Anterior chamber depth change following cataract surgery in pseudoexfoliation syndrome; a preliminary study
Author(s):
Abstract:
Purpose
To assess the pseudophakic anterior chamber depth (PP‑ACD) or effective lens position (ELP) change after cataract surgery in patients with pseudoexfoliation syndrome (PEX).Methods
Consecutive eyes with PEX and cataract underwent standard phacoemulsification and were implanted with single‑piece acrylic posterior chamber intraocular lenses (