Visual Acuity Outcomes After Cataract Surgery Similar Between Sexes Despite Differences in Comorbidities and Surgical Complexity

Purpose

The role of sex hormones in ophthalmic diseases is an emerging area of research; however, the magnitude of the impact of biological sex relative to other factors is unclear in cataract surgery. This study evaluated sex differences in pre-operative risk factors, surgical complexity, and outcomes of cataract surgery across the lifespan and identified other contributing factors. Patients and methods: This retrospective cohort study included patients ≥18 years of age who underwent cataract surgery at The University of Kansas Health System between 2015 and 2019. Chi-square, Fisher's exact, Mann-Whitney U, and t-tests compared demographics, systemic/ocular comorbidities, wait times, appointment adherence, complications, and visual acuity (VA) outcomes between sexes. Linear and logistic regressions identified predictors of post-operative VA and complications.