2013, Number 2
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Medisur 2013; 11 (2)
Impact of Laser Capsulotomy in the Quality of Life of the Elderly with Posterior Capsule Opacity after Cataract Surgery
Milanés AAR, Molina CK, Zamora GI, González DA, Rodríguez HM
Language: Spanish
References: 41
Page: 141-158
PDF size: 269.58 Kb.
ABSTRACT
Background: the opacity of the posterior lens capsule after cataract
surgery has decreased in recent years but its incidence remains high.
Objective: To assess the impact of the opacification of the posterior lens
capsule and its treatment with laser capsulotomy on visual function and
life quality of patients after cataract surgery.
Methods: A case series study of elderly patients with diagnose of opacity
in the posterior lens capsule after cataract surgery who were treated with
laser capsulotomy from January 2010 to January 2011 in the General
University Hospital of Cienfuegos was conducted. A survey and a battery of
assessment tools to measure functional status were applied as well as the
VF-14 test for the assessment of life quality.
Results: We observed an improvement in the average value of the visual
acuity (0, 326 by 0, 726 practiced capsulotomy to later), with an average
range of efficiency improvement of a binocular visual 6.96%, likewise
improved functional visual capacity from 57, 728 to 96, 223; exploration
by VF-14 showed a higher life quality. The degree of overall validism was
recovered in 86, 56 % of patients and only one patient was totally
dependent for the realization of daily life activities.
Conclusions: Patients who underwent laser capsulotomy showed
evidence of improvement in visual acuity, functionality and life quality.
REFERENCES
Envejecimiento de la población: Reto para la Humanidad [material de estudio político]. La Habana: Editora Política; 2008.
Oficina Nacional de Estadísticas. Proyecciones de la población cubana. Cuba y sus territorios, 2006-2030. La Habana: ONE; 2006.
Suárez R, Pescetto C. Sistemas de protección social para el adulto mayor en América Latina y el Caribe. Rev Panam Salud Pública [revista en Internet]. 2005 [ cited 28 Nov 2008 ] ; 17 (5/6): [aprox. 18p]. Available from: http:// www.scielosp.org/pdf/rpsp/v17n5-6/26279.pdf.
Romero Cabrera AJ. Asistencia clínica al adulto mayor. Cienfuegos: Editorial Universo Sur; 2007.
Eguías Martínez F, Río Torres M, Capote Cabrera A. Manual de diagnóstico y tratamiento en Oftalmología [Internet]. La Habana: Editorial Ciencias Médicas; 2010. [ cited 28 Nov 2012 ] Available from: http:// files.sld.cu/boletincnscs/files/2010/11/respub201 0dr-frank-eguia.pdf.
Flores Gaitán A, Morales Gómez ME, Matiz H, Garzón M. Opacidad de la cápsula posterior después de facoemulsificación. Evaluación de varios tipos de lentes intraoculares. Rev Mex Oftalmol. 2007 ; 79 (3): 159-62.
Hernández López I, Castro González Y, Trujillo Fonseca K, Cepero Hernández L, Miranda Hernández I. Opacidad de cápsula posterior. In: Peraza Rodríguez G, Quesada Pantoja J, Sanchez Ferrán T, editors. Oftalmología. Criterios y tendencias actuales. La Habana: Editorial Ciencias Médicas; 2009. p. 307-30.
Zurresh KP, Apple DJ, McAvoy J, Maloof AJ, Milverton J. Posterior capsule opacification (Aftercataract) surgical and implant related factors for prevention.. In: Garg A, Howard Fine I, Chang DF, Mehtz KR, Bovet J, Tsuneoka H, et al. Mastering the art of bimanual microincision phaco (Phaconit/MICS). Jaypee: Jitendar P Vij; 2008. p. 396-423.
Werner L. La histopatología de la bolsa capsular en cirugía de cristalino. In: Centurión V, Nicoli C, Villar Kuri J, editors. El libro del cristalino de las Américas. Brasil: Livraria Santos; 2007. p. 599-612.
Sundelin K, Shams H, Stenevi U. Three year follow up of posterior capsule opacification with two different silicone intraocular lenses. Acta Ophthalmol Scand [revista en Internet]. 2005 [ cited 20 Ene 2010 ] ; 83 (1): [aprox. 8p]. Available from: http://www.ncbi.nlm.nih.gov/pubmed/15715551.
