Intraocular Lens Power Estimation in Combined Phacoemulsification and Pars Plana Vitrectomy in Eyes with Epiretinal Membranes: A Case-Control Study
Identifieur interne : 000778 ( Main/Merge ); précédent : 000777; suivant : 000779Intraocular Lens Power Estimation in Combined Phacoemulsification and Pars Plana Vitrectomy in Eyes with Epiretinal Membranes: A Case-Control Study
Auteurs : Min Kim [Corée du Sud] ; Hyoung Eun Kim [Corée du Sud] ; Dong Hyun Lee [Corée du Sud] ; Hyoung Jun Koh [Corée du Sud] ; Sung Chul Lee [Corée du Sud] ; Sung Soo Kim [Corée du Sud]Source :
- Yonsei Medical Journal [ 0513-5796 ] ; 2015.
Abstract
To evaluate the accuracy of postoperative refractive outcomes of combined phacovitrectomy for epiretinal membrane (ERM) in comparison to cataract surgery alone.
Thirty-nine eyes that underwent combined phacovitrectomy with intraocular lens (IOL) implantation for cataract and ERM (combined surgery group) and 39 eyes that received phacoemulsification for cataract (control group) were analyzed, retrospectively. The predicted preoperative refractive aim was compared with the results of postoperative refraction.
In the combined surgery group, refractive prediction error by A-scan and IOLMaster were -0.305±0.717 diopters (D) and -0.356±0.639 D, respectively, compared to 0.215±0.541 and 0.077±0.529 in the control group, showing significantly more myopic change compared to the control group (
Combined phacovitrectomy for ERM resulted in significantly more myopic shift of postoperative refraction, compared to the cataract surgery alone, for both A-scan and IOLMaster. To improve the accuracy of IOL power estimation in eyes with cataract and ERM, sequential surgery for ERM and cataract may need to be considered.
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DOI: 10.3349/ymj.2015.56.3.805
PubMed: 25837189
PubMed Central: 4397453
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sort="Koh, Hyoung Jun" uniqKey="Koh H" first="Hyoung Jun" last="Koh">Hyoung Jun Koh</name><affiliation wicri:level="3"><nlm:aff id="A1">Department of Ophthalmology, Yonsei University College of Medicine, Gangnam Severance Hospital, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Ophthalmology, Yonsei University College of Medicine, Gangnam Severance Hospital, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement></placeName></affiliation></author><author><name sortKey="Lee, Sung Chul" sort="Lee, Sung Chul" uniqKey="Lee S" first="Sung Chul" last="Lee">Sung Chul Lee</name><affiliation wicri:level="3"><nlm:aff id="A2">Institute of Vision Research, Department of Ophthalmology, Severance Eye and ENT Hospital, Yonsei University College of Medicine, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Institute of Vision Research, Department of 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wicri:level="3"><nlm:aff id="A1">Department of Ophthalmology, Yonsei University College of Medicine, Gangnam Severance Hospital, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Ophthalmology, Yonsei University College of Medicine, Gangnam Severance Hospital, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement></placeName></affiliation></author><author><name sortKey="Kim, Hyoung Eun" sort="Kim, Hyoung Eun" uniqKey="Kim H" first="Hyoung Eun" last="Kim">Hyoung Eun Kim</name><affiliation wicri:level="3"><nlm:aff id="A1">Department of Ophthalmology, Yonsei University College of Medicine, Gangnam Severance Hospital, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Ophthalmology, Yonsei University College of Medicine, Gangnam Severance Hospital, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement></placeName></affiliation></author><author><name sortKey="Lee, Dong Hyun" sort="Lee, Dong Hyun" uniqKey="Lee D" first="Dong Hyun" last="Lee">Dong Hyun Lee</name><affiliation wicri:level="3"><nlm:aff id="A1">Department of Ophthalmology, Yonsei University College of Medicine, Gangnam Severance Hospital, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Ophthalmology, Yonsei University College of Medicine, Gangnam Severance Hospital, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement></placeName></affiliation></author><author><name sortKey="Koh, Hyoung Jun" sort="Koh, Hyoung Jun" uniqKey="Koh H" first="Hyoung Jun" last="Koh">Hyoung Jun Koh</name><affiliation wicri:level="3"><nlm:aff id="A1">Department of