Review Article

A Review of Complicated Cataract in Retinitis Pigmentosa: Pathogenesis and Cataract Surgery

Table 2

Overview of phacoemulsification with IOL implantation outcomes in RP patients for the last decade.

AuthorMao et al. [9]De Rojas et al. [10]Davies and Pineda [16]Chan et al. [11]Yoshida et al. [8]Nakamura et al. [19]Dikopf et al. [12]

Year2018201720172017201520152013
Number109 eyes19 eyes30 eyes67 eyes56 eyes58 eyes80 eyes
Surgery age (years) mean ± SD53.4 ± 10.351 ± 1352.4 ± 13.759.2 ± 12.362.6 ± 10.429–83 (range)48.9 (mean)
Mean follow-up time3 months259 days (median)3.7 ± 3.3 months6.9 ± 4.4 years37.5 ± 22.6 months3 months23.3 months
Baseline BCVA (log MAR) mean ± SD0.8 ± 0.590.33 ± 0.201.09 ± 0.691.27 ± 0.420.76 ± 0.650.81 ± 0.511.23 ± 0.99
Postoperative BCVA (log MAR) mean ± SD0.45 ± 0.41 (final)0.19 ± 0.17 (final)0.61 ± 0.45 (1 month)0.92 ± 0.49 (3 months) 0.97 ± 0.53 (1 year) 1.18 ± 0.49 (final)0.42 ± 0.55 (6 months) 0.45 ± 0.53 (final)0.34 ± 0.43 (final)0.81 ± 0.87 (3 months)
Change in final BCVA (log MAR)0.350.14NA0.090.310.47NA
Improved VA52/109, 47.7%17/19, 89.0%29/3., 96.7%30/67, 44.8%26/56, 46.4%37/58, 63.8%70/80, 87.5%
Unchanged VA57/109, 52.3%2/19, 11.0%1/30, 3.3%37/67, 55.2%30/56, 53.6%21/58, 36.2%8/80, 10.0%
Worsened VA0%0%0%0%0%2/80, 2.5%
ComplicationNAPCME (6/19, 32%) PCO (18/19, 95%)PCME (4/30, 13.3%) PCO (20/30, 66.7%) nd: YAG laser capsulotomy (5/30, 16.7%)NAPCO (47/56, 83.9%) Nd: YAG laser capsulotomy (23/56, 41.1%) CCS (13/56, 23.2%)NonePCO (66/80, 82.5%) YAG laser capsulotomy (42/80, 52.5%) IOL dislocation (2/80, 2.5%)

RP = retinitis pigmentosa; BCVA = best-corrected visual acuity; log MAR = logarithm of the minimum angle of resolution; SD = standard deviation; VA = visual acuity; PCME = pseudophakic cystoid macular edema; PCO = posterior capsular opacification; Nd:YAG = neodymium-doped yttrium aluminium garnet; IOP = intraocular pressure; IOL = intraocular lens; CCS = capsular contraction syndrome; NA = not available.