{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,27]],"date-time":"2026-01-27T09:30:19Z","timestamp":1769506219354,"version":"3.49.0"},"reference-count":31,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2008,7,22]],"date-time":"2008-07-22T00:00:00Z","timestamp":1216684800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Ophthalmologica"],"published-print":{"date-parts":[[2008,8]]},"abstract":"<jats:title>Abstract.<\/jats:title><jats:p><jats:bold>Purpose:\u2002<\/jats:bold> A prospective, longitudinal, population\u2010based cohort study was performed to analyse gender\u2010related differences in subjective and objective visual function 5\u2003years after cataract surgery.<\/jats:p><jats:p><jats:bold>Methods:\u2002<\/jats:bold> All patients (<jats:italic>n\u2003<\/jats:italic>=<jats:italic>\u2003<\/jats:italic>810) who underwent cataract surgery during a 1\u2010year period (1997\u201398) at Norrlands University Hospital in Ume\u00e5, Sweden, were studied with visual acuity (VA) data and questionnaires (VF\u201014) before and after surgery, as well as 5\u2003years later.<\/jats:p><jats:p>Five hundred and thirty patients (177 men, 353 women) answered the questionnaire, constituting 90% (530\/590) of the survivors. Four hundred and sixty\u2010seven (156 men, 311 women) also underwent an eye examination.<\/jats:p><jats:p><jats:bold>Results:\u2002<\/jats:bold> The women were significantly older (<jats:italic>P\u2003<\/jats:italic>=<jats:italic>\u2003<\/jats:italic>0.009) and were more often operated on both eyes (<jats:italic>P\u2003<\/jats:italic>=<jats:italic>\u2003<\/jats:italic>0.005). Before surgery and postoperatively, the women had a significantly lower age\u2010 and VA\u2010adjusted VF\u201014 score (<jats:italic>P\u2003<\/jats:italic>=<jats:italic>\u2003<\/jats:italic>0.000 and <jats:italic>P\u2003<\/jats:italic>=<jats:italic>\u2003<\/jats:italic>0.036, respectively). This difference was not significant 5\u2003years after surgery (<jats:italic>P\u2003<\/jats:italic>=<jats:italic>\u2003<\/jats:italic>0.16).<\/jats:p><jats:p>Five years after surgery, a significantly larger proportion of women had a decline of more than 0.1 logarithm of the minimum angle of resolution of the better\u2010seeing eye (<jats:italic>P\u2003<\/jats:italic>=<jats:italic>\u2003<\/jats:italic>0.013). There were no significant gender\u2010related differences in the operated eye.<\/jats:p><jats:p><jats:bold>Conclusion:\u2002<\/jats:bold> Female cataract surgery patients assess their visual function worse than males after adjustment for age and VA preoperatively and postoperatively. These differences were not significant 5\u2003years after surgery although the men had better best\u2010corrected visual acuity (BCVA) of their better eye. It is important to be aware of gender\u2010related differences in perception when performing questionnaire\u2010based outcome studies.<\/jats:p>","DOI":"10.1111\/j.1600-0420.2007.01099.x","type":"journal-article","created":{"date-parts":[[2008,2,13]],"date-time":"2008-02-13T14:19:57Z","timestamp":1202912397000},"page":"543-548","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":23,"title":["Gender\u2010related differences in cataract surgery outcome: a 5\u2010year 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