Visual quality and quality of life in simultaneous bilateral refractive lens surgery in hyperopic patients

Abstract

Introduction: Current cataract surgery does not comprise only restoring vision to its greatest possible quantity, but also includes the psychophysics of vision.

Objective: To evaluate the results of quantity, visual quality and quality of life in simultaneous bilateral refractive surgery of the crystalline lens in hyperopic patients.

Methods: A prospective longitudinal descriptive case series prospective study was performed in 108 eyes of 54 patients with bilateral cataract and hyperopia operated by simultaneous bilateral surgery at the Cuban Institute of Ophthalmology "Ramón Pando Ferrer" from November 2018 to April 2022. Quality of life was also taken into account by the FV-14 survey. Percentages and absolute numbers were used to summarize the qualitative variables. In the case of quantitative variables, the mean with standard deviation (SD) and 95% confidence interval were used.

Results: The female gender was more frequent with an average age of 69.1±8.1 years. 55.11 % of patients had NO3 hardness. Monocular visual acuity improved in 97.2 % and 100 % improved bilaterally. There was an endothelial cell loss of 10.19%. Color vision and contrast sensitivity likewise showed significant improvement.

Conclusions: Simultaneous bilateral lens surgery in hyperopic patients, contributes significantly to the improvement of vision in quantity and quality, thus allowing recovery of quality of life.