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Posterior capsule opacification: comparisons between morphology, visual acuity and self-assessed visual function.

Journal article
Authors Karin Sundelin
M Lundström
Ulf Stenevi
Published in Acta Ophthalmologica Scandinavica
Volume 84
Pages 667-673
ISSN pISSN: 1395-3907
Publication year 2006
Published at Institute of Neuroscience and Physiology, Department of Clinical Neuroscience and Rehabilitation
Pages 667-673
Language en
Links doi: 10.1111/j.1600-0420.2006.00718...
Keywords posterior capsule opacification – self-assessed visual function – Evaluation of Posterior
Subject categories Medical and Health Sciences


ABSTRACT. Purpose: To investigate whether posterior capsule opacification (PCO) morphology, visual acuity (VA) and self-assessed visual function correlate, and to compare perceived visual disabilities with those of cataract patients with corresponding VA. Methods: Twenty-one patients with PCO were examined before capsulotomy. In adjunct to the ophthalmological examination, the patients completed a Catquest questionnaire and a digitized retroillumation image was acquired. The images were analysed with the Evaluation of Posterior Capsule Opacification (EPCO) program. Data for visual function were compared with data from the National Swedish Cataract Register (NCR). Results: The epco values were correlated with VA in the PCO eyes: the higher the epco score, the lower the VA. There were also correlations between the epco scores, satisfaction with vision, and perceived disabilities in daily life. Symptoms of glare were not significantly correlated with epco scores or with VA. Visual acuity in PCO eyes was better correlated with perceived disabilities and satisfaction with vision than VA in eyes with cataract. Conclusions: There was a significant correlation between epco scores and VA and between epco scores and Catquest. Consequently, the morphological method was related to the self-assessed visual function. Patients with PCO seemed to have more disturbed visual function, as defined by Catquest, than cataract patients with the same VA.

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