Katayama Y, Kobayakawa S, Yanagawa H, Tochikubo T. The relationship between the adhesion characteristics of acrylic intraocular lens materials and posterior capsule opacification. Ophthalmic Res. 2007 ; 39 (5): 276-81.
Buehl W, Findl O. Advances in optic designs to reduce PCO. In: Garg A, Howard Fine I, Chang DF, Mehtz KR, Bovet J, Tsuneoka H, et al. Mastering the techniques of advanced phaco surgery. Jaypee: Jaypee Brothers Medical Publishers; 2008. p. 408-13.
Menapace R, Wirtitsch M, Findl O, Buehl W, Kriechbaum K, Sacu S. Effect of anterior capsule polishing on posterior capsule opacification and neodymium: YAG capsulotomy rates: three year randomized trial. J Cataract Refractive Surg. 2005 ; 31 (11): 2067-75.
Hayashi K, Hayashi H, Nakao F, Hayashi F. Correlation between posterior capsule opacification and visual function before and after Neodymium: YAG laser posterior capsulotomy. Am J Ophthalmol. 2003 ; 136 (4): 720-6.
Burq MA, Taqui AM. Frequency of retinal detachment and other complications after neodymium: YAG laser capsulotomy. J Pak Med Assoc. 2008 ; 58 (10): 550-2.
Badia X, ILiach Badia X, Salmero M, Salamero Baró M, Alonso J, Alonso Caballero J. La medida de la salud: guía de escalas de medición en español. 2da. ed. Barcelona: Edimac; 1999.
American Academy of Ophthalmology. American Society of Cataract and Refractive Surgery. White paper on cataract surgery. J Cataract Refract Surg. 1996 ; 103 (7): 1152-6.
Katz S, Ford AB, Moskowitz RW, Jackson BA, Jaffe MW. Studies of illness in the aged. The index of ADL: a standardized measure of biological and psychosocial function. JAMA. 1963 ; 185 (12): 914-19.
Biber JM, Sandoval HP, Trivedi RH, de Castro LE, French JW, Solomon KD. Comparison of the incidence and visual significance of posterior capsule opacification between multifocal spherical, monofocal spherical, and monofocal aspheric intraocular lenses. J Cataract Refract Surg. 2009 ; 35 (7): 1234-8.
Yanguas Lenzaus JJ. Análisis de la calidad de vida relacionada con la salud en la vejez desde una perspectiva multidisciplinar. Madrid: Ministerio de Trabajo y Asuntos Sociales. IMSERSO; 2006.
Diz Gayoso P. La calidad de vida relacionada con la salud. Importancia en atención primaria. Aten Primaria. 2003 ; 31 (5): 293-4.
López Torres HJ, López Verdejo MA, Otero Puime A, Belmonte Useros M, López Verdejo J, Montoro Duran J. Repercusión de la intervención de cataratas en la capacidad funcional del anciano. Arch Soc Esp Oftalmol. 2004 ; 79 (5): 221-8.
Cabezas León M, Gracia San Román J, García Caballero J, Morente Matas P. Calidad de vida en pacientes intervenidos de cataratas. Arch Soc Esp Oftalmol. 2005 ; 80 (8): 220-6.
Caballo C, Verdugo MA. Social skills assessment of children and adolescents with visual impairment: identifying relevant skills to improve quality of social relationships. Psychological reports. 2007 ; 100 (3c): 1101-6.
José RM, Bender LE, Boyce JF, Heatley C. Correlation between the measurement of posterior capsule opacification severity and visual function testing. J Cataract Refract Surg. 2005 ; 31 (3): 534-42.
Menon GJ, Wong KK, Bundhunt T, Ewings P, Twomey JM. The effect of Nd: YAG laser posterior capsulotomy on stereoacuity. Eye [revista en Internet]. 2009 [ cited 20 Ene 2010 ] ; 23 (1): [aprox. 4p]. Available from: http://www.ncbi.nlm.nih.gov/pubmed/17676025.
De Juan Marcos L, Hernández Galilea E, Blanco Blanco JF. Impacto de la capsulotomía Nd: YAG en la calidad de vida de pacientes pseudofáquicos. Arch Soc Esp Oftalmol. 2011 ; 86 (5): 139-44.
