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Multicenter Study
. 2024 Jul;32(5):642-647.
doi: 10.1080/09273948.2023.2187847. Epub 2023 Mar 17.

Risk Factors Associated with Unexpected Refractive Outcomes in Uveitic Cataract Surgery

Daniel J Lee  1 , Steven Seto  2 , Mark Banghart  3 , Kelly Boyd  3 , Catherine Thuruthumaly  2 , Eric B Suhler  1   4 , Laura J Kopplin  3
Affiliations
Multicenter Study

Risk Factors Associated with Unexpected Refractive Outcomes in Uveitic Cataract Surgery

Daniel J Lee et al. Ocul Immunol Inflamm. 2024 Jul.

Abstract

Objective: Assess refractive outcomes following uveitic cataract surgery and identify factors associated with deviations from the target refractive goal.

Methods: A multicenter retrospective chart review was performed for 216 subjects with uveitis undergoing cataract surgery. Prediction error was calculated and tested for association with demographic and clinical characteristics using single variable and multiple regression analysis.

Results: 39.8% of eyes deviated from the intended refractive target by at least 0.5 diopters (D). The mean prediction error was 0.56 ± 0.67 D. Younger age (p = 0.042), preoperative inflammatory corneal findings (keratic precipitates and/or band keratopathy) (p = 0.0004), and poorer postoperative visual acuity (p = 0.0054) were associated with a deviation from the intended refractive target by at least 1 D.

Conclusions: A higher percentage of eyes undergoing uveitic cataract surgery deviated from the intended refractive target when compared to reported refractive outcomes in normal subjects. Younger age, preoperative inflammatory corneal sequelae, and poorer postoperative visual acuity were associated with this outcome.

Keywords: Cataract surgery; prediction error; refractive outcomes; uveitic; uveitis.

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Conflict of interest statement

Conflict of Interest: The authors report no conflicts of interest.

Figures

Figure 1.
Figure 1.
A) Difference in postoperative refraction, as a spherical equivalent, from the intended refractive goal in diopters (D). B) Cumulative histogram of pre and postoperative Snellen corrected distance visual acuity (CDVA).
See this image and copyright information in PMC

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