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Ortiz-Morales G, Ramos-Davila EM, Elizondo-Fernández B, Arreola-Martinez J, Garcia JN, Valdez-Garcia JE. LASIK is associated with early cataract surgery in healthy patients. Int Ophthalmol 2024; 44:125. [PMID: 38431898 DOI: 10.1007/s10792-024-03060-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2023] [Accepted: 02/16/2024] [Indexed: 03/05/2024]
Abstract
PURPOSE To evaluate the association between LASIK and early cataract phacoemulsification surgery (PE). METHODS A matched case-control study was conducted. Cases were otherwise healthy adults with a history of LASIK. Groups were paired according to corrected-distance visual acuity (CDVA), axial length, and cataract grade. RESULTS A total of 213 patients were included. 85 patients were classified as post-LASIK group and 128 as controls. The mean age at the time of LASIK was 42.32 ± 9.24 years. The mean CDVA before PE was 0.29 ± 0.19 Log MAR in post-LASIK group and 0.34 ± 0.22 Log MAR in controls (p = 0.07). The mean axial length was 23.99 ± 1.78 mm in post-LASIK group and 23.62 ± 0.98 mm in controls (p = 0.085). The mean nuclear cataract grading was 1.36 in post-LASIK group and 1.47 in controls (p = 0.34). The mean age at the time of PE was 60.18 ± 7.46 years in post-LASIK group and 67.35 ± 9.28 in controls (p < 0.0005). The difference between the mean age of LASIK and the mean age of PE was 17.85 ± 5.72 years. There was a positive association between the post-LASIK group and the age of PE ≤ 55 years (OR: 4.917, 95% CI: 2.21-10.90, p < 0.001). CONCLUSION LASIK may be associated with early PE. Patients with LASIK had a 7-year earlier PE compared to a matched control group.
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Affiliation(s)
| | | | | | | | - Jose Nava Garcia
- Tecnologico de Monterrey, School of Medicine and Health Sciences, Monterrey, Mexico
| | - Jorge E Valdez-Garcia
- Tecnologico de Monterrey, School of Medicine and Health Sciences, Monterrey, Mexico.
- School of Medicine and Health Sciences, Av. Ignacio Morones Prieto 3000. Colonia Los Doctores, 64710, Monterrey, Nuevo León, Mexico.
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Chu SKY, To DTC, Liu CCH, Wong T, Li KKW. Psychological Impact of Cancellation of Elective Surgeries for Ophthalmic Patients during COVID-19 Pandemic. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:14852. [PMID: 36429571 PMCID: PMC9690636 DOI: 10.3390/ijerph192214852] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/07/2022] [Revised: 10/28/2022] [Accepted: 11/05/2022] [Indexed: 06/16/2023]
Abstract
The COVID-19 pandemic has disrupted routine hospital services globally. The cancellation of elective surgeries placed a psychological burden on patients. A questionnaire study was conducted to identify the psychological impact of canceling cataract operations on patients at Kowloon East Cataract Center, Tseung Kwan O Hospital, Hong Kong, from April to June 2020. In total, 99 participants aged 59 years old and above, who had their cataract surgeries postponed or as scheduled, were studied using the standardized patient health questionnaire (PHQ-9) and generalized anxiety disorder questionnaire (GAD-7). None of the patients who had their cataract surgeries rescheduled reached the cutoff score for major depression in PHQ-9, whereas, according to GAD-7, five patients had mild symptoms of anxiety, and one had severe symptoms. There was no significant psychosocial impact of the cancellation of cataract surgeries on patients.
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Affiliation(s)
- Stephanie K. Y. Chu
- Department of Ophthalmology, United Christian Hospital, Hong Kong
- Department of Ophthalmology, Tseung Kwan O Hospital, Hong Kong
- Department of Ophthalmology, School of Clinical Medicine, LKS Faculty of Medicine, The University of Hong Kong, Hong Kong
| | - David T. C. To
- Department of Ophthalmology, United Christian Hospital, Hong Kong
- Department of Ophthalmology, Tseung Kwan O Hospital, Hong Kong
- Department of Ophthalmology, School of Clinical Medicine, LKS Faculty of Medicine, The University of Hong Kong, Hong Kong
| | - Candice C. H. Liu
- Department of Ophthalmology, United Christian Hospital, Hong Kong
- Department of Ophthalmology, Tseung Kwan O Hospital, Hong Kong
| | - Tony Wong
- Department of Clinical Psychology, United Christian Hospital, Hong Kong
| | - Kenneth K. W. Li
- Department of Ophthalmology, United Christian Hospital, Hong Kong
- Department of Ophthalmology, Tseung Kwan O Hospital, Hong Kong
- Department of Ophthalmology, School of Clinical Medicine, LKS Faculty of Medicine, The University of Hong Kong, Hong Kong
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Tsironi S, Kavvadas D, Delis G, Bekiaridou A, Kapourani V, Loizou F, Apostolidou PS, Misiou K, Theofrastou E, Panakleridou T, Psimenidou E, Sarafi A, Fadel E, Karachrysafi S. Cataract Surgery during the COVID-19 Pandemic: Insights from a Greek Tertiary Hospital. Geriatrics (Basel) 2022; 7:geriatrics7040077. [PMID: 35893324 PMCID: PMC9394252 DOI: 10.3390/geriatrics7040077] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2022] [Revised: 07/12/2022] [Accepted: 07/25/2022] [Indexed: 11/16/2022] Open
Abstract
Background: COVID-19 has affected everyday clinical practice, having an impact on the quality of healthcare provided, even in eye clinic departments. The aim of this study is to evaluate the consequences of this worldwide pandemic on cataract surgery in a Greek tertiary university hospital. Methods: A total of 805 patients were included in this study. The number of cataract surgeries (CS), the type, the unilateral or bilateral appearance as well as the stage of cataract were recorded for the months between January and June 2019 (pre-COVID period) and compared with the same period in 2021 (during the pandemic outbreak) in the Department of Ophthalmology of Thessaloniki General Hospital G. Papanikolaou. Results: A significant reduction in the number of CS as well as a significant increase in advanced and/or bilateral cataracts in 2021 compared to the pre-COVID period were observed. Conclusions: The COVID-19 pandemic has affected equally the value of ophthalmic interventions as well as the patients’ quality of life, being a powerful reminder of the significant physical and psychological benefits of CS, especially for older adults and patients with comorbidities.
