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Comparison of patient-reported functional recovery from different types of ophthalmic surgery

American Journal of Ophthalmology Feb 25, 2021

Bicket AK, Mihailovic A, Zheng C, et al. - Using a novel visual analog scale (VAS), researchers conducted this prospective observational cohort study to describe and compare the patient-reported recovery of function after cataract or glaucoma surgery. A diary-style questionnaire with VAS (scored 0-100) grading pain and global function was completed daily for two weeks and weekly thereafter by patients recovering from trabeculectomy, tube shunt implantation or cataract extraction (CE). Among 51 candidates followed for 12 weeks, tube shunt placement reduced postoperative day 1 (POD1) function by 47/100 points vs CE, while trabeculectomy did not decrease POD1 function vs CE. In the postoperative period, patients recovering from cataract and glaucoma surgery report decreased function. Higher morbidity than trabeculectomy is caused by tube shunt implantation, and both are associated with slower progress than CE. Visual acuity and pain are associated with early postoperative function, but neither completely explains the reported impairment. A VAS for function can effectively capture postoperative recovery.

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