Saratov JOURNAL of Medical and Scientific Research

Assessment of the level of visual performance depending on the magnitude of visual acuity in relation to cataract surgery

Summary:

Purpose: to assess the definition of surgical intervention in visually stressed patients with monocular cataracts, depending on the magnitude of visual acuity. Material and Methods. The study involved 22 volunteer test subjects (men) aged 30-35 years with emmetropic refraction. Experimental evaluation was performed by the plus spherical glass method. The indicator of the quality of accompanying tracking was used as a criterion for the level of visual performance. Results. In the range of optical modeling, a decrease in visual acuity to 0.6-0.9 visual performance was noted at a high level, amounting to 94.8-99.0% of the control values. A further decrease in visual acuity (from 0.5 to 0.3) led to a pronounced statistically significant decrease in visual performance to 74.3-80.6% of the control values (p=0.004-0.036). Conclusion. Surgical treatment of monocular cataract in visually strenuous labor patients should be considered from the standpoint of an earlier surgical intervention, which is confirmed (under conditions of optical-physiological modeling of a decrease in visual acuity) by the limiting value of the maximally corrected distance visual acuity (0.6), revealed in this work, below which there is a pronounced statistically significant deterioration in the level of visual performance.

Bibliography:
1. Bourne RR, Stevens GA, White RA, et al. Causes of vision loss worldwide, 1990-2010: a systematic analysis. Lancet 2013; 1 (6): 339-49.
2. Federal clinical guidelines for the provision of ophthalmic care to patients with age-related cataracts/Expert Council on the Problem of Cataract Surgery (LLC «Interregional Association of Ophthalmologists»). Moscow: Ophthalmology, 2015; 32 p.
3. Mahmud I, KelleyT, Stowell С, etal. A Proposed Minimum Standard Set of Outcome Measures for Cataract Surgery. JAMA Ophthalmol2015Nov; 133(11): 1247-52.
4. Orlova OM. Comprehensive assessment of early cataract surgery in visually strenuous labor patients: PhD diss. Moscow, 2017; 116 p.
5. Isakova IA, Dzhashi BG, Aksenov VP, et al. Gender in patient satisfaction with the results of cataract surgical treatment with multifocal IOL implantation. Bulletin of the Orenburg State University 2011; 14 (133): 156-7.
6. Devyatkova AS. Investigation of the main risk factors for the formation of age-related cataracts in patients living in a homogeneous biotechnogenic territory of the Perm Territory: PhD abstract. Perm, 2011; 21 p.
7. Ovechkin IG, Yudin VE, Mironov AV, Emelyanov GA. Correction of accommodation-refractive disorders in persons of visually-intense work from the standpoint of modern methods of physical influence. Modern Optometry 2015; 5: 24-8.
8. Shakula AV, Emelyanov GA. Assessment of the state of accommodation and «quality of life» in visually-intense labor patients with psychological adjustment disorders. Journal of Restorative Medicine and Rehabilitation 2013; 4: 52-6.
9. Lee Е, Balasingam В, Mills ЕС, et al. A survey exploring ophthalmologists' attitudes and beliefs in performing Immediately Sequential Bilateral Cataract Surgery in the United Kingdom. ВМС Ophthalmol 2020; 20: 210-6.

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