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The impact of pseudophakia on vision-related quality of life in the general population – The Gutenberg Health Study

Cataract surgery is the most frequently performed surgical procedure worldwide. We aim to determine the prevalence of having implanted an artificial lens (pseudophakia) and of no lens (aphakia) and to compare visual function. As part of the Gutenberg Health study, a population-based cross-sectional...

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Autores principales: Schuster, Alexander K., Pfeiffer, Norbert, Schulz, Andreas, Nickels, Stefan, Höhn, René, Wild, Philipp S., Blettner, Maria, Münzel, Thomas, Beutel, Manfred E., Lackner, Karl J., Vossmerbaeumer, Urs
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Impact Journals LLC 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5391216/
https://www.ncbi.nlm.nih.gov/pubmed/28358301
http://dx.doi.org/10.18632/aging.101208
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author Schuster, Alexander K.
Pfeiffer, Norbert
Schulz, Andreas
Nickels, Stefan
Höhn, René
Wild, Philipp S.
Blettner, Maria
Münzel, Thomas
Beutel, Manfred E.
Lackner, Karl J.
Vossmerbaeumer, Urs
author_facet Schuster, Alexander K.
Pfeiffer, Norbert
Schulz, Andreas
Nickels, Stefan
Höhn, René
Wild, Philipp S.
Blettner, Maria
Münzel, Thomas
Beutel, Manfred E.
Lackner, Karl J.
Vossmerbaeumer, Urs
author_sort Schuster, Alexander K.
collection PubMed
description Cataract surgery is the most frequently performed surgical procedure worldwide. We aim to determine the prevalence of having implanted an artificial lens (pseudophakia) and of no lens (aphakia) and to compare visual function. As part of the Gutenberg Health study, a population-based cross-sectional study was conducted in Germany. An ophthalmological examination including slit-lamp examination was conducted. Prevalence including 95% confidential intervals were calculated and analyses were conducted for systemic and ocular associated factors with pseudophakia using multivariable logistic regression models. Vision-related quality of life was assessed using a standardized questionnaire and Rasch transformation. 14,696 people were included. Of these, 1.55% [1.36%–1.77%] had unilateral pseudophakia and 3.08% [2.81%-3.37%] had bilateral pseudophakia. Unilateral aphakia was present in 21 people and bilateral aphakia in 2 people. Pseudophakia was independently associated with age, higher body weight and lower body height, diabetes and smoking. Vision-related quality of life values were similar for those with bilateral phakia and pseudophakia but were lower for those with unilateral pseudophakia. The pseudophakia status is related to several cardiovascular risk factors, indicating a relationship to an aging effect that causes premature lens opacification. Bilateral pseudophakia can almost imitate the physiological condition of phakia except for the need to use glasses.
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spelling pubmed-53912162017-04-20 The impact of pseudophakia on vision-related quality of life in the general population – The Gutenberg Health Study Schuster, Alexander K. Pfeiffer, Norbert Schulz, Andreas Nickels, Stefan Höhn, René Wild, Philipp S. Blettner, Maria Münzel, Thomas Beutel, Manfred E. Lackner, Karl J. Vossmerbaeumer, Urs Aging (Albany NY) Research Paper Cataract surgery is the most frequently performed surgical procedure worldwide. We aim to determine the prevalence of having implanted an artificial lens (pseudophakia) and of no lens (aphakia) and to compare visual function. As part of the Gutenberg Health study, a population-based cross-sectional study was conducted in Germany. An ophthalmological examination including slit-lamp examination was conducted. Prevalence including 95% confidential intervals were calculated and analyses were conducted for systemic and ocular associated factors with pseudophakia using multivariable logistic regression models. Vision-related quality of life was assessed using a standardized questionnaire and Rasch transformation. 14,696 people were included. Of these, 1.55% [1.36%–1.77%] had unilateral pseudophakia and 3.08% [2.81%-3.37%] had bilateral pseudophakia. Unilateral aphakia was present in 21 people and bilateral aphakia in 2 people. Pseudophakia was independently associated with age, higher body weight and lower body height, diabetes and smoking. Vision-related quality of life values were similar for those with bilateral phakia and pseudophakia but were lower for those with unilateral pseudophakia. The pseudophakia status is related to several cardiovascular risk factors, indicating a relationship to an aging effect that causes premature lens opacification. Bilateral pseudophakia can almost imitate the physiological condition of phakia except for the need to use glasses. Impact Journals LLC 2017-03-28 /pmc/articles/PMC5391216/ /pubmed/28358301 http://dx.doi.org/10.18632/aging.101208 Text en Copyright: © 2017 Schuster et al. http://creativecommons.org/licenses/by/3.0/ This article is distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0/) (CC-BY), which permits unrestricted use and redistribution provided that the original author and source are credited.
spellingShingle Research Paper
Schuster, Alexander K.
Pfeiffer, Norbert
Schulz, Andreas
Nickels, Stefan
Höhn, René
Wild, Philipp S.
Blettner, Maria
Münzel, Thomas
Beutel, Manfred E.
Lackner, Karl J.
Vossmerbaeumer, Urs
The impact of pseudophakia on vision-related quality of life in the general population – The Gutenberg Health Study
title The impact of pseudophakia on vision-related quality of life in the general population – The Gutenberg Health Study
title_full The impact of pseudophakia on vision-related quality of life in the general population – The Gutenberg Health Study
title_fullStr The impact of pseudophakia on vision-related quality of life in the general population – The Gutenberg Health Study
title_full_unstemmed The impact of pseudophakia on vision-related quality of life in the general population – The Gutenberg Health Study
title_short The impact of pseudophakia on vision-related quality of life in the general population – The Gutenberg Health Study
title_sort impact of pseudophakia on vision-related quality of life in the general population – the gutenberg health study
topic Research Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5391216/
https://www.ncbi.nlm.nih.gov/pubmed/28358301
http://dx.doi.org/10.18632/aging.101208
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