Journal of the Korean Ophthalmological Society 2006;47(10):1568-1574.
Published online October 31, 2006.
Visual Acuity Prediction with the Illuminated Near Card in Cataract Patients.
Sung Min Kang, Il Bong Kang, Joon Hyun Kim
Department of Ophthalmology, Hanyang University College of Medicine, Seoul, Korea. joshua115@hanyang.ac.kr
백내장수술 후 시력예측을 위한 조명식 근거리 카드의 예측도
강성민,강일봉,김준현
Department of Ophthalmology, Hanyang University College of Medicine, Seoul, Korea
Correspondence:  Sung Min Kang, M.D.
Abstract
PURPOSE
To determine the accuracy of predicting potential visual acuity in cataract using the illuminated near card (INC). METHODS: Thirty-nine eyes (34 patients) having cataract were studied prospectively by comparing the postoperative distance Snellen acuity to the visual acuity (VA) obtained preoperatively using the INC viewed through a pinhole. RESULTS: The INC predicted postoperative acuity within two Snellen lines in 20 of 39. The accuracy between predicted and achieved acuities was follows: 61.5% in patients with a preoperative acuity of better than 0.3, 53.8% of better than 0.1, 50.0% of better than 0.05 and 28.6% of worse than 0.05. The disparity between INC results and postoperative VA was 3.89 lines (cortical opacity, nucleosclerosis, subcapsular opacity), 2.48 lines (cortical and subcapsular opacity), 2.08 lines (cortical opacity, nucleosclerosis), 1.8 lines (nucleosclerosis only), 3.3 lines (nucleosclerosis, subcapsular opacity), 1.6 lines (subcapsular opacity) and 3.0 lines (the others). CONCLUSIONS: The INC is easy to use and is a fast and accurate measurement instrument for predicting postoperative VA after cataract operation.
Key Words: Cataract;Potential Visual Acuity


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