<--GAT-->

Glaucoma Increases Cataract Surgery Complications

by U.S. Medicine

April 7, 2016

JAMAICA PLAINS, MA — A new VA study compared visual acuity outcomes, vision-related quality of life and complications related to cataract surgery in eyes with and without glaucoma.

The retrospective cohort study was published recently in the American Journal of Ophthalmology.1

Using cataract surgery outcomes, the VA Ophthalmic Surgical Outcomes Data Project, a study team led by the VA Boston Healthcare System researchers identified 608 glaucoma cases and 4,306 controls undergoing planned cataract surgery alone.

After adjusting for age, pseudo-exfoliation, small pupil, prior ocular surgery and anterior chamber depth, the investigation found that glaucoma cases were more likely to have posterior capsular tear with vitrectomy, odds ratio 1.8, and sulcus intraocular lens placement, OR 1.65, during cataract surgery.

Results indicate that glaucoma cases were more likely to have postoperative inflammation, OR 1.73; prolonged elevated intraocular pressure, OR 2.96; and additional surgery within 30 days, OR 1.92.

In both groups, mean best-corrected visual acuity (BCVA) and Visual Function Questionnaire (VFQ) scores significantly improved after cataract surgery. Larger improvements in BCVA and VFQ composite scores occurred in the non-glaucoma vs the glaucoma group, however.

The study notes that 3621 non-glaucoma cases, 94.1%, had postoperative BCVA 20/40 or better, compared to 466 glaucoma cases, 89.6%.

“Eyes with glaucoma are at increased risk for complications and have more modest visual outcomes after cataract surgery compared to eyes without glaucoma,” the study authors wrote. “Despite this, glaucoma patients still experience significant improvement in vision-related outcomes after cataract extraction. Further study is needed to explore potential factors that influence cataract surgery outcomes in glaucomatous eyes.”

1 Turalba A, Payal AR, Gonzalez-Gonzalez LA, Cakiner-Egilmez T, Chomsky AS, Vollman DE, Baze EF, Lawrence M, Daly MK. Cataract Surgery Outcomes in Glaucomatous Eyes: Results From the Veterans Affairs Ophthalmic Surgery Outcomes Data Project. Am J Ophthalmol. 2015 Oct;160(4):693-701.e1. doi:10.1016/j.ajo.2015.07.020. Epub 2015 Jul 22. PubMed PMID: 26210863.


Related Articles

Even mild TBI increases veterans’ dementia risk

The risk of dementia is increased even in veterans who suffer mild traumatic brain injury (TBI) without loss of consciousness.

Deep brain simulation extends Parkinson’s survival

Deep brain stimulation (DBS) not only improves motor function in patients with Parkinson’s disease, as demonstrated in earlier studies, it also appears to extend life, according to new VA research.


U.S. Medicine Recommends


More From department of veterans affairs

Department of Veterans Affairs (VA)

Veteran nephrologist labors to improve ESRD treatment at VA

When Terrence O’Neil, MD, retired as chief of nephrology at the James H. Quillen VAMC in Johnson City in December 2016, he left in his wake decades of work treating kidney disease—nearly 35 years in the Air Force and DoD, plus 11 more at VA.

Department of Veterans Affairs (VA)

Committee approves bill to provide agent orange benefits to ‘blue water’ vets

A long sought-after bill that would make it easier for Blue Water Navy veterans to receive Agent Orange benefits has been passed by a key House of Representatives committee.

Department of Veterans Affairs (VA)

Bill to Streamline, Expand VA’s Choice Program Signed Into Law

Legislation that would streamline VA’s community care programs into one program and expand VA’s caregiver program to veterans of all eras was signed into law earlier this month..

Department of Veterans Affairs (VA)

Despite Criticism, VA Healthcare as Good or Better Than Other Systems

The good news from a recent consultant study is that, overall, the VA healthcare system is generally equal or better than others when inpatient and outpatient quality is measured.

Department of Veterans Affairs (VA)

VA Inks Contract for Massive New Health Record System

Calling it one of the largest IT contracts in the federal government, with a ceiling of $10 billion over a decade, then-VA Acting Secretary Robert Wilkie announced that the agency signed a contract with Cerner for its new electronic health record (EHR).

Facebook Comment

Subscribe to U.S. Medicine Print Magazine

U.S. Medicine is mailed free each month to physicians, pharmacists, nurse practitioners, physician assistants and administrators working for Veterans Affairs, Department of Defense and U.S. Public Health Service.

Subscribe Now

Receive Our Email Newsletter

Stay informed about federal medical news, clinical updates and reports on government topics for the federal healthcare professional.

Sign Up