Liu W, Liu Q, Zhou F, Feng B, Wu WL. Effect of capsule treatment on visual acuity and quality after phacoemulsification lens implantation in myopic patients with cataract. World J Clin Cases 2024; 12(19): 3882-3889 [DOI: 10.12998/wjcc.v12.i19.3882]
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Author contributions: Liu W, Feng B and Wu WL designed this research; Liu W and Liu Q performed this research; Liu W and Zhou F analyzed the data; Liu W, Feng B and Wu WL wrote the manuscript.
Institutional review board statement: This study was approved by the institutional review board of Ganzhou Aier Ophthalmology Hospital.
Informed consent statement: The informed consent has been obtained form each participant.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Data sharing statement: The data are available from the corresponding author.
CONSORT 2010 statement: The authors have read the CONSORT 2010 statement, and the manuscript was prepared and revised according to the CONSORT 2010 statement.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Received: April 10, 2024 Revised: May 10, 2024 Accepted: May 20, 2024 Published online: July 6, 2024 Processing time: 79 Days and 22 Hours
Abstract
BACKGROUND
Cataracts pose a significant clinical burden due to their complex pathogenesis. In recent years, an increase in cataracts coexisting with myopia has heightened the incidence of retinopathy and posterior vitreous detachment. Additionally, symptoms of ocular axis elongation, lens nucleus hardening, and vitreous liquefaction have become more prevalent. While conventional extracapsular cataract extraction is commonly employed, it often yields suboptimal visual outcomes. Subsequent advancements in cataract phacoemulsification and lens implantation surgeries have gained widespread acceptance for their ability to improve refraction and significantly improve uncorrected visual acuity.
AIM
To investigate the effect of capsular treatment after phacoemulsification lens implantation in myopic patients with cataract.
METHODS
We selected 110 patients (with 134 eyes) with myopia and cataracts treated. These patients were categorized into two groups: an observation group (57 patients with 70 eyes) and a control group (53 patients with 64 eyes). The control group underwent cataract phacoemulsification and lens implantation, while the observation group received a refined capsular treatment based on the control group’s procedure. We assessed the differences in visual acuity and quality between the two groups before and after surgery.
RESULTS
At six months post-operation, the observation group exhibited significantly improved far vision, intermediate vision, near vision, lower objective scattering index, higher Modulation transfer function cut-off frequency, and overall vision metrics at different contrast levels (100%, 20% and 9%) compared to the control group (P < 0.05). The total score of the National Eye Institute Visual Function Questionnaire in the observation group at 6 months after operation was significantly higher than that in the control group (P < 0.05). No significant difference in the incidence of adverse reactions was observed between the observation group and control group (P > 0.05).
CONCLUSION
Capsular treatment demonstrates efficacy in improving visual acuity and quality after phacoemulsification lens implantation in myopic patients with cataracts, warranting its clinical application.
Core Tip: This study attempted to observe the application value of capsular membrane treatment in myopia with cataract phacoemulsification crystal implantation. The observation indicators included patients' visual acuity and visual quality, and the preliminary study results found that it had certain clinical application value.
