ArticleOphthalmology2014
Changing incidence of lens extraction over 20 years: the Beaver Dam eye study.
Article in Ophthalmology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
20 citing papers in PubMed, 47 citations in OpenAlex.
- Clinical performance of a segmented refractive multifocal IOL: visual outcomes, rotational stability, and the role of higher-order aberrations.International ophthalmology · 2026Article
- Geographical barriers to surgical treatment for cataract among California Medicare beneficiaries.Journal of cataract and refractive surgery · 2026Article
- Screening for Occult Macular Pathology Prior to Cataract Surgery Using Optical Coherence Tomography.Clinical ophthalmology (Auckland, N.Z.) · 2025Article
- Geographic variation in cumulative incidence of private cataract surgery in Australia and its influencing factors: Findings from the 45 and Up Study.Eye (London, England) · 2022Article
- Incidence and Characteristics of Intraocular Lens Dislocation after Phacoemulsification: An Eight-Year, Nationwide, Population-Based Study.Journal of clinical medicine · 2021Article
- Impact of Video Describing Cataract Surgical Simulator Training on Patients' Perceptions of Resident Involvement in Cataract Surgery.Journal of academic ophthalmology (2017) · 2021Article
- Generational Differences in the 10-year Incidence of Impaired Contrast Sensitivity.Ophthalmic epidemiology · 2021Article
- Multicenter Evaluation of Time, Operational, and Economic Efficiencies of a New Preloaded Intraocular Lens Delivery System versus Manual Intraocular Lens Delivery.Clinical ophthalmology (Auckland, N.Z.) · 2021Article
- COVID-19 and cataract surgery backlog in Medicare beneficiaries.Journal of cataract and refractive surgery · 2020Article
- A Comparative Assessment of Intraoperative Complication Rates in Resident-Performed Phacoemulsification Surgeries According to Najjar-Awwad Preoperative Risk Stratification.Clinical ophthalmology (Auckland, N.Z.) · 2020Article
- Characteristics Associated With Receiving Cataract Surgery in the US Medicare and Veterans Health Administration Populations.JAMA ophthalmology · 2018Article
- Association Between a Centrally Reimbursed Fee Schedule Policy and Access to Cataract Surgery in the Universal Coverage Scheme in Thailand.JAMA ophthalmology · 2018Article
- Scanning Electron Microscopy Analysis of the Anterior Capsulotomy Edge: A Comparative Study between Femtosecond Laser-Assisted Capsulotomy and Manual Capsulorhexis.Journal of ophthalmology · 2018Article
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- Cataract Surgery and Visual Acuity in Elderly Japanese: Results of Fujiwara-kyo Eye Study.BioResearch open access · 2017Article
- Predictive modeling of risk factors and complications of cataract surgery.European journal of ophthalmology · 2016Article
- Statin Use and Incident Cataract Surgery: A Case-Control Study.Ophthalmic epidemiology · 2016Article
- Selective serotonin reuptake inhibitor use and increased risk of cataract surgery: a population-based, case-control study.American journal of ophthalmology · 2014Article
- Projected prevalences of age-related eye diseases.Investigative ophthalmology & visual science · 2013Review
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
Abstract
objectiveTo investigate trends in the incidence of lens extraction over the past 20 years.
designLongitudinal population-based cohort study.
participantsPersons who participated in the Beaver Dam Eye Study.
methodsEligible persons 43 to 84 years of age living in the city or township of Beaver Dam, Wisconsin, were recruited from 1987 through 1988. Participants were followed up every 5 years from 1993 through 1995, from 1998 through 2000, from 2003 through 2005, and from 2008 through 2010 after the baseline examination from 1988 through 1990. Examinations consisted of ocular examination with lens photography and grading; medical history; and measurements of blood pressure, height, and weight. Adjustments were made for age and gender. Values of risk variables were updated, and the incidence of lens extraction surgery was calculated in each 5-year interval.
main outcome measuresIncidence of lens extraction with regard to presence of clinically significant lens opacity and visual function.
resultsAge- and gender-adjusted incidence of lens extraction increased over the 4 intervals from 1.8% (95% confidence interval [CI], 1.3%-2.5%) in the interval between the first and second study examinations to 11.7% (95% CI, 9.9%-13.8%) in the most recent study interval. The increase in incidence of surgery was significantly higher at successive intervals in persons without clinically significant lens opacity at each preceding examination (interval 1, 0.8% [95% CI, 0.6%-1.1%]; interval 4, 9.4% [95% CI, 7.8%-11.2%]) compared with persons with at least 1 detectable type of opacity (interval 1, 9.2% [95% CI, 6.4%-13.2%]; interval 4, 16.5% [95% CI, 13.4%-20.0%]). Recency of examination was not attenuated by adjusting for additional risk factors. There was no evidence that the increased incidence in surgery was preceded by poorer visual acuity, near vision, or contrast sensitivity at the beginning of each interval.
conclusionsThe incidence of lens extraction has increased over the past 20 years in persons older than 65 years. The relative increase of surgery is higher in those without any clinically significant lens opacity and in persons with visual acuity better than 20/40 at an examination as measured 5 years before observed incidence of lens extraction.
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