Background: A prospective cohort study was performed to evaluate whether the Optical Quality Analysis System (OQAS) can serve as a valuable additional indicator for appropriate posterior capsulotomy referral.
Methods: One hundred and five eyes from 96 patients undergoing capsulotomy were divided into precapsulotomy logMAR CDVA ≤ 0.1 group and logMAR CDVA > 0.1 group. CDVA, and the Visual Function 14 index (VF-14) score were estimated before and one month after capsulotomy. The objective scattering index (OSI) value was measured by using the OQAS. Posterior capsule opacification (PCO) severity was assessed with Evaluation of PCO 2000 (EPCO 2000) software.
Results:In logMAR CDVA > 0.1 group, the correlations of OSI, logMAR CDVA, EPCO score and VF-14 score were very strong preoperatively. In logMAR CDVA ≤ 0.1 group, preoperatively, OSI was correlated with logMAR CDVA (r = 0.451), EPCO score (r = 0.789), and VF-14 score (r = 0.852). LogMAR CDVA has weak correlation with VF-14 score (r = -0.384) and EPCO score (r = 0.566). VF-14 score was correlated with EPCO score (r = -0.669). In the logMAR CDVA ≤ 0.1 group, there was no significant difference in logMAR CDVA between precapsulotomy and postcapsulotomy (P > 0.05). In the two groups, all the other optical quality parameters were significantly improved after capsulotomy (P < 0.05). In logMAR CDVA > 0.1 group, the area under the curve of the ROC of the OSI was 0.996 (P = 0.000). In logMAR CDVA ≤ 0.1 group, the area under the curve of the ROC of the OSI was 0.943 (P = 0.000).
Conclusions:The OSI was useful for evaluating of PCO and prediction of beneficial capsulotomy. Especially for patients with slight PCO and better visual acuity, OSI is more valuable than CDVA and completely objective examination.
Trial registration: The study protocol was registered at the Chinese Clinical Trial Registry. Register: ChiCTR1800018842 (Registered Date: October 13th, 2018).

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On 28 Oct, 2020
On 26 Oct, 2020
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Posted 23 Sep, 2020
On 13 Oct, 2020
On 26 Sep, 2020
On 26 Sep, 2020
Received 26 Sep, 2020
Received 26 Sep, 2020
Invitations sent on 23 Sep, 2020
On 22 Sep, 2020
On 21 Sep, 2020
On 21 Sep, 2020
On 29 Jul, 2020
Received 06 Jul, 2020
On 02 Jul, 2020
Received 03 Feb, 2020
Invitations sent on 31 Oct, 2019
On 31 Oct, 2019
On 03 Oct, 2019
On 02 Oct, 2019
On 01 Oct, 2019
On 30 Sep, 2019
On 28 Oct, 2020
On 26 Oct, 2020
On 25 Oct, 2020
On 25 Oct, 2020
Posted 23 Sep, 2020
On 13 Oct, 2020
On 26 Sep, 2020
On 26 Sep, 2020
Received 26 Sep, 2020
Received 26 Sep, 2020
Invitations sent on 23 Sep, 2020
On 22 Sep, 2020
On 21 Sep, 2020
On 21 Sep, 2020
On 29 Jul, 2020
Received 06 Jul, 2020
On 02 Jul, 2020
Received 03 Feb, 2020
Invitations sent on 31 Oct, 2019
On 31 Oct, 2019
On 03 Oct, 2019
On 02 Oct, 2019
On 01 Oct, 2019
On 30 Sep, 2019
Background: A prospective cohort study was performed to evaluate whether the Optical Quality Analysis System (OQAS) can serve as a valuable additional indicator for appropriate posterior capsulotomy referral.
Methods: One hundred and five eyes from 96 patients undergoing capsulotomy were divided into precapsulotomy logMAR CDVA ≤ 0.1 group and logMAR CDVA > 0.1 group. CDVA, and the Visual Function 14 index (VF-14) score were estimated before and one month after capsulotomy. The objective scattering index (OSI) value was measured by using the OQAS. Posterior capsule opacification (PCO) severity was assessed with Evaluation of PCO 2000 (EPCO 2000) software.
Results:In logMAR CDVA > 0.1 group, the correlations of OSI, logMAR CDVA, EPCO score and VF-14 score were very strong preoperatively. In logMAR CDVA ≤ 0.1 group, preoperatively, OSI was correlated with logMAR CDVA (r = 0.451), EPCO score (r = 0.789), and VF-14 score (r = 0.852). LogMAR CDVA has weak correlation with VF-14 score (r = -0.384) and EPCO score (r = 0.566). VF-14 score was correlated with EPCO score (r = -0.669). In the logMAR CDVA ≤ 0.1 group, there was no significant difference in logMAR CDVA between precapsulotomy and postcapsulotomy (P > 0.05). In the two groups, all the other optical quality parameters were significantly improved after capsulotomy (P < 0.05). In logMAR CDVA > 0.1 group, the area under the curve of the ROC of the OSI was 0.996 (P = 0.000). In logMAR CDVA ≤ 0.1 group, the area under the curve of the ROC of the OSI was 0.943 (P = 0.000).
Conclusions:The OSI was useful for evaluating of PCO and prediction of beneficial capsulotomy. Especially for patients with slight PCO and better visual acuity, OSI is more valuable than CDVA and completely objective examination.
Trial registration: The study protocol was registered at the Chinese Clinical Trial Registry. Register: ChiCTR1800018842 (Registered Date: October 13th, 2018).

Figure 1

Figure 2

Figure 3

Figure 4
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