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Macular morphology after cataract surgery with primary posterior capsulorhexis and posterior optic buttonholing.
Am J Ophthalmol. 2008 Jul; 146(1):15-22.AJ

Abstract

PURPOSE

To evaluate possible changes in macular morphology after cataract surgery with combined primary posterior capsulorhexis and posterior optic buttonholing in comparison to conventional in-the-bag intraocular lens (IOL) implantation.

DESIGN

Prospective randomized study.

METHODS

Fifty consecutive age-related cataract patients with normal macular morphology and function waiting for bilateral cataract surgery were enrolled. Cataract surgery with combined primary posterior capsulorhexis and posterior optic buttonholing was performed in one eye; in the fellow eye cataract surgery was performed with in-the-bag IOL implantation, leaving the posterior lens capsule untouched. Optical coherence tomography measurements were performed one week and one month postoperatively.

RESULTS

During follow-up, no statistically significant changes of macular morphology could be observed in any of the tested patients. Mean central retinal thickness, minimum and maximum retinal thickness, and central retinal volume were all statistically comparable between the eyes with combined primary posterior capsulorhexis and posterior optic buttonholing and the control eyes (P > .05). Best-corrected visual acuity was full in all patients (Snellen 20/25 and better). No cases of subclinical macular edema were observed.

CONCLUSION

Cataract surgery with combined primary posterior capsulorhexis and posterior optic buttonholing apparently does not increase the risk for postoperative macular edema in patients with a normal macula, since no cases of biomicroscopically noticeable macular edema with visual loss were observed in the first 1,000 eyes with primary posterior capsulorhexis/posterior optic buttonholing cataract surgery and no case of subclinical macular edema was found in this prospective randomized study.

Authors+Show Affiliations

Department of Ophthalmology, Medical University of Vienna, Waehringer Guertel 18-20, Vienna, Austria.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

18439560

Citation

Stifter, Eva, et al. "Macular Morphology After Cataract Surgery With Primary Posterior Capsulorhexis and Posterior Optic Buttonholing." American Journal of Ophthalmology, vol. 146, no. 1, 2008, pp. 15-22.
Stifter E, Menapace R, Neumayer T, et al. Macular morphology after cataract surgery with primary posterior capsulorhexis and posterior optic buttonholing. Am J Ophthalmol. 2008;146(1):15-22.
Stifter, E., Menapace, R., Neumayer, T., & Luksch, A. (2008). Macular morphology after cataract surgery with primary posterior capsulorhexis and posterior optic buttonholing. American Journal of Ophthalmology, 146(1), 15-22. https://doi.org/10.1016/j.ajo.2008.02.022
Stifter E, et al. Macular Morphology After Cataract Surgery With Primary Posterior Capsulorhexis and Posterior Optic Buttonholing. Am J Ophthalmol. 2008;146(1):15-22. PubMed PMID: 18439560.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Macular morphology after cataract surgery with primary posterior capsulorhexis and posterior optic buttonholing. AU - Stifter,Eva, AU - Menapace,Rupert, AU - Neumayer,Thomas, AU - Luksch,Alexandra, Y1 - 2008/04/24/ PY - 2007/09/27/received PY - 2008/02/22/revised PY - 2008/02/25/accepted PY - 2008/4/29/pubmed PY - 2008/7/23/medline PY - 2008/4/29/entrez SP - 15 EP - 22 JF - American journal of ophthalmology JO - Am J Ophthalmol VL - 146 IS - 1 N2 - PURPOSE: To evaluate possible changes in macular morphology after cataract surgery with combined primary posterior capsulorhexis and posterior optic buttonholing in comparison to conventional in-the-bag intraocular lens (IOL) implantation. DESIGN: Prospective randomized study. METHODS: Fifty consecutive age-related cataract patients with normal macular morphology and function waiting for bilateral cataract surgery were enrolled. Cataract surgery with combined primary posterior capsulorhexis and posterior optic buttonholing was performed in one eye; in the fellow eye cataract surgery was performed with in-the-bag IOL implantation, leaving the posterior lens capsule untouched. Optical coherence tomography measurements were performed one week and one month postoperatively. RESULTS: During follow-up, no statistically significant changes of macular morphology could be observed in any of the tested patients. Mean central retinal thickness, minimum and maximum retinal thickness, and central retinal volume were all statistically comparable between the eyes with combined primary posterior capsulorhexis and posterior optic buttonholing and the control eyes (P > .05). Best-corrected visual acuity was full in all patients (Snellen 20/25 and better). No cases of subclinical macular edema were observed. CONCLUSION: Cataract surgery with combined primary posterior capsulorhexis and posterior optic buttonholing apparently does not increase the risk for postoperative macular edema in patients with a normal macula, since no cases of biomicroscopically noticeable macular edema with visual loss were observed in the first 1,000 eyes with primary posterior capsulorhexis/posterior optic buttonholing cataract surgery and no case of subclinical macular edema was found in this prospective randomized study. SN - 0002-9394 UR - https://www.unboundmedicine.com/medline/citation/18439560/Macular_morphology_after_cataract_surgery_with_primary_posterior_capsulorhexis_and_posterior_optic_buttonholing_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0002-9394(08)00158-X DB - PRIME DP - Unbound Medicine ER -