PROSPECTIVE OBSERVATIONAL STUDY TO EVALUATE EFFECT OF UNCOMPLICATED CATARACT SURGERY ON CENTRAL MACULAR THICKNESS ASSESSED WITH OPTICAL COHERENCE TOMOGRAPHY.
Abstract
PURPOSE: To assess the effect of uncomplicated cataract surgery on central macular thickness assessed with Optical
coherence tomography.
METHOD: Our study was a Prospective non interventional observational study. In this study 100 eyes of 100 patients
were assessed by optical coherence tomography preoperatively and postoperatively at day 1day, 14 day, 28 day after
uncomplicated cataract surgery with Posterior Chamber Intraocular Lens (PCIOL) implantation under peribulbar
anesthesia. The study included 50 eyes of 50 patients undergoing uncomplicated manual small incision cataract surgery
(Group1) and 50 eyes of 50 patients undergoing uncomplicated phacoemulsification cataract surgery (Group 2).Among
each group 30 eyes of 30 patients were started postoperatively on topical NSAIDs. Eyes with diseases predisposing them
for postoperative macular edema, eyes with preexisting macular edema were excluded. The preoperative and post
operative day1, day14, day28 changes in subfoveal,parafoveal and perifoveal thickness of macula on OCT of each group
were noted .
RESULTS: The pre operative mean subfoveal thickness, mean parafoveal thickness, mean perifoveal thickness in
patients undergoing MSICS with PCIOL( Group 1) and PHACO with PCIOL (Group 2) were 242.08± 11.68 μm, 309.66±
17.88 μm, 269.84± 14.57 μm and 241.88± 14.35 μm, 317.30± 26.16 μm, 267.98± 17.25 μm respectively.
At day 14, postoperative mean subfoveal thickness, mean parafoveal thickness, mean perifoveal thickness in patients
undergoing MSICS with PCIOL with and without postoperative NSAIDS were 260.16± 14.76 μm, 328.03± 17.14 μm,
284.13± 20.71 μm and 275.15± 13.43 μm, 335.55± 20.19 μm, 311.25± 69.09 μm respectively.
At day 28, postoperative mean subfoveal thickness,mean parafoveal thickness, mean perifoveal thickness in patients
undergoing MSICS with PCIOL with and without postoperative NSAIDS were 245.16± 13.60 μm, 308.20± 16.05 μm,
269.73± 20.76 μm and 252.85± 12.07 μm, 319.50± 21.19 μm, 285.80± 50.53 μm respectively.
At day 14, postoperative mean subfoveal thickness,mean parafoveal thickness, mean perifoveal thickness in patients
undergoing PHACO with PCIOL with and without postoperative NSAIDS were 247.36± 13.63 μm, 310.13± 25.71 μm,
262.26± 18.14 μm and 248.75± 15.33 μm, 332.25± 25.90 μm, 290.60± 78.37 μm respectively.
At day 28, postoperative mean subfoveal thickness, mean parafoveal thickness, mean perifoveal thickness in patients
undergoing PHACO with PCIOL with postoperative NSAIDS were 238.76± 14.16 μm, 300.06± 27.58 μm, 252.30± 16.79
μm and 242.45± 16.76 μm, 325.70± 25.54 μm, 283.05± 70.33 μm respectively.
Also Phaco energy linearly co relates with postoperative macular thickness, mean subfoveal macular thickness,
parafoveal macular thickness, perifoveal macular thickness on postoperative day 14, post operative day 28 is satistically
significant high in those patients in whom more phaco energy is used.
Keywords
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Tryfon G Rotsos and Marilita M Moschos. Cystoid macular edema Clin Ophthalmol. 2008 December; 2(4): 919–930.
David.S.Rho “Treatment of acute pseudophakic cystoid macular edema”. J Cataract Refract Surg Dec 2003; vol.18.Issue:12: 2378-2384.
Vukicevic M , Gin T, AlQureshi S. “Prevalence of optical coherence tomographydiagnosedN Postoperative cystoid macular oedema in patients following uncomplicated phacoemulsification cataract surgery”:Clin Experiment Ophthalmol. 2012 Apr;40(3):2827.
Biro Z, Balla Z, Kovacs B. “Change of foveal and perifoveal thickness measured by OCT after phacoemulsification and IOL implantation”. Eye. 2008;22:8–12.
Muhammed Şahin, Abdullah Kürşat Cingü, and Nilüfer Gözüm. “Evaluation of Cystoid Macular Edema Using Optical Coherence Tomography and Fundus Autofluorescence after Uncomplicated Phacoemulsification Surgery.” J Ophthal Apr 2013.
Gerasimos Th Georgopoulos, Dimitrios Papaconstantinou, Maria Niskopoulou, Marilita Moschos, Ilias Georgalas, Chrysanthi Koutsandrea Glaucoma Department, Medical School, Athens University, Athens, GreeceFoveal thickness after phacoemulsification as measured by optical coherence tomography Clinical ophthalmology August 2008 Volume 2008:2(4) Pages 817 – 820.
Dr. Indranil Roy, Dr. P.N. Biswas, Dr. Sambuddha Ghosh, Dr. Lakshmi Kanta Mondal “Prospective Randomized Comparative Study of Macular Thickness by OCT Following Phacoemulsification and Manual SICS” Acta ophthalmologica May 2010; vol 88.Issue 4:1755- 3768.
Cheng B,Liu Y, Liu X, Ge J,Ling Y,Zheng H “Macular image changes of optical coherence tomography after phacoemulsification” May 2002;38(5): 265-267.
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