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From the patient files, data were collected including best-corrected visual acuity (BCVA), intraocular pressure (IOP), Schirmer\u2019s test <jats:italic>I<\/jats:italic>, tear film break-up time (TFBUT), corneal fluorescein staining score, postoperative complications, and pre- and post-operative topical therapy.<\/jats:p>\n            <\/jats:sec><jats:sec>\n              <jats:title>Results<\/jats:title>\n              <jats:p>Seventy-three patients underwent cataract surgery in 104 eyes. In <jats:italic>n<\/jats:italic>\u2009=\u200984 eyes, the oGVHD NIH grade was documented; 12% (<jats:italic>n<\/jats:italic>\u2009=\u200912) of analyzed eyes were staged oGVHD NIH grade 1, 31% (<jats:italic>n<\/jats:italic>\u2009=\u200932) NIH 2 and 39% (<jats:italic>n<\/jats:italic>\u2009=\u200941) NIH 3. The mean BCVA improved in 82% of the eyes (<jats:italic>n<\/jats:italic>\u2009=\u200986 eyes). BCVA significantly increased from 0.7\u2009\u00b1\u20090.5 to 0.4\u2009\u00b1\u20090.4 LogMAR after surgery independent from oGVHD severity. The mean IOP decreased from 14\u2009\u00b1\u20094 to 13\u2009\u00b1\u20094\u00a0mmHg after surgery. Visual acuity was moderately correlated to the pre-operative degree of corneal staining (Pearson <jats:italic>p<\/jats:italic>\u2009=\u20090.26, <jats:italic>p<\/jats:italic>\u2009=\u20090.002, Cohen\u2019s effect size <jats:italic>f<\/jats:italic>\u2009=\u20090.29). The visual acuity decreased by 0.078 LogMar units (95% CI\u2009=\u20090.027\u20130.141) with each increase of corneal staining by one grade (<jats:italic>p<\/jats:italic>\u2009=\u20090.05). After surgery, corneal epitheliopathy increased significantly in 42% (<jats:italic>n<\/jats:italic>\u2009=\u200944) of the eyes. Postoperative complications included corneal perforation (<jats:italic>n<\/jats:italic>\u2009=\u20096, 6%), cystoid macular edema (<jats:italic>n<\/jats:italic>\u2009=\u20094, 4%), and endophthalmitis (<jats:italic>n<\/jats:italic>\u2009=\u20091, 1%).<\/jats:p>\n            <\/jats:sec><jats:sec>\n              <jats:title>Conclusion<\/jats:title>\n              <jats:p>Phacoemulsification in patients with chronic oGVHD significantly improves visual acuity, but is associated with an increased risk of complications in particular corneal epitheliopathy and corneal perforations.<\/jats:p>\n            <\/jats:sec>","DOI":"10.1007\/s00417-022-05613-w","type":"journal-article","created":{"date-parts":[[2022,3,7]],"date-time":"2022-03-07T09:02:57Z","timestamp":1646643777000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Outcomes and complications of cataract surgery in patients with chronic ocular graft-versus-host-disease\u2014a multicenter, retrospective analysis"],"prefix":"10.1007","author":[{"given":"Uta","family":"Gehlsen","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christiane","family":"Faust","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christiane","family":"Blecha","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tina","family":"Dietrich-Ntoukas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philipp","family":"Eberwein","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susanne","family":"Issleib","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tobias","family":"Meyer-ter-Vehn","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Regine","family":"Braun","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Henrike","family":"Westekemper","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6892-3619","authenticated-orcid":false,"given":"Philipp","family":"Steven","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2022,3,7]]},"reference":[{"key":"5613_CR1","doi-asserted-by":"publisher","first-page":"540","DOI":"10.1097\/ACI.0b013e328357b4b9","volume":"12","author":"M Hessen","year":"2012","unstructured":"Hessen M, Akpek EK (2012) Ocular graft-versus-host disease. 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