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Cited by 161Retinal Diseases and TreatmentsIntraocular Surgery and LensesRetinal and Macular Surgery

Cataract Surgery and the 10-Year Incidence of Age-Related Maculopathy

Cugati, Sudha, Mitchell, Paul, Rochtchina, Elena, Tan, Ava G., Smith, Wayne, Wang, Jie Jin·2006·Ophthalmology
DOI 10.1016/j.ophtha.2006.05.047
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Abstract

Purpose To assess the long-term (10-year) risk of late age-related maculopathy (ARM) in eyes that had previously undergone cataract surgery (before the baseline examination).Design Population-based cohort study.Participants In the Blue Mountains Eye Study (BMES) cohort, 2335 of 3654 baseline participants > or =49 years old (75% of survivors) were reexamined after 5 years and 1952 (76% of survivors) were reexamined after 10 years.Methods At the baseline examination, nonphakic (aphakic or pseudophakic) eyes were identified at slit-lamp examination and confirmed at lens photographic grading. Side-by-side grading of baseline and follow-up stereoretinal photographs was performed using the Wisconsin ARM grading system. Eye-specific data were analyzed using Kaplan-Meier estimates and generalized estimating equation models, adjusting for correlation between the 2 eyes.Main outcome measures Incident late ARM was defined if either neovascular ARM or geographic atrophy developed in eyes without either lesion at baseline.Results After excluding eyes with either late ARM lesion at baseline or that had missing photographs at either examination, 4763 eyes were considered at risk of incident late ARM, including 132 eyes that had cataract surgery before the baseline examination. Late ARM developed in 10 of 132 nonphakic eyes (7.6%) compared to 96 of 4631 phakic eyes (2.1%). After adjusting for baseline age, gender, smoking, and presence of early ARM lesions, nonphakic (cataract surgical) eyes had a 3-fold risk of developing late-stage ARM (odds ratio [OR], 3.3; 95% confidence interval [CI], 1.1-9.9) or neovascular ARM (OR, 3.4; 95% CI, 1.1-10.9) compared to phakic eyes.Conclusions Our findings support the hypothesis that the long-term risk of developing late ARM is higher in cataract surgical eyes, consistent with findings from the Beaver Dam Eye Study.

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  • The systematic review included 18 prospective and cross-sectional studies and 8 case control studies, contributing 94,058 patients and 3,178 late AMD cases.

    “In total, data from 18 prospective, cross-sectional studies and 8 case control studies [12,24-26,28,30,31,33-47,49-54,57-73] were included in the final analysis, contributing a sample of some 94,058 patients (ranging from 261 to 22,071) including 3,178 (ranging from 8 to 776) late AMD cases.”

    From Clinical risk factors for age-related macular degeneration: a systematic review and meta-analysis (2010) · cites this paper as [35]

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Authors
Cugati, S., Mitchell, P., Rochtchina, E., Tan, A. G., Smith, W., & Wang, J. J.
Affiliations
  • The University of Sydney (AU)
  • University of Newcastle Australia (AU)
Corresponding author
Wang, Jie Jin
ORCID
Venue
Ophthalmology
Publisher
Elsevier BV
Published
2006-11
Volume
113
Issue
11
Pages
2020-2025
ISSN
0161-6420 (ISSN-L)
DOI
10.1016/j.ophtha.2006.05.047
OpenAlex
W2101490359
Cited by
161
References
36
Citations by year
2026: 3 · 2025: 4 · 2024: 3 · 2023: 5 · 2022: 8 · 2021: 8 · 2020: 10 · 2019: 5 · 2018: 5 · 2017: 9 · 2016: 11 · 2015: 11 · 2014: 9 · 2013: 5 · 2012: 14
FWCI
8.26
Type
journal article
Language
en
Open access
closed
Licence
Locations
  • Ophthalmology (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Ophthalmology › Retinal Diseases and Treatments
  • Health Sciences › Medicine › Ophthalmology › Intraocular Surgery and Lenses
  • Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Retinal and Macular Surgery
Keywords
cataract surgery, age-related maculopathy, geographic atrophy, pseudophakia, aphakia, long-term risk, Blue Mountains Eye Study
MeSH terms
Aged, Aged, 80 and over, Cataract Extraction, Female, Humans, Macular Degeneration, Male, Middle Aged, Time Factors, Cohort Studies, Incidence, Disease Progression, Risk Assessment

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