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State of refraction and subjective satisfaction following cataract surgery Mariko Takahara 1 , Keiko Yano 1 , Etsuko Nagano 1 , Hiroko Yoshimura 2 , Chikako Kinouchi 2 , Setsuko Noguchi 2 , Nobutaka Hirayama 3 , Hitoshi Honda 4 1Department of Ophthalmology, Tokyo Metropolitan Ohkubo Hospital. 2Tokyo Metropolitan Ohkubo Hosp 3Hirayama Eye Clinic 4Dept of Ophthalmol, The Yugawara Kosei Nenkin Hosp pp.623-627
Published Date 2000/4/15
DOI https://doi.org/10.11477/mf.1410906786
  • Abstract
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We surveyed 172 patients following bilateral cataract surgery and intraocular lens implantation by questionnaire. The postoperative refraction was more than -3.0 D in 13 patients,-3.0D to -1.0 in 55, and less than -1.0D in 104. A total of 144 patients (84%) were satisfied with the postoperative refraction. Impaired far vision was reported by 6% of patients who had average refraction of -2.1 D. Difficulty in near vision was reported by 10% of patients who had average refraction of -0.2 D. Among patients with postoperative myopia of more than -1.0D, 96% could read newspapers with the naked eye. Difficulty in reading and near vision was frequent among those with myopia of less than -1.0 D. Among 33 patients who had far visual acuity of 0.6 or over and who did not need eyeglasses in reading, the refraction in the less myopic eye averaged -0.4 ± 0.5D and that in the more myopic eye averaged -1.0 ± 0.6 D. The acceptable difference between both eyes were 1.5D or less. When patients do not wish eyeglasses after cataract surgery, it is advisable to plan -1.0D as the postoperative refraction in the first eye. The refraction in the second eye may differ from the first in order to achieve good visual acuity both for far and near.


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電子版ISSN 1882-1308 印刷版ISSN 0370-5579 医学書院

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