Influence of cataract surgery on macular thickness: a 6-month follow-up

Šiško, Katarina; Knez, Nina; Pahor, Dušica

doi:10.1007/s00508-015-0702-1

Cited by 15 publications

(6 citation statements)

References 23 publications

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“…Šiško et al [ 9 ] reported highest retinal thickness in the ETDRS grid areas one month after uncomplicated cataract surgery. They also stated mild decreasing trend in the measurements from the first month to the sixth month, without reaching preoperative levels.…”

Section: Discussionmentioning

confidence: 99%

The Effects of Uncomplicated Cataract Surgery on Retinal Layer Thickness

Kurt

Kılıç

2018

Journal of Ophthalmology

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Purpose Our aim was to assess changes in the total retinal thickness (TRT), total retinal volume (TRV), and retinal layer thickness after uncomplicated cataract surgery. Methods A total of 32 eyes of 32 patients who had undergone uncomplicated phacoemulsification surgery and intraocular lens implantation in one eye were enrolled. Effective phacoemulsification time (EPT) and total energy (TE) were recorded. Thickness and TRV were measured using optical coherence tomography. Data were collected preoperatively and at postoperative day 1, 7, 30, 90, and 180. Results The study results showed a decrease in TRT, TRV, and most retinal layer thicknesses at the first postoperative day visit and then increasing at week 1, and months 1 and 3, and then relatively decreasing at month 6 although not returning to preoperative levels. The least affected layers were the retinal pigment epithelium and outer plexiform layer. There was a positive correlation between EPT and TE and ganglion cell layer in a 1 mm circle and inner nuclear layer in a 1–3 mm circle (p < 0.05). Conclusion The results suggest that long-term follow-up of more than 6 months is necessary after cataract surgery to see whether total retinal and segmental values return to preoperative levels. This study was registered with Australian New Zealand Clinical Trials Registry (ANZCTR): ACTRN12618000763246.

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Section: Discussionmentioning

confidence: 99%

The Effects of Uncomplicated Cataract Surgery on Retinal Layer Thickness

Kurt

Kılıç

2018

Journal of Ophthalmology

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“…It was reported that macular or retinal thickness increased after cataract surgery [9]. Choroid was a vascular structure in close relation to the retina in the eye, and changes in choroid thickness might also be predicted.…”

Section: Introductionmentioning

confidence: 99%

Changes of Subfoveal Choroidal Thickness after Cataract Surgery: A Meta-Analysis

Zeng

Liang

et al. 2018

Journal of Ophthalmology

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Purpose To investigate the effect of cataract surgery on subfoveal choroid thickness (SFCT) using enhanced-depth imaging optical coherence tomography (EDI-OCT). Materials and Methods Relevant publications were searched systematically through various databases from inception to March 2018. The unit of choroidal thickness measurements is micrometers. Studies comparing SFCT before and after cataract surgery were retrieved. All qualified articles were analyzed using RevMan 5.3. Results A total of 13 studies with 802 eyes from 646 patients were identified for inclusion. There was a significant increase of SFCT at 1 week (MD = 6.62, 95% CI: 1.20–12.05, P=0.02, I2 = 0%), 1 month (MD = 8.30, 95% CI: 3.20–13.39, P=0.001, I2 = 0%), and 3 months (MD = 8.28, 95% CI: 1.84–14.73, P=0.01, I2 = 0%) after cataract surgery. In subgroup analysis, SFCT in Asians and patients without nonsteroidal anti-inflammatory drugs (NSAIDs) in postoperative medication was significantly thicker (P < 0.05). No statistically significant increase of SFCT was found in diabetic mellitus (DM) patients for 1 day (P=0.89), 1 week (P=0.59), 1 month (P=0.52), and 3 months (P=0.42) after cataract surgery. Conclusions This meta-analysis suggested that SFCT increased since 1 week after the cataract surgery and the increase lasted for at least 3 months. Asians and patients without NSAIDs in postoperative medication were more likely to have a thicker SFCT after cataract surgery, whereas DM patients were less likely to increase in SFCT.

