Visual Acuity, Quality of Life and Visual Function Outcomes after XXXX Surgery in Bali.

@entity1 @entity735 @entity227 @entity231
PURPOSE: To assess post- @entity231 surgery intermediate-term (>6 months) data of visual acuity (VA), surgical complications, refractive outcomes, quality of life (QOL) and @entity227 ( @entity227 ) from a non-governmental organization program in Indonesia. METHODS: Retrospective cohort study design. @entity1 were a selection of @entity1 who underwent @entity231 surgery by the John Fawcett Foundation between 2006 and 2011, with at least 6 months follow-up. @entity1 underwent comprehensive ophthalmic examinations. QOL and @entity227 questionnaires were administered. RESULTS: From a total of 1557 invited to attend, 547 @entity1 participated; 99.8% of eyes had presenting VA <6/60. At day 1 postoperatively, 52.1% of @entity1 had a good outcome by World Health Organization criteria (unaided VA   >=    6/18). Six months or later postoperatively, 85% of eyes had best-corrected VA   >=    6/18 and 5.6% of eyes had best-corrected VA   <   3/60. At final follow-up, mean postoperative spherical equivalent refraction was -2.35 diopters (standard deviation 1.75, n   =   542). On a scale of 1-100, median converted values for QOL were 25.0 preoperatively and 74.0 postoperatively, a statistically significant improvement (p   <   0.001). Of eyes with VA better than 3/60 on postoperative day 1, 5.7% (95% confidence interval 3.6-7.9%) became blind (VA   <   3/60) at the 6-month or later time point. CONCLUSION: @entity231 surgery in this population markedly improved QOL, despite a trend towards myopic refractive outcomes. These findings raise questions about biometric methodology, intraocular lens power calculations and refractive targets. Postoperative day 1 VA data may be a reasonable proxy of the intermediate-term rate of @entity735 .