Ophthalmology, Yonsei University College of Medicine, Gangnam Severance Hospital, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Ophthalmology, Yonsei University College of Medicine, Gangnam Severance Hospital, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement></placeName></affiliation></author><author><name sortKey="Lee, Sung Chul" sort="Lee, Sung Chul" uniqKey="Lee S" first="Sung Chul" last="Lee">Sung Chul Lee</name><affiliation wicri:level="3"><nlm:aff id="A2">Institute of Vision Research, Department of Ophthalmology, Severance Eye and ENT Hospital, Yonsei University College of Medicine, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Institute of Vision Research, Department of Ophthalmology, Severance Eye and ENT Hospital, Yonsei University College of Medicine, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement></placeName></affiliation></author><author><name sortKey="Kim, Sung Soo" sort="Kim, Sung Soo" uniqKey="Kim S" first="Sung Soo" last="Kim">Sung Soo Kim</name><affiliation wicri:level="3"><nlm:aff id="A2">Institute of Vision Research, Department of Ophthalmology, Severance Eye and ENT Hospital, Yonsei University College of Medicine, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Institute of Vision Research, Department of Ophthalmology, Severance Eye and ENT Hospital, Yonsei University College of Medicine, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement></placeName></affiliation></author></analytic><series><title level="j">Yonsei Medical Journal</title><idno type="ISSN">0513-5796</idno><idno type="eISSN">1976-2437</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Purpose</title><p>To evaluate the accuracy of postoperative refractive outcomes of combined phacovitrectomy for epiretinal membrane (ERM) in comparison to cataract surgery alone.</p></sec><sec><title>Materials and Methods</title><p>Thirty-nine eyes that underwent combined phacovitrectomy with intraocular lens (IOL) implantation for cataract and ERM (combined surgery group) and 39 eyes that received phacoemulsification for cataract (control group) were analyzed, retrospectively. The predicted preoperative refractive aim was compared with the results of postoperative refraction.</p></sec><sec><title>Results</title><p>In the combined surgery group, refractive prediction error by A-scan and IOLMaster were -0.305±0.717 diopters (D) and -0.356±0.639 D, respectively, compared to 0.215±0.541 and 0.077±0.529 in the control group, showing significantly more myopic change compared to the control group (<italic>p</italic>=0.001 and <italic>p</italic>=0.002, respectively). Within each group, there was no statistically significant difference in refractive prediction error between A-scan and IOLMaster (all <italic>p</italic>>0.05). IOL power calculation using adjusted A-scan measurement of axial length based on the macular thickness of the normal contralateral eye still resulted in significant postoperative refractive error (all <italic>p</italic><0.05). Postoperative refraction calculated with adjusted axial length based on actual postoperative central foveal thickness change showed the closest value to the actual postoperative achieved refraction (<italic>p</italic>=0.599).</p></sec><sec><title>Conclusion</title><p>Combined phacovitrectomy for ERM resulted in significantly more myopic shift of postoperative refraction, compared to the cataract surgery alone, for both A-scan and IOLMaster. To improve the accuracy of IOL power estimation in eyes with cataract and ERM, sequential surgery for ERM and cataract may need to be considered.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Demetriades, Am" uniqKey="Demetriades A">AM Demetriades</name></author><author><name sortKey="Gottsch, Jd" uniqKey="Gottsch J">JD Gottsch</name></author><author><name sortKey="Thomsen, R" uniqKey="Thomsen R">R Thomsen</name></author><author><name sortKey="Azab, A" uniqKey="Azab A">A Azab</name></author><author><name sortKey="Stark, Wj" uniqKey="Stark W">WJ Stark</name></author><author><name sortKey="Campochiaro, Pa" uniqKey="Campochiaro P">PA Campochiaro</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hwang, Ju" uniqKey="Hwang J">JU Hwang</name></author><author><name sortKey="Yoon, Yh" uniqKey="Yoon Y">YH Yoon</name></author><author><name sortKey="Kim, Ds" uniqKey="Kim D">DS 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