ORIGINAL ARTICLE |
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Year : 2015 | Volume
: 28
| Issue : 1 | Page : 184-190 |
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Macular thickness analysis following complicated versus uncomplicated cataract surgery using optical coherence tomography
Abdelrahman El-Sebaey Sarhan1, Osama Abdallah El Morsy1, Mohamed Gaber Abdallah Abdallah2
1 Department of Ophthalmology, Faulty of Medicine, Menoufia University, Menoufia, Egypt 2 Department of Ophthalmology, National Eye Center, Cairo, Egypt
Correspondence Address:
Mohamed Gaber Abdallah Abdallah Department of Ophthalmology, Faulty of Medicine, Menoufia University, Menoufia Governorate Egypt
Source of Support: None, Conflict of Interest: None | Check |
DOI: 10.4103/1110-2098.155986
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Objective
Evaluating the influence of risk factor of intraoperative complications such as rupture posterior capsule with vitrous loss on the postoperativemacular thickness using optical coherence tomography (OCT).
Background
Cystoid macular edema (CME) remains an important cause limiting favorable visual outcomes following cataract surgery. Thecomplicated cataract surgery (with posterior capsular tear) could be a strong risk factor for development of macular edema than the uneventful surgeries.
Methods
70 cases, 62 patients underwent phacoemulsification surgeries divided into 5 groups anda healthy control group
Group I: Uncomplicated cataract surgery (non-diabetic)
Group II: Uncomplicated cataract surgery (Diabetic patient)
Group III: Complicated cases with PCR and Ant vitrectomy (non-diabetic)
Group IV: Complicated cases with PCR antvitrectomy (Diabetic patient)
Group V: Complicated cases with PCR ant vetrectomy, AC IOL
Group VI: Normal cases without cataract extraction
Patients follow up by Visual acuity, fundus ,IOP and Maculathickness map using OCT scan (RS-3000RetinaScan, NIDEK Co., Japan) was conducted after 1 month.
Results
We found that, macular thickness was significantly higher after cataract surgeries with posterior capsular tear than the unevetiful surgeries, Also diabetes did not influence significantly the thickening of the macular regions after uncomplicated cataract surgery.
Conclusion
After cataractsurgery, there is non significant increase of foveal thicknessThe complicated cataract surgeries with rupture posterior capsule and vitrous loss may be a risk factor, while diabetes may not be a risk factor for development of post operative macular oedma. |
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