Analysis of preoperative factors predictive of visual acuity in axial myopia.
OBJECTIVE
To identify the factors predicting visual acuity after cataract surgery in patients with high myopia.


METHODS
Departments of Ophthalmology, Showa University School of Medicine and Showa University Fujigaoka Hospital, Kanagawa, Japan.


METHODS
Stepwise regression analysis was used to identify the factors determining the visual acuity in 940 eyes with an axial length of 27.0 mm or longer having cataract surgery. Using a formula derived from the stepwise regression analysis, the predicted postoperative visual acuity was compared with the actual value measured in another group of 104 eyes.


RESULTS
Five factors were identified to significantly determine postoperative visual acuity: axial length, age, corneal opacity, refractive power of the cornea, and history of retinal detachment surgery. There was a significant relationship between predicted and actual postoperative visual acuities (r = .51, P < .001). Postoperative visual acuity was similar in 63% of cases.


CONCLUSIONS
The results showed that at least five factors determine visual acuity after cataract surgery in patients with high myopia.
Kora
Y
Y
Department of Ophthalmology, Hamamatsu Medical Center, Shizuoka, Japan.
Nishimura
E
E
Kitazato
T
T
Inatomi
M
M
Koide
R
R
Yaguchi
S
S
Ozawa
T
T
D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D002387:Cataract Extraction; D003318:Corneal Opacity / Q000503:physiopathology; D005123:Eye / Q000033:anatomy & histology; D006801:Humans; D019654:Lens Implantation, Intraocular; D008875:Middle Aged; D009216:Myopia / Q000503:physiopathology* / Q000601:surgery; D011184:Postoperative Period; D015985:Precipitating Factors; D012029:Refraction, Ocular; D012044:Regression Analysis; D012163:Retinal Detachment / Q000601:surgery; D014792:Visual Acuity