Yingyan Ma, MD, and colleagues examined patients who had a history of advanced AMD and age-related cataract and underwent phacoemulsification with foldable posterior chamber IOL implantation under retrobulbar anesthesia. Mean participant age was 69.67 years. At three months postoperatively, best-corrected visual acuity and utility value using time trade-off method were compared prior to surgery.
Here are four key notes:
1. Both visual acuity and quality of life improved dramatically postoperatively.
2. Mean logarithm of the minimum angle of resolution of best-corrected visual acuity in the operated eye increased from 1.37 to 0.98.
3. Best-correct visual acuity in the weighted average from both eyes changed from 1.13 to 0.96.
4. Patients gained 1.17 quality adjusted life years by cataract surgery in their lifetimes, with cost per QUALY at $1,400, which was determined cost-effective at the threshold of $18,235.
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