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Affiliation(s)
- Sevasti Tsironi
- Department of Ophthalmology, General Hospital G. Papanikolaou, 57010 Thessaloniki, Greece; (S.T.); (V.K.); (F.L.); (P.-S.A.); (K.M.); (E.T.); (T.P.); (E.P.); (A.S.); (E.F.)
| | - Dimitrios Kavvadas
- Laboratory of Histology-Embryology, Faculty of Health Sciences, School of Medicine, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece;
- Correspondence: (D.K.); (S.K.)
| | - Georgios Delis
- Laboratory of Pharmacology, Faculty of Health Sciences, School of Veterinary Medicine, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece;
| | - Alexandra Bekiaridou
- Laboratory of Histology-Embryology, Faculty of Health Sciences, School of Medicine, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece;
| | - Viktoria Kapourani
- Department of Ophthalmology, General Hospital G. Papanikolaou, 57010 Thessaloniki, Greece; (S.T.); (V.K.); (F.L.); (P.-S.A.); (K.M.); (E.T.); (T.P.); (E.P.); (A.S.); (E.F.)
| | - Fragkeskos Loizou
- Department of Ophthalmology, General Hospital G. Papanikolaou, 57010 Thessaloniki, Greece; (S.T.); (V.K.); (F.L.); (P.-S.A.); (K.M.); (E.T.); (T.P.); (E.P.); (A.S.); (E.F.)
| | - Panagiota-Sofia Apostolidou
- Department of Ophthalmology, General Hospital G. Papanikolaou, 57010 Thessaloniki, Greece; (S.T.); (V.K.); (F.L.); (P.-S.A.); (K.M.); (E.T.); (T.P.); (E.P.); (A.S.); (E.F.)
| | - Konstantina Misiou
- Department of Ophthalmology, General Hospital G. Papanikolaou, 57010 Thessaloniki, Greece; (S.T.); (V.K.); (F.L.); (P.-S.A.); (K.M.); (E.T.); (T.P.); (E.P.); (A.S.); (E.F.)
| | - Efstratios Theofrastou
- Department of Ophthalmology, General Hospital G. Papanikolaou, 57010 Thessaloniki, Greece; (S.T.); (V.K.); (F.L.); (P.-S.A.); (K.M.); (E.T.); (T.P.); (E.P.); (A.S.); (E.F.)
| | - Thaleia Panakleridou
- Department of Ophthalmology, General Hospital G. Papanikolaou, 57010 Thessaloniki, Greece; (S.T.); (V.K.); (F.L.); (P.-S.A.); (K.M.); (E.T.); (T.P.); (E.P.); (A.S.); (E.F.)
| | - Eleni Psimenidou
- Department of Ophthalmology, General Hospital G. Papanikolaou, 57010 Thessaloniki, Greece; (S.T.); (V.K.); (F.L.); (P.-S.A.); (K.M.); (E.T.); (T.P.); (E.P.); (A.S.); (E.F.)
| | - Anastasia Sarafi
- Department of Ophthalmology, General Hospital G. Papanikolaou, 57010 Thessaloniki, Greece; (S.T.); (V.K.); (F.L.); (P.-S.A.); (K.M.); (E.T.); (T.P.); (E.P.); (A.S.); (E.F.)
| | - Elie Fadel
- Department of Ophthalmology, General Hospital G. Papanikolaou, 57010 Thessaloniki, Greece; (S.T.); (V.K.); (F.L.); (P.-S.A.); (K.M.); (E.T.); (T.P.); (E.P.); (A.S.); (E.F.)
| | - Sofia Karachrysafi
- Department of Ophthalmology, General Hospital G. Papanikolaou, 57010 Thessaloniki, Greece; (S.T.); (V.K.); (F.L.); (P.-S.A.); (K.M.); (E.T.); (T.P.); (E.P.); (A.S.); (E.F.)
- Laboratory of Histology-Embryology, Faculty of Health Sciences, School of Medicine, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece;
- Correspondence: (D.K.); (S.K.)
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