Late Presentation for Cataract Surgery: A Case-Control Study.

IF 1.6 4区医学 Q3 OPHTHALMOLOGY

Ophthalmic epidemiology Pub Date : 2026-08-01 Epub Date: 2026-03-05 DOI:10.1080/09286586.2026.2641112

Angelica Hanna, Minoo Tohidi, Iqbal Ike K Ahmed, Isser Dubinsky, Joshua Teichman, Amandeep Rai, Matthew B Schlenker

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引用次数: 0

Abstract

Purpose: To identify risk factors for delayed presentation for cataract surgery by comparing the clinical and sociodemographic characteristics of patients presenting early versus late. Postoperative outcomes are also compared between these groups.

Methods: Patients referred for cataract surgery at a high-volume community-based ophthalmology practice were enrolled in this retrospective case-control study. Patients with best corrected visual acuity (BCVA) of 20/200 or worse were classified as "late presenters." A control group of patients with BCVA better than 20/200 was also assessed. Patient age, sex, socioeconomic status, comorbidities, BCVA at week 1 post-surgery, and intraoperative complications were analyzed.

Results: Two hundred and fifty late presenters and 250 early presenters were included. Multivariable regression showed that the late presenter group was slightly younger (mean age 68.7 vs. 71.0 years, p = 0.007) and had more systemic comorbidities (OR 1.33, 95% CI 1.04-1.71). Postoperative BCVA was worse in late presenters (median 20/40 vs. 20/25, p < 0.001), and late presenters also had significantly higher rates of perioperative complications (OR 2.77, 95% CI 1.20-6.39).

Conclusions: Late presenters for cataract surgery have more comorbidities, worse postoperative vision, and higher complication rates. System-wide efforts are needed to reduce delays in cataract treatment.

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白内障手术的晚期表现：一项病例对照研究。

目的：通过比较早期和晚期白内障手术患者的临床和社会人口学特征，确定延迟就诊的危险因素。同时比较两组患者的术后预后。方法：在大量社区眼科诊所转介白内障手术的患者被纳入这项回顾性病例对照研究。最佳矫正视力（BCVA）为20/200或更差的患者被归类为“迟到者”。BCVA优于20/200的对照组患者也进行了评估。分析患者年龄、性别、社会经济状况、合并症、术后第1周BCVA和术中并发症。结果：共纳入250名晚演讲者和250名早演讲者。多变量回归显示，迟发者组年龄稍轻（平均年龄68.7岁vs. 71.0岁，p = 0.007），有更多的系统性合并症（OR 1.33, 95% CI 1.04-1.71）。较晚患者的术后BCVA更差（中位数为20/40 vs. 20/25, p）。结论：白内障手术较晚患者的合并症更多，术后视力更差，并发症发生率更高。需要全系统努力减少白内障治疗的延误。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Ophthalmic epidemiology 医学-眼科学

CiteScore

3.70

自引率

5.60%

发文量

审稿时长

6-12 weeks

期刊介绍： Ophthalmic Epidemiology is dedicated to the publication of original research into eye and vision health in the fields of epidemiology, public health and the prevention of blindness. Ophthalmic Epidemiology publishes editorials, original research reports, systematic reviews and meta-analysis articles, brief communications and letters to the editor on all subjects related to ophthalmic epidemiology. A broad range of topics is suitable, such as: evaluating the risk of ocular diseases, general and specific study designs, screening program implementation and evaluation, eye health care access, delivery and outcomes, therapeutic efficacy or effectiveness, disease prognosis and quality of life, cost-benefit analysis, biostatistical theory and risk factor analysis. We are looking to expand our engagement with reports of international interest, including those regarding problems affecting developing countries, although reports from all over the world potentially are suitable. Clinical case reports, small case series (not enough for a cohort analysis) articles and animal research reports are not appropriate for this journal.