ArticleStraylight before and after phacoemulsification in eyes with preoperative corrected distance visual acuity better than 0.1 logMARLapid-Gortzak, Ruth MD, PhD*; van der Meulen, Ivanka J.E. MD, PhD; van der Linden, Jan Willem BOpt; Mourits, Maarten P. MD, PhD; van den Berg, Thomas J.T.P. PhD Author Information From the Department of Ophthalmology (Lapid-Gortzak, van der Meulen, Mourits), Academic Medical Center, University of Amsterdam, and the Netherlands Institute for Neurosciences (van den Berg), Royal Dutch Academy of Arts and Sciences, Amsterdam, and Retina Total Eye Care (Lapid-Gortzak, van der Meulen, van der Linden), Driebergen, the Netherlands *Corresponding author: Ruth Lapid-Gortzak, MD, PhD, Department of Ophthalmology, Academic Medical Center, Meibergdreef 9, 1100 AZ Amsterdam, the Netherlands. E-mail: [email protected] Submitted July 14, 2013; revised October 2, 2013; accepted October 11, 2013.Figure: No Caption available.First author: Ruth Lapid-Gortzak, MD, PhD Department of Ophthalmology, Academic Medical Center, University of Amsterdam, Amsterdam, the Netherlands Journal of Cataract & Refractive Surgery: May 2014 - Volume 40 - Issue 5 - p 748-755 doi: 10.1016/j.jcrs.2013.10.030 Buy Metrics Abstract Purpose To report the outcomes of changes in straylight before and after phacoemulsification in eyes with preoperative corrected distance visual acuity (CDVA) better than 0.1 logMAR. Setting Private refractive surgery clinic, Driebergen, the Netherlands. Design Cohort study. Methods Standard phacoemulsification with implantation of a monofocal or multifocal intraocular lens (IOL) was performed. Preoperative and 3-month postoperative straylight values, CDVA, and refractive error were compared. Results The study enrolled 160 eyes (89 patients). The mean CDVA was 0.02 ± 0.05 logMAR (range −0.1 to 0.1 logMAR) preoperatively and 0.00 ± 0.04 logMAR (range −0.1 to 0.2 logMAR) postoperatively. The mean preoperative straylight was 1.21 ± 0.20 log(s) (range 0.80 to 1.74 log[s]) and 1.11 ± 1.16 log(s) (range 0.76 to 1.63 log[s]), respectively; the improvement was statistically significant. There was a correlation between high preoperative straylight values and postoperative improvement in straylight values. Conclusions In eyes with relatively good CDVA of 0.1 logMAR or better (decimal 0.8 or better; Snellen 20/25 or better), straylight improved by 0.10 log(s) after cataract surgery. A subgroup of 44 eyes had an improvement of more than 0.20 log(s), which is comparable to a 2-line improvement on the vision chart. Financial Disclosure(s) Proprietary or commercial disclosures are listed after the references. © 2014 by Lippincott Williams & Wilkins, Inc.
