Perioperative retina evaluation of the cataract surgery patient

Khan, Mohammed; Skidmore, Keegan; Ho, Allen C.

doi:10.1097/icu.0000000000000115

Cited by 6 publications

(5 citation statements)

References 41 publications

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“…We found that the prevalence of cortical cataract (90.1%) was higher than any nuclear cataract (75.4%), and the PSC was the least common type (29.3%). Combined cortical and nuclear cataract was the most common cataract type (45.5%) in Our study, consistent with findings reported in other studies 8 – 10 .…”

Section: Discussionsupporting

confidence: 93%

“…Cataract and retinal disease may progress concurrently in the ageing population, as in myopia, or in other cases. Cataract development may be accelerated as a result of the retinal disease process or as a sequela of corticosteroid treatment, as in diabetic retinopathy and uveitis 10 . We found that the prevalence of cortical cataract (90.1%) was higher than any nuclear cataract (75.4%), and the PSC was the least common type (29.3%).…”

Section: Discussionmentioning

confidence: 99%

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Macular assessment of preoperative optical coherence tomography in ageing Chinese undergoing routine cataract surgery

Huang

Zhang

Wang

et al. 2018

Sci Rep

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This retrospective consecutive case series aimed to evaluate spectral-domain optical coherence tomography (SD-OCT) for occult macular disease recognition preoperatively in patients scheduled for routine cataract surgery. All patients scheduled for cataract surgery underwent macular SD-OCT. Scans were reviewed for retinal, retinal pigment epithelium and vitreomacular interface abnormalities. For the subgroup analysis, the following information was collected: age; sex; and diabetes, hypertension, myopia, glaucoma, post intra-ocular surgery, endophotocoagulation, retinal vasculopathy and uveitis statuses. One-thousand-one-hundred-seventy-six consecutive scans were acquired from 1,176 patients. Macular pathology was found in 294 eyes. The most common macular disorders were an epiretinal membrane (n = 130), myopia atrophy (n = 61) and a dome-shaped macular with pathologic myopia (n = 32). One-hundred-thirty eyes (11.05%) presented macular epiretinal membranes not detected by dilated fundus examination, accounting for 44.22% of the abnormalities in diseased eyes and was higher than in previous Chinese studies. Some had multiple macular disorders. The most common ocular history was myopia, including high myopia. The pooled prevalence rate of macular diseases detected by OCT was 0.24 (95% CI 0.14–0.34) using meta-analysis. SD-OCT should be performed for routine cataract surgery patients to evaluate visual outcomes, especially in myopic patients and those considering advanced-technology intraocular lenses.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionmentioning

confidence: 99%

Macular assessment of preoperative optical coherence tomography in ageing Chinese undergoing routine cataract surgery

Huang

Zhang

Wang

et al. 2018

Sci Rep

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“…The macular diseases may also influence the axial length measurement and the final refractive result. Cataract and retinal diseases may progress concurrently in the aging population, and one common challenge before cataract surgery is to detect and report macular disease 5 . Due to the presence of cataract, minor pathologic retinal changes could be missed during preoperative slit lamp fundus examination.…”

Section: Introductionmentioning

confidence: 99%

Swept-Source Optical Coherence Tomography Biometer as Screening Strategy for Macular Disease in Patients Scheduled for Cataract Surgery

Tognetto

Pastore

Giacinto

et al. 2019

Sci Rep

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The aim of this study was to assess the central macular imaging captured with an optical biometer based on full-eye-length Swept-Source OCT (SS-OCT) scan as a screening strategy for identifying macular diseases in patients scheduled for cataract surgery. 1,114 eyes of 749 consecutive patients underwent a biometrical examination with IOLMaster 700 SS-OCT technology (Carl Zeiss) and conventional Spectral-Domain OCT (SD-OCT) (Spectralis OCT, Heidelberg) device analysis on the same day. Seven examiners graded the scans individually in a full-masked mode. Twenty-five eyes were excluded for media opacities. Among the 1,089 included eyes, statistical analysis revealed a mean Kendall’s Coefficient of 0.83 (range 0.76–0.89). A logistic regression model demonstrated a highly significant correlation (p < 0.001) between the coefficient of concordance and SD-OCT imaging. Intraobserver reproducibility was 0.89 (range 0.86–0.91). Optical biometer SS-OCT scans showed a mean sensitivity of 0.81 and a mean specificity of 0.84. The positive and negative predictive value detected was 0.78 and 0.86, respectively. In order to predict the risk of reduced visual recovery, especially in cases of retinal pathology, optical biometer with SS-OCT scan has proven to be a useful modality for detecting macular structural abnormalities in patients undergoing cataract surgery. Conventional SD-OCT remains mandatory to confirm the presumed diagnosis.

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“…Операция по удалению катаракты является наиболее часто проводимой хирургической процедурой в развитых странах [6,7], обеспечивая долгосрочное и экономически эффективное улучшение качества жизни пациентов [8]. За последние несколько десятилетий значительные успехи в факоэмульсификации с имплантацией ИОЛ привели к улучшению показателей рефракции и более высокой удовлетворенности пациентами [9,10].…”

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“…Заболевания центральной зоны сетчатки могут также влиять на изменение осевой длины глаза и конечный рефракционный результат. Катаракта и патология сетчатки могут прогрессировать одновременно у стареющего населения, и одной из распространенных проблем перед операцией по удалению катаракты является выявление заболеваний желтого пятна [10]. Из-за наличия катаракты незначительные патологические изменения сетчатки могут быть не идентифицированы во время предоперационного обследования глазного дна с помощью щелевой лампы.…”

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Features of Phacoemulsification in Macular Pathology. Part 1. Diagnostic Aspects

Yusef¹,

Vorobyeva²,

Kazaryan³

et al. 2021

Oftalʹmologiâ

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Cataract is the most common cause of blindness worldwide. The standard treatment for cataracts is phacoemulsification with implantation of an intraocular lens (IOL). Removing cataracts can significantly improve vision and the quality of life associated with vision. The review considers the necessary biometric studies before phacoemulsification of patients with macular pathology, the long-term effects of phacoemulsification in patients with various macular pathologies, the features of implantation of mono- and multifocal IOLs in such patients, as well as possible complications after phacoemulsification in patients with macular pathology. The importance of examination of the macula before phacoemulsification of cataract has been shown. A review of changes in different eye’s parts after phacoemulsification in patients with various pathologies: with the progression of myotic traction, with combined cataract and glaucoma, in patients with diabetes, with an epiretinal membrane, and the features of implantation of multifocal lenses and IOLs with UV protection are considered. Not only the postoperative condition is assessed, but also the changes between the preoperative and postoperative conditions. In addition, the review demonstrates the dynamic healing processes and changes in macular parameters (after different times — from several days to several years) in order to obtain a rational analysis result.

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Perioperative retina evaluation of the cataract surgery patient

Cited by 6 publications

References 41 publications

Macular assessment of preoperative optical coherence tomography in ageing Chinese undergoing routine cataract surgery

Macular assessment of preoperative optical coherence tomography in ageing Chinese undergoing routine cataract surgery

Swept-Source Optical Coherence Tomography Biometer as Screening Strategy for Macular Disease in Patients Scheduled for Cataract Surgery

Features of Phacoemulsification in Macular Pathology. Part 1. Diagnostic Aspects

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