Evaluation of macular edema after uncomplicated phacoemulsification surgery with implantation of intraocular lens by spectral domain optical coherence tomography

被引:4
作者
Correa, Everton Paroschi [1 ]
Lemos de Oliveira, Luciana Freitas [1 ]
Serracarbassa, Pedro Duraes [1 ]
Oshima, Akyioshi [1 ]
de Sousa e Castro, Emerson Fernandes [1 ]
机构
[1] Hosp Servidor Publ Estadual Sao Paulo HSPE IAMSPE, Serv Oftalmol, Sao Paulo, Brazil
关键词
Phacoemulsification; Macular edema; Tomography; optical coherence; Lens implantation; intraocular; Postoperative period; Visual acuity; CATARACT-SURGERY; VISUAL-ACUITY; HIGH-SPEED; THICKNESS; EXTRACTION; NERVE;
D O I
10.1590/S0004-27492013000600008
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
Purpose: To evaluate macular edema after uncomplicated phacoemulsification with implantation of intraocular lens by spectral domain optical coherence tomography (OCT). Methods: Prospective study was conducted in 62 eyes of patients underwent phacoemulsification with implantation of intraocular lens. Patients were evaluated before surgery and after surgery at day 1, week 1, week 2 and week 4. Visual acuity (VA), anterior chamber cells and 200x200 macular cube optical coherence tomography were measured. Results: After phacoemulsification there was an improvement in visual acuity, decreasing inflammation, and increased macular thickness and macular volume. There was one case of cystoid macular edema. There was a weak inverse correlation between visual acuity and central macular thickness, and between visual acuity and macular volume. We observed a week direct correlation between inflammation and macular volume. Conclusion: Subclinical macular edema develops even after uncomplicated cataract surgery in patients not predisposed. The spectral domain optical coherence tomography was able to detect small increases in macular thickness in the study period.
引用
收藏
页码:357 / 362
页数:6
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