunelveli district of south India: blindness, cataract surgery, and visual outcomes. Br J Ophthalmol. 2002;86: 505–512. doi: 10.1136/bjo.86.5.505
17. Thulasiraj R, Reddy A, Selvaraj S, et al. The Sivaganga eye survey: II. Outcomes of cataract surgery. Ophthalmic Epidemiol. 2002;9: 313–324. doi: 10.1076/opep.9.5.313.10339
18. Lau J, Michon J, Chan W, Ellwein L. Visual acuity and quality of life outcomes in cataract surgery patients in Hong Kong. Br J Ophthalmol. 2002;86: 12–17. doi: 10.1136/bjo.86.1.12
19. Bourne R, Dineen B, Ali S, et al. Outcomes of cataract surgery in Bangladesh: results from a population based nationwide survey. Br J Ophthalmol. 2003;87: 813–819. doi: 10.1136/bjo.87.7.813
20. Bourne R, Dineen B, Jadoon Z, et al. Outcomes of cataract surgery in Pakistan: results from The Pakistan National Blindness and Visual Impairment Survey. Br J Ophthalmol. 2007;91: 420–426. doi: 10.1136/bjo.2006.106724
21. Baranano A, Wu J, Mazhar K, Azen S, Varma R. Los Angeles Latino Eye Study G. Visual acuity outcomes after cataract extraction in adult latinos. The Los Angeles Latino Eye Study. Ophthalmology. 2008;115: 815–821. doi: 10.1016/j.ophtha.2007.05.052
22. Lavanya R, Wong T, Aung T, et al. Prevalence of cataract surgery and post-surgical visual outcomes in an urban Asian population: the Singapore Malay Eye Study. Br J Ophthalmol. 2009;93: 299–304. doi: 10.1136/bjo.2008.148650
23. Kanthan G, Mitchell P, Burlutsky G. and Wang J. Intermediate and longerterm visual outcomes after cataract surgery: the Blue Mountains Eye Study. Clin Exp Ophthalmol. 2011;39: 201–206. doi: 10.1111/j.1442-9071.2010.02440.x
24. Marmamula S, Khanna R, Shekhar K, Rao G. Outcomes of cataract surgery in urban and rural population in the South Indian State of Andhra Pradesh: Rapid assessment of visual impairment (RAVI) project. PLoS ONE. 2016;11(12): e0167708. doi: 10.1371/journal.pone.0167708
25. Bikbov M, Fayzrakhmanov R, Kazakbaeva G, Zainullin R, et al. Frequency and associated factors of bone fractures in Russians: The Ural Eye and Medical Study. Sci Rep. 2018;8(1): 7483. doi: 10.1038/s41598-018-25928-1