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“…However, they observed a slight downward trend in size from 1st to 6th month, without reaching the preoperative level. 14 This finding contrasts with the majority of studies reporting an increase in postoperatively macular thickness. 15 A study by Garbia et al observed significantly increase in postoperatively macular thickness for 6 months.…”

Section: Discussionmentioning

confidence: 82%

Effectiveness of Cataract Uncomplicated Surgery on Retina Thickness

Badar,

Masrur,

Naseem

et al. 2023

Ann Pak Inst Med Sci

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Background: The most common preventable cause is cataract for the loss of vision, and pseudophakic cystoid macular edema, also called Irvine-Gass syndrome, is a well-known complication after cataract surgery. Objective: To determine changes in total retinal thickness after cataract uncomplicated surgery. Objective: To determine changes in total retinal thickness after cataract uncomplicated surgery. Methodology: A prospective quasi experimental study was done at the department of Ophthalmology of Combined Military Hospital (CMH), Rawalakot AJK between September and December 2022. Total 28 patients (28 eyes) who underwent phacoemulsification uncomplicated surgery and grafting of intraocular lens in unilateral eye were included. The effective phacoemulsification time and total energy used during phacoemulsification cataract surgery was noted. The optical coherence tomography (OCT) scan was performed to analyze the retina thickness. Data were collected preoperatively, which serves as a baseline measurement. This baseline measurement was used to compare with measurements taken at postoperative day 1, end of week 1, end of month 1, and follow-up period month 3 to assess changes in various parameters such as total retinal thickness. Results: The patient’s mean age comprising of 20 (71.4%) males and 8 (28.6%) females was 54.73±7.6 years. Typically, there is a transient decrease in retinal thickness, immediately after surgery (day 1), followed by a gradual increase in thickness over the weeks (first week) and months (1st & 3rd month) following surgery. Overall, a positive correlation was seen between phacoemulsification time, total energy, and changes in the retinal thickness (1mm & 1-3mm grids) (p ? 0.05). Conclusion: The study concluded that a follow-up period of at least 3 months is generally recommended after surgery of cataract to assess the whether preoperative levels return of total retina. Methods: A prospective quasi experimental study was done at the department of Ophthalmology of Combined Military Hospital (CMH), Rawalakot AJK between September and December 2022. Total 28 patients (28 eyes) who underwent phacoemulsification uncomplicated surgery and grafting of intraocular lens in unilateral eye were included. The effective phacoemulsification time and total energy used during phacoemulsification cataract surgery was noted. The optical coherence tomography (OCT) scan was performed to analyze the retina thickness. Data were collected preoperatively, which serves as a baseline measurement. This baseline measurement was used to compare with measurements taken at postoperative day 1, end of week 1, end of month 1, and follow-up period month 3 to assess changes in various parameters such as total retinal thickness. Results: The patientâ€™s mean age comprising of 20 (71.4%) males and 8 (28.6%) females was 54.73Â±7.6 years. Typically, there is a transient decrease in retinal thickness, immediately after surgery (day 1), followed by a gradual increase in thickness over the weeks (first week) and months (1st & 3rd month) following surgery. Overall, a positive correlation was seen between phacoemulsification time, total energy, and changes in the retinal thickness (1mm & 1-3mm grids) (p â‰¤ 0.05). Conclusion. The study concluded that a follow-up period of at least 3 months is generally recommended after surgery of cataract to assess the whether preoperative levels return of total retina.

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Influence of cataract surgery on macular thickness: a 6-month follow-up

Abstract: Findings confirmed the reversibility of macular thickness changes 6 months after cataract surgery and its return to preoperative values.

Cited by 15 publications

References 23 publications

The Effects of Uncomplicated Cataract Surgery on Retinal Layer Thickness

The Effects of Uncomplicated Cataract Surgery on Retinal Layer Thickness

Changes of Subfoveal Choroidal Thickness after Cataract Surgery: A Meta-Analysis

Effectiveness of Cataract Uncomplicated Surgery on Retina Thickness

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