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Evaluation of macular changes after uncomplicated phacoemulsification surgery by optical coherence tomography.
Curr Eye Res. 2007 Mar; 32(3):241-7.CE

Abstract

PURPOSE

To evaluate the effect of uncomplicated phacoemulsification surgery on macula by optical coherence tomography (OCT).

METHODS

A total of 110 eyes of 102 patients who underwent uncomplicated phacoemulsification and foldable intraocular lens implantation at Beyoglu Eye Research and Training Hospital between February and March 2005 and who were without any systemic disease, fundus or other ocular pathology were included. Postoperatively, topical prednisolone acetate (6 x 1) and ofloxacine (5 x 1) was started, and by decreasing the dosage progressively, treatment was continued for 6 weeks. Full ophthalmologic and OCT examinations were done preoperatively and at the postoperative 1st day, 1st week, 1st, 3rd, and 6th months. Mean retinal thicknesses, volumetric analyses at central fovea, superior, inferior, temporal, and nasal macular quadrants, and thinnest foveal retinal thicknesses were recorded. Preoperative and postoperative measurements were analyzed statistically by using ANOVA test, paired samples t-test with Bonferroni correction, and Pearson's correlation test.

RESULTS

The mean central foveal retinal thickness was preoperatively 202.4 +/- 25.9 micro m, postoperatively 200.4 +/- 26.1 micro m at 1st day (p = 0.29), 208.4 +/- 27.6 micro m at 1st week (p = 0.29), 226.2 +/- 54.9 micro m at 1st month, 215.2 +/- 24.0 micro m at 3rd month, 213.5 +/- 29.4 micro m at 6th month (p < 0.001). Perifoveal macular thicknesses at superior, inferior, temporal, and nasal quadrants were 264.9 +/- 28.8 micro m, 266.1 +/- 29.5 micro m, 255.0 +/- 31.3 micro m, 260.3 +/- 34.0 micro m, respectively, preoperatively; 287.9 +/- 28.4 micro m, 288.0 +/- 26.3 micro m, 286.8 +/- 33.1 micro m, 272.0 +/- 32.4 micro m, respectively, at postoperative 1st month (p < 0.001). The change in mean central foveal thickness, foveal thinnest retinal thickness, mean perifoveal retinal thickness and volumetric analyses was insignificant at postoperative 1st day (p > 0.05), and significant at 1st week, 1st, 3rd, and 6th months (p < 0.05 for all measurements).

CONCLUSIONS

Statistically significant increase in macular thickness was detected at postoperative early periods, after the 1st week after uncomplicated cataract operation. The increase in macular thickness starts from parafoveal regions. Longer follow-up of patients is required for the macular consequences, and different treatment protocols should be studied in a randomized controlled fashion.

Authors+Show Affiliations

Beyoglu Eye Research and Training Hospital, Istanbul, Turkey.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

17453944

Citation

Perente, Irfan, et al. "Evaluation of Macular Changes After Uncomplicated Phacoemulsification Surgery By Optical Coherence Tomography." Current Eye Research, vol. 32, no. 3, 2007, pp. 241-7.
Perente I, Utine CA, Ozturker C, et al. Evaluation of macular changes after uncomplicated phacoemulsification surgery by optical coherence tomography. Curr Eye Res. 2007;32(3):241-7.
Perente, I., Utine, C. A., Ozturker, C., Cakir, M., Kaya, V., Eren, H., Kapran, Z., & Yilmaz, O. F. (2007). Evaluation of macular changes after uncomplicated phacoemulsification surgery by optical coherence tomography. Current Eye Research, 32(3), 241-7.
Perente I, et al. Evaluation of Macular Changes After Uncomplicated Phacoemulsification Surgery By Optical Coherence Tomography. Curr Eye Res. 2007;32(3):241-7. PubMed PMID: 17453944.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Evaluation of macular changes after uncomplicated phacoemulsification surgery by optical coherence tomography. AU - Perente,Irfan, AU - Utine,Canan A, AU - Ozturker,Can, AU - Cakir,Mehmet, AU - Kaya,Vedat, AU - Eren,Hakan, AU - Kapran,Ziya, AU - Yilmaz,Omer F, PY - 2007/4/25/pubmed PY - 2007/5/22/medline PY - 2007/4/25/entrez SP - 241 EP - 7 JF - Current eye research JO - Curr Eye Res VL - 32 IS - 3 N2 - PURPOSE: To evaluate the effect of uncomplicated phacoemulsification surgery on macula by optical coherence tomography (OCT). METHODS: A total of 110 eyes of 102 patients who underwent uncomplicated phacoemulsification and foldable intraocular lens implantation at Beyoglu Eye Research and Training Hospital between February and March 2005 and who were without any systemic disease, fundus or other ocular pathology were included. Postoperatively, topical prednisolone acetate (6 x 1) and ofloxacine (5 x 1) was started, and by decreasing the dosage progressively, treatment was continued for 6 weeks. Full ophthalmologic and OCT examinations were done preoperatively and at the postoperative 1st day, 1st week, 1st, 3rd, and 6th months. Mean retinal thicknesses, volumetric analyses at central fovea, superior, inferior, temporal, and nasal macular quadrants, and thinnest foveal retinal thicknesses were recorded. Preoperative and postoperative measurements were analyzed statistically by using ANOVA test, paired samples t-test with Bonferroni correction, and Pearson's correlation test. RESULTS: The mean central foveal retinal thickness was preoperatively 202.4 +/- 25.9 micro m, postoperatively 200.4 +/- 26.1 micro m at 1st day (p = 0.29), 208.4 +/- 27.6 micro m at 1st week (p = 0.29), 226.2 +/- 54.9 micro m at 1st month, 215.2 +/- 24.0 micro m at 3rd month, 213.5 +/- 29.4 micro m at 6th month (p < 0.001). Perifoveal macular thicknesses at superior, inferior, temporal, and nasal quadrants were 264.9 +/- 28.8 micro m, 266.1 +/- 29.5 micro m, 255.0 +/- 31.3 micro m, 260.3 +/- 34.0 micro m, respectively, preoperatively; 287.9 +/- 28.4 micro m, 288.0 +/- 26.3 micro m, 286.8 +/- 33.1 micro m, 272.0 +/- 32.4 micro m, respectively, at postoperative 1st month (p < 0.001). The change in mean central foveal thickness, foveal thinnest retinal thickness, mean perifoveal retinal thickness and volumetric analyses was insignificant at postoperative 1st day (p > 0.05), and significant at 1st week, 1st, 3rd, and 6th months (p < 0.05 for all measurements). CONCLUSIONS: Statistically significant increase in macular thickness was detected at postoperative early periods, after the 1st week after uncomplicated cataract operation. The increase in macular thickness starts from parafoveal regions. Longer follow-up of patients is required for the macular consequences, and different treatment protocols should be studied in a randomized controlled fashion. SN - 0271-3683 UR - https://www.unboundmedicine.com/medline/citation/17453944/Evaluation_of_macular_changes_after_uncomplicated_phacoemulsification_surgery_by_optical_coherence_tomography_ DB - PRIME DP - Unbound Medicine ER -