Is Cataract Surgery Safe for Patients With Wet AMD?

The following is from Amer Journal of Ophthalmology. 2015;160:487-492.e1

This retrospective cohort study examined patients with active wet age-related macular degeneration (AMD) who underwent cataract surgery.

The study found no significant difference in best-corrected visual acuity (BCVA) between the two groups during the presurgery portion of the study. After cataract surgery, the surgical group had a significant improvement in BCVA compared with the nonsurgical group.

This study concludes that patients with stable disease may be candidates for cataract extraction. They probably will not have a worse outcome and, in fact, will have improved BCVA after surgery.

The authors expressed caution in adopting their findings for all wet AMD patients. Cataract extraction ought to be limited only to patients with stable disease—a safe strategy considering that outcomes after cataract surgery in patients with wet AMD are still debatable.


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