Mian SI, Fahim K, Marcovitch A, Gada H, Mush DC, Sugar A. Nd: YAG capsulotomy rates after use of the Acrysoft acrylic three piece and one piece intraocular lenses. Br J Ophthalmol [revista en Internet]. 2005 [ cited 20 Ene 2010 ] ; 89 (11): [aprox. 4p]. Available from: http://www.ncbi.nlm.nih.gov/pubmed/16234452.
Arieta C, Amaral M, Matuda E, Crosta C, De Carvalho Moreira Filho D, Jose N. Dorzolamide X apraclonidine in the prevention of the intraocular pressure spike after Nd: YAG laser posterior capsulotomy. Curr Eye Res. 2002 ; 25 (4): 237-41.
Sesar A, Petric I, Sesar I, Lacmnovic Loncar V, Jurisic D, Tomic Z, et al. Intraocular pressure after nd: YAG laser capsulotomy in pseudophakic patients with glaucoma. Acta Med Croatica. 2006 ; 60 (2): 109-12.
Cámara Castillo HG, Navarro López P, Rivera Empértegui J. Choroidal effusion and retinal detachment after capsulotomy with YAG-Laser. Arch Soc Esp Oftalmol. 2006 ; 81 (6): 333-6.
Werblin TP, Krider D. Another view of neodymium: YAG capsulotomy. J Cataract Refract Surg. 2006 ; 32 (3): 373-4.
Varga A, Sacu S, Vécsei Marlovits PV, Richter Mueksch S, Neumayer T, Weingessel B, Findl O, Schmidt Erfurth U. Effect of posterior capsule opacification on macular sensitivity. J Cataract Refract Surg. 2008 ; 34 (1): 52-6.
Skolnick KA, Perlman JI, Long DM, Kernan JM. Neodymium: YAG laser posterior capsulotomies performed by residents at a Veterans Administration Hospital. Cataract Refract Surg. 2000 ; 26 (4): 597-601.
Khandalawa MA, Marjanovic B, Kotagiri AK, Teimory M. Rate of posterior capsule opacification in eyes with the Akreos intraocular lens. J Cataract Refract Surg. 2007 ; 33 (8): 1409-13.
Hirneiss C, Rombold F, Kampik A, Neubauer AS. Visual quality of life after vitreoretinal surgery for epiretinal membranes. British Journal of Ophthalmology. 2007 ; 91 (4): 481-4.
Hewitt AW, Jeganathan VS, Kidd JE, Pesudovs K, Verma N. Influence of photodynamic therapy for age related macular degeneration upon subjective vision related quality of life. Graefes Arch Clin Exp Ophthalmol. 2006 ; 244 (8): 972-7.
Navarro Esteban JJ, Solera Martínez M, García, Navalon P, Piñar Serrano O, Cerillo Patiño JR, Calle Purón ME, et al. Visual impairment and quality of life: gender differences in the elderly in Cuenca, Spain. Quality of life research [revista en Internet]. 2008 [ cited 28 Nov 2010 ] ; 17 (1): [aprox. 9p]. Available from: http://www.springerlink.com/content/y82r280646 38hg01/.
Lluis Ramos GE, Llibre Rodríguez JJ, Samper Noa JA, Laucerique Pardo T. Propuesta de evaluación geriátrica para su aplicación en los centros asistenciales de las Fuerzas Armadas Revolucionarias. Rev Cubana Med Milit [revista en Internet]. 2005 [ cited 20 Ene 2010 ] ; 34 (1): [aprox. 12p]. Available from: http://www.bvs.sld.cu/revistas/mil/vol34_1_05/mil 08105.htm.
Milanés Armengol AR, Molina Castellanos K, Zamora Galindo I, González Díaz A, Villalpando Rodríguez JJ, Mayo Saavedra YM. Cirugía de catarata en pacientes longevos: repercusión sobre su calidad de vida y funcionabilidad. Medisur [revista en Internet]. 2012 [ cited 20 Ene 2013 ] ; 10 (5): [aprox. 17p]. Available from: http://www.medisur.sld.cu/index.php/medisur/arti cle/view/2273/7283.
Benítez AB. Medida de función visual y calidad de vida en pacientes operados de cataratas [Tesis de Especialidad]. Lima: Universidad Nacional Mayor de San Marcos. Facultad de Medicina Humana. Escuela de Post-Grado; 2004. [ cited 20 Ene 2010 ] Available f r o m : http://sisbib.unmsm.edu.pe/bibvirtualdata/Tesis/S alud/gamarra_bb/gamarra_bb.pdf.