Acquired cataract

Question 1

What four factors give a good outcome

Answer 1

No ocular comobidity
Not highly myopic
axial length between 23.58 and 24.18
Age less than 60

Question 2

What percentage of patients achieve 6/12 or above and 6/6 above in the national cataract dataset?

Answer 2

91% 6/12 or better

45.9% 6/6 or better

Question 3

In low risk patients what percentage should be above 6/12 and 6/6?

Answer 3

95% 6/12 or better

51% 6/6 or better

Question 4

What is the risk of worsening vision?

Answer 4

1.24% of doubling visual angel

Question 5

What factors increase risk?

Answer 5

Older age
Short axial length
Small pupil
Intraoperative complications

Question 6

What intraoperative complications are there

Answer 6

PCR (1.92%)
Iris trauma/prolapse (1.14%)
Zonular damage
Phaco burn etc etc

Question 7

What risks are there with short axial lengths?

Answer 7

Difficult surgery

Aqueous misdirection

Question 8

What risks are there with long axial length?

Answer 8

Retinal detachment

Question 9

What are the three steps of deciding on surgery?

Answer 9

Is there cataract
Is it visually significant
Do benefits outweigh risks?

Question 10

What does ICE stand for?

Answer 10

Ideas
Concerns
Expectations