Early macular changes after phacoemulsification in eyes with high myopia
Purpose: To evaluate macular changes after cataract surgery in eyes with high myopia. Methods: This prospective cohort enrolled patients with high myopia (axial length ≥26 mm) who underwent phacoemulsification with intraocular lens implantation. Spectral-domain optical coherence tomography (OCT) sca...
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doaj-445dcd1ae4a144dc85196f846e32cbc62020-11-25T01:58:42ZengKnowledge EJournal of Ophthalmic & Vision Research2008-322X2018-01-0113324925210.4103/jovr.jovr_69_17Early macular changes after phacoemulsification in eyes with high myopiaHossein AshrafSamaneh KoohestaniM Hossein NowroozzadehPurpose: To evaluate macular changes after cataract surgery in eyes with high myopia. Methods: This prospective cohort enrolled patients with high myopia (axial length ≥26 mm) who underwent phacoemulsification with intraocular lens implantation. Spectral-domain optical coherence tomography (OCT) scans were obtained at baseline and 2 and 6 months after the operation. Postoperative macular changes on OCT scans were regarded as the main outcome measure. Results: Thirty-four eyes of 31 patients with high myopia were included (age, 60 ± 10 years [mean ± SD]); of these, 14 patients (45.2%) were male. The mean axial length was 27.8 ± 1.5 mm. Epiretinal membrane (one eye, 2.9%), lamellar hole (one eye, 2.9%), myopic foveoschisis (2 eyes, 5.9%), and vitreomacular traction associated with foveoschisis (one eye, 2.9%) were notable findings at baseline examination; no eye showed cystoid macular edema (CME) at this time. At the 2-month examination, three eyes (8.8%) developed CME. At the 6-month follow-up, one eye with CME at 2 months improved, and a new case of CME (5.6%) was detected. The characteristics of epiretinal membrane, lamellar hole, vitreomacular traction, and foveoschisis did not change at the 2- and 6-month examinations and no new cases occurred. Conclusion: Uncomplicated phacoemulsification had no significant effect on the prevalence or characteristics of pre-existing macular abnormalities in eyes with high myopia up to 6 months of follow-up. The incidence of CME 2 months after uncomplicated cataract surgery in eyes with high myopia was about 9%.http://www.jovr.org/article.asp?issn=2008-322X;year=2018;volume=13;issue=3;spage=249;epage=252;aulast=AshrafCystoid Macular Edema; Epiretinal Membrane; Macular Hole; Myopia; Optical Coherence Tomography; Schisis; Vitreomacular Traction |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Hossein Ashraf Samaneh Koohestani M Hossein Nowroozzadeh |
spellingShingle |
Hossein Ashraf Samaneh Koohestani M Hossein Nowroozzadeh Early macular changes after phacoemulsification in eyes with high myopia Journal of Ophthalmic & Vision Research Cystoid Macular Edema; Epiretinal Membrane; Macular Hole; Myopia; Optical Coherence Tomography; Schisis; Vitreomacular Traction |
author_facet |
Hossein Ashraf Samaneh Koohestani M Hossein Nowroozzadeh |
author_sort |
Hossein Ashraf |
title |
Early macular changes after phacoemulsification in eyes with high myopia |
title_short |
Early macular changes after phacoemulsification in eyes with high myopia |
title_full |
Early macular changes after phacoemulsification in eyes with high myopia |
title_fullStr |
Early macular changes after phacoemulsification in eyes with high myopia |
title_full_unstemmed |
Early macular changes after phacoemulsification in eyes with high myopia |
title_sort |
early macular changes after phacoemulsification in eyes with high myopia |
publisher |
Knowledge E |
series |
Journal of Ophthalmic & Vision Research |
issn |
2008-322X |
publishDate |
2018-01-01 |
description |
Purpose: To evaluate macular changes after cataract surgery in eyes with high myopia.
Methods: This prospective cohort enrolled patients with high myopia (axial length ≥26 mm) who underwent phacoemulsification with intraocular lens implantation. Spectral-domain optical coherence tomography (OCT) scans were obtained at baseline and 2 and 6 months after the operation. Postoperative macular changes on OCT scans were regarded as the main outcome measure.
Results: Thirty-four eyes of 31 patients with high myopia were included (age, 60 ± 10 years [mean ± SD]); of these, 14 patients (45.2%) were male. The mean axial length was 27.8 ± 1.5 mm. Epiretinal membrane (one eye, 2.9%), lamellar hole (one eye, 2.9%), myopic foveoschisis (2 eyes, 5.9%), and vitreomacular traction associated with foveoschisis (one eye, 2.9%) were notable findings at baseline examination; no eye showed cystoid macular edema (CME) at this time. At the 2-month examination, three eyes (8.8%) developed CME. At the 6-month follow-up, one eye with CME at 2 months improved, and a new case of CME (5.6%) was detected. The characteristics of epiretinal membrane, lamellar hole, vitreomacular traction, and foveoschisis did not change at the 2- and 6-month examinations and no new cases occurred.
Conclusion: Uncomplicated phacoemulsification had no significant effect on the prevalence or characteristics of pre-existing macular abnormalities in eyes with high myopia up to 6 months of follow-up. The incidence of CME 2 months after uncomplicated cataract surgery in eyes with high myopia was about 9%. |
topic |
Cystoid Macular Edema; Epiretinal Membrane; Macular Hole; Myopia; Optical Coherence Tomography; Schisis; Vitreomacular Traction |
url |
http://www.jovr.org/article.asp?issn=2008-322X;year=2018;volume=13;issue=3;spage=249;epage=252;aulast=Ashraf |
work_keys_str_mv |
AT hosseinashraf earlymacularchangesafterphacoemulsificationineyeswithhighmyopia AT samanehkoohestani earlymacularchangesafterphacoemulsificationineyeswithhighmyopia AT mhosseinnowroozzadeh earlymacularchangesafterphacoemulsificationineyeswithhighmyopia |
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