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Assessing visual function behind cataract: preoperative predictive value of the Heine Lambda 100 retinometer

Abstract

Purpose

To analyze the accuracy of the Lambda 100 (Heine) potential visual acuity (VA) measurements in subjects undergoing cataract surgery.

Methods

The medical records of all consecutive patients who underwent clear corneal incision phacoemulsification cataract surgery by a single surgeon between 2010 and 2012 at the Department of Ophthalmology, Hadassah Medical Center, a tertiary care hospital in Jerusalem, Israel, were reviewed. Subjects age 18 or older with a follow-up time of at least 30 days were included. Subjects with previous ocular comorbidities other than glaucoma were excluded. In addition, patients with intraoperative or perioperative complications that could affect final VA were excluded. Analyses were performed to analyze the accuracy of preoperative retinometer potential VA as a predictor of postoperative best-corrected VA.

Results

A total of 374 operated eyes were included. There was a moderate positive correlation between Lambda estimated VA potential and postoperative achieved best-corrected VA (BCVA) (β coefficient 0.35, p<0.0001). Overall Lambda accurately (within 2 Snellen lines) estimated postoperative BCVA results in 60% of cases. The accuracy of prediction was significantly better in moderate cataracts when compared with advanced cataracts (p<0.01) with a twofold tendency towards underestimation in advanced cataracts. A Lambda ≥0.5 decimal has a calculated positive predictive value of 82% and a negative predictive value of 40% for predicting postoperative BCVA outcome ≥0.5 decimal.

Conclusions

Lambda may be used to relatively accurately predict postoperative BCVA in cataract patients, specifically in those with moderate cataracts.

Eur J Ophthalmol 2017; 27(5): 559 - 564

Article Type: ORIGINAL RESEARCH ARTICLE

DOI:10.5301/ejo.5000993

Authors

Michael Mimouni, Yinon Shapira, Janan Jadon, Shahar Frenkel, Eytan Z. Blumenthal

Article History

Disclosures

Financial support: No financial support was received for this submission.
Conflict of interest: None of the authors has conflict of interest with this submission.

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Authors

Affiliations

  •  Department of Ophthalmology, Rambam Health Care Campus, Haifa - Israel
  •  Department of Ophthalmology, Hadassah University Hospital, Jerusalem - Israel
  •  School of Medicine, Technion Israel Institute of Technology, Haifa - Israel
  • Drs. Mimouni and Shapira contributed equally to this work.

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