Abstract：
INTRODUCTION:In 2017, over 75,000 cataract surgeries were performed within the Veterans Health Administration System (VHA). Previous reports of outcomes of cataract surgery in veterans include patients with pre-existing ocular disease, which can affect vision. To exclude the confounding factor of pre-existing ocular comorbidities, we investigated the long-term visual outcomes and complications associated with small incision cataract surgery performed on veterans without any pre-existing eye disease. MATERIALS AND METHODS:Institutional Review Board approved cohort study with detailed retrospective chart review of all phacoemulsification (small incision) cataract surgeries performed at the Veterans Affairs Medical Center in Washington D.C. over 11 years, including all pre-and postoperative visits until postoperative month 12. RESULTS:A total of 1,513 consecutive surgical cases without any pre-existing ocular disease except the cataract were included. Vision improved significantly after cataract surgery compared to the preoperative best-corrected visual acuity (BCVA) (p = 0.0001) and remained stable over the first intra- and postoperative year. All eyes without complicated surgery and 99.1% of eyes with complications achieved 20/40 or better final vision postoperatively. The most common intra-and postoperative complications were vitreous loss (3.1%) and cystoid macular edema (CME; 1.4%). Patients with complications achieved final mean BCVA of 0.04 (20/22, vitreous loss) and 0.06 (20/23, CME) mean logMAR (Snellen). CONCLUSION:Analysis of 11 years of small incision cataract surgery in eyes without pre-existing ocular disease within the VHA showed significant improvement in vision and stability 12 months after uncomplicated and complicated surgery in veterans.
journal_name
Mil Medjournal_title
Military medicineauthors
Magone MT,Kueny L,Singh GA,Chin Loy K,Kim CH,Grover W,Shin SYdoi
10.1093/milmed/usy375subject
Has Abstractpub_date
2019-07-01 00:00:00pages
e191-e195issue
7-8eissn
0026-4075issn
1930-613Xpii
5299960journal_volume
184pub_type
杂志文章abstract：:Previous studies have linked the use of caffeine, nicotine, and alcohol to health complications and have also found that the use of these substances significantly covary. Given the prevalence of health problems of older adults, it is surprising that no studies to date have examined the co-occurrent use of alcohol, caf...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1998-03-01 00:00:00
abstract：INTRODUCTION:Anorectal diseases, among the most common surgical conditions, are underrepresented in medical training. The Fundamentals of Anorectal Technical Skills course was developed to provide cost-effective formal training in diagnosis of common anorectal conditions and in commonly performed anorectal procedures u...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usaa070
更新日期：2020-09-18 00:00:00
abstract：:Adjustment disorder is a maladaptive response to a stressor that causes functional impairment. The contribution of deployment stress on the diagnosis and treatment of adjustment disorder has not been previously explored. Despite the high cost and commonality of adjustment disorder as a behavioral health condition diag...
journal_title：Military medicine
pub_type： 杂志文章,评审
doi：10.7205/milmed-d-12-00057
更新日期：2012-09-01 00:00:00
abstract：INTRODUCTION:Medical error is the third leading cause of death in the United States, contributing to suboptimal care, serious patient injury, and mortality among beneficiaries in the Military Health System. Recent media reports have scrutinized the safety and quality of military healthcare, including surgical complicat...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usz330
更新日期：2020-03-02 00:00:00
abstract：:A random clinical trial was performed to determine the immediate effects of early ankle mobilization on active duty military members with moderate and severe lateral ankle sprains. Sixty-four subjects were randomly allocated to one of three treatments: a plaster cast, an air-stirrup (Aircast Inc., Summit, New Jersey),...
journal_title：Military medicine
pub_type： 临床试验,杂志文章,随机对照试验
doi：
更新日期：1994-01-01 00:00:00
abstract：OBJECTIVE:The present study evaluated the factors that contribute to stress and the psychological difficulties of the Italian military component of the United Nations Mission in Bosnia and Herzegovina. This group was compared with a homogeneous group stationed in Italy. METHODS:A cross-sectional study was performed in...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：2000-12-01 00:00:00
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journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed.171.7.632
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journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed.170.12.1026
更新日期：2005-12-01 00:00:00
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journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usz298
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abstract：:Using a postpartum survey, comparing singles to married, we sought to expand existing information on pregnancy occurring among active duty service women. The study instrument was a 59-question survey distributed in the initial 24 hours postpartum and collected prior to discharge. The majority affirmed that pregnancy h...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：2009-01-01 00:00:00
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journal_title：Military medicine
pub_type： 杂志文章,评审
doi：10.7205/milmed.172.7.753
更新日期：2007-07-01 00:00:00
abstract：:The aim of this study was to document risk factors for any injury and sports- and exercise-related injuries, including personal and occupational stress among active duty service members (SMs) in the Air Force, Army, Marine Corps, and Navy. A total of 10,692 SMs completed the April 2008 Status of Forces Survey of Activ...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-14-00080
更新日期：2014-11-01 00:00:00
abstract：OBJECTIVES:Given the burden of multiple chronic conditions (MCCs) in the Veterans Affairs (VA) Health Care System, understanding perspectives of Veterans with MCC is essential to evaluate chronic care and ensure that care and quality improvement efforts align with patient needs. The purpose of this study was to use the...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-15-00207
更新日期：2016-05-01 00:00:00
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journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1997-04-01 00:00:00
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journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usz451
更新日期：2020-08-14 00:00:00
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journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-14-00635
更新日期：2015-07-01 00:00:00
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journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-13-00235
更新日期：2014-01-01 00:00:00
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journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：2003-02-01 00:00:00
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journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed.173.7.711
更新日期：2008-07-01 00:00:00
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journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usaa103
更新日期：2020-09-18 00:00:00
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journal_title：Military medicine
pub_type： 杂志文章,评审
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更新日期：2008-08-01 00:00:00
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journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-16-00049
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pub_type： 杂志文章
doi：10.7205/milmed.172.1.24
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journal_title：Military medicine
pub_type： 杂志文章,评审
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journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1990-02-01 00:00:00
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journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1995-03-01 00:00:00
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journal_title：Military medicine
pub_type： 杂志文章,随机对照试验
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更新日期：2019-03-01 00:00:00
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journal_title：Military medicine
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journal_title：Military medicine
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更新日期：2006-08-01 00:00:00
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journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1994-03-01 00:00:00
