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Br J Ophthalmol 84:1343-1348 doi:10.1136/bjo.84.12.1343
  • Original Article
    • Clinical science

Is cataract surgery justified in patients with age related macular degeneration? A visual function and quality of life assessment

Table 6

Change in mean results for visual function tests and self-reported visual disability between baseline (visit 1) and visit 2 in group 2 (ARMD + surgery) subdivided into four subgroups according to degree of cataract and ARMD

Variable Mild cataract + mild ARMD (n=19) Moderate cataract + mild ARMD (n=28) Mild cataract + moderate ARMD (n=12) Moderate cataract + moderate ARMD (n=23)
Visit 1 Visit 2 p value Visit 1 Visit 2 p value Visit 1 Visit 2 p value Visit 1 Visit 2 p value
Visual function
 Distance VA 0.47 0.24 0.004 0.71 0.21 0.000 0.58 0.31 0.025 0.75 0.36 0.000
 Near VA 0.66 0.52 0.018 0.84 0.50 0.000 0.77 0.65 0.180 0.95 0.67 0.001
 Pelli-Robson 1.05 1.22 0.085 0.85 1.27 0.000 0.96 1.07 0.341 0.67 1.15 0.000
 Pelli-Robson + glare 0.54 0.85 0.015 0.46 0.99 0.000 0.38 0.77 0.079 0.37 0.81 0.011
 Stereo-acuity 294 322 0.688 326 454 0.149 291 51 0.106 239 290 0.554
QOL items
 Trouble with vision 2.6 2.1 0.019 2.8 1.7 0.000 2.9 2.5 0 .305 3.1 2.2 0.001
 Small print 0.84 2.6 0.001 1.8 2.7 0.011 1.2 2.7 0.014 1.1 2.8 0.000
 Newspaper/book 1.6 2.5 0.009 2.1 2.6 0.094 1.8 2.9 0.080 1.6 2.6 0.013?
 Large print 3.1 3.0 0.506 3.1 2.7 0.122 2.5 3.2 0.340 2.4 2.6 0.953
 Recognise people close 3.2 3.2 0.959 3.1 3.0 0.630 3.1 3.2 0.792 2.9 2.8 0.794
 Seeing steps/kerbs 2.6 2.8 0.642 2.7 3.0 0.319 2.7 3.1 0.739 2.2 2.9 0.055
 Street signs 2.7 3.1 0.276 2.2 3.1 0.046 2.6 2.8 0.952 2.0 2.9 0.039
 Fine handwork 1.1 2.7 0.078 1.4 2.5 0.015 1.6 2.9 0.061 1.2 2.8 0.004
 Writing cheques 2.8 2.7 0.893 2.8 2.6 0.235 2.5 2.9 0.465 2.2 2.4 0.792
 Cooking 3.5 3.2 0.083 3.2 2.8 0.041 3.4 2.9 0.034 3.2 2.8 0.208
 Watching TV 2.9 2.9 1.0 2.6 2.8 0.885 3.1 2.9 0.457 2.7 2.8 0.929
 Getting about indoors 3.5 3.3 0.248 3.4 3.1 0.089 3.4 3.0 0.279 2.9 2.9 0.816
Final VF-14 score 64.9 74.7 0.112 66.3 71.8 0.100 66.1 74.7 0.308 56.6 70.0 0.094

  • VA = visual activity; ARMD = age related macular degeneration; QOL = quality of life.

  • ↵Significant change (p<0.01);

  • ↵values approaching significance.

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