Effectiveness of Cataract Uncomplicated Surgery on Retina Thickness

Authors

  • Anum Badar Assistant Professor, Department of Ophthalmology Combined Military Hospital (CMH), Rawalakot AJK
  • Amena Masrur Associate Professor, Department of Ophthalmology Islamabad Medical and Dental College, Islamabad
  • Sidra Naseem Senior Registrar, Department of Ophthalmology Holy Family Hospital, Rawalpindi
  • Rabeeah Zafar Senior Registrar, Department of Pediatric Ophthalmology and Strabismus, Al-Shifa Trust Eye Hospital, Rawalpindi
  • Sarah Naveed Malik Registrar, Department of Pediatric Ophthalmology and Strabismus Al-Shifa Trust Eye Hospital, Rawalpindi
  • Tahira Afzal Khan Senior Registrar, Vitreoretina Department, Al-Shifa Trust Eye Hospital, Rawalpindi

DOI:

https://doi.org/10.48036/apims.v19i3.796

Keywords:

Cataract, Macular edema, Retina, Surgery, Uncomplicated

Abstract

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 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.

Author Biography

Sarah Naveed Malik, Registrar, Department of Pediatric Ophthalmology and Strabismus Al-Shifa Trust Eye Hospital, Rawalpindi

 

 

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Published

2023-09-07

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Original Articles