Update on Cataract Surgery

A special issue of Healthcare (ISSN 2227-9032). This special issue belongs to the section "Perioperative Care".

Deadline for manuscript submissions: 30 June 2025 | Viewed by 1232

Special Issue Editor


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Guest Editor
Yoshida Eye Hospital, 2-31-8, Hondori, Hakodate 041-0851, Hokkaido, Japan
Interests: cataract surgery

Special Issue Information

Dear Colleagues,

Cataracts is a condition in which the crystalline lens loses transparency, and the primary symptom is loss of visual acuity. It also affects contrast sensitivity, color vision, and refraction. In severe cases, it leads to blindness. This disease is a leading cause of visual impairment and blindness, and epidemiological data show a progressive increase in the number of patients, making it an international health priority.

Surgery is the most effective method of cataract treatment, with approaches including needling, intracapsular cataract extraction, extracapsular cataract extraction, and phacoemulsification; more recently, femtosecond-laser-assisted cataract surgery, a less invasive technique, has become widely used. Recent advances in the intraocular lenses used in intraocular lens implantation, which is performed in conjunction with cataract extraction, have also been remarkable. At the same time, perioperative management has advanced, and cataract surgery has evolved from vision restoration surgery to refractive surgery.

This Special Issue will focus on recent advances in cataract surgery, its potential benefits, and unresolved issues that have not been answered. Submissions of original research and review articles are invited.

Dr. Atsushi Kawahara
Guest Editor

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Keywords

  • cataract surgery
  • refractive cataract surgery
  • intraocular lens
  • premium intraocular lens
  • perioperative management

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Published Papers (2 papers)

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Research

15 pages, 538 KiB  
Article
The Association Between Sleep Health and a History of Cataract Surgery in the United States Based on the National Health and Nutrition Examination Survey (NHANES) 2005–2008
by Chuanxi Wang, Ning Bao and Zhengxuan Jiang
Healthcare 2025, 13(10), 1136; https://doi.org/10.3390/healthcare13101136 - 13 May 2025
Viewed by 203
Abstract
Background: The aim of this study was to assess the relationship between sleep-related variables (sleep duration, sleep trouble, and sleep disorder), comprehensive sleep patterns, and the reported history of cataract surgery in the U.S. population aged 20 years and older. Methods: We utilized [...] Read more.
Background: The aim of this study was to assess the relationship between sleep-related variables (sleep duration, sleep trouble, and sleep disorder), comprehensive sleep patterns, and the reported history of cataract surgery in the U.S. population aged 20 years and older. Methods: We utilized data from the National Health and Nutrition Examination Survey (NHANES) 2005–2008 database. First, we analyzed the association between covariates and the reported history of cataract surgery using univariable Poisson regression. Subsequently, we constructed three models to evaluate the association between sleep-related variables and the reported history of cataract surgery using multivariable Poisson regression. Subgroup analyses were conducted to determine whether the association between sleep and the reported history of cataract surgery exhibited heterogeneity. Finally, we performed a sensitivity analysis to assess the stability of the results. Results: A total of 8591 participants were included in this study, among whom 774 had a history of cataract surgery. After adjusting for all covariates, participants experiencing sleep trouble had a higher prevalence of reported history of cataract surgery than participants without sleep trouble [PR = 1.40; 95%CI = (1.22, 1.62)]. Regarding combined sleep, participants with poor sleep patterns had a 36% higher prevalence of reported history of cataract surgery than those with healthy sleep patterns [PR = 1.36; 95%CI = (1.13, 1.64)]. The results of the sensitivity analysis indicate that the relationship between sleep patterns and the reported history of cataract surgery is robust. Conclusions: Sleep trouble and poor sleep patterns are positively linked to the high prevalence of a reported history of cataract surgery. Further research is needed to explore the underlying mechanisms. Full article
(This article belongs to the Special Issue Update on Cataract Surgery)
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9 pages, 385 KiB  
Article
Predictors of Cataract Surgery Among US Adults: NHANES 2007–2008
by Chisom N. Iwundu, Teija Kohir and Julia E. Heck
Healthcare 2025, 13(6), 641; https://doi.org/10.3390/healthcare13060641 - 15 Mar 2025
Viewed by 528
Abstract
Purpose: Cataract, characterized by the clouding of the lens, is the leading cause of blindness and visual impairment worldwide. While cataract surgery is an effective treatment, it carries substantial costs, potential complications, and limited accessibility for those facing financial barriers. Hence, this study [...] Read more.
Purpose: Cataract, characterized by the clouding of the lens, is the leading cause of blindness and visual impairment worldwide. While cataract surgery is an effective treatment, it carries substantial costs, potential complications, and limited accessibility for those facing financial barriers. Hence, this study aimed to identify the sociodemographic, behavioral, medical, and occupational risk factors of cataract development among adults aged 40 and above. Methods: This cross-sectional study included 2866 participants from the National Health and Nutrition Examination Survey (NHANES) cycle from 2007 to 2008. We utilized a purposeful selection approach to identify the most suitable predictors for cataract surgery. We further used a multivariate logistic regression procedure that accounted for complex sampling design, to assess the main effect of each predictor, entered jointly into the model. Results: Age, blood pressure, and diabetes were identified as predictors of cataract surgery. Each additional year of age increased the odds of undergoing cataract surgery by 15% (OR: 1.15; 95% CI: 1.13–1.16). Participants with high blood pressure had a 38% higher likelihood of cataract surgery (OR: 1.38; 95% CI: 1.11–1.73), while those with diabetes faced a 63% higher likelihood (OR: 1.63; 95% CI: 1.27–2.09). Conclusions: Managing diabetes and blood pressure, especially among older adults, may be crucial in delaying cataract progression. Full article
(This article belongs to the Special Issue Update on Cataract Surgery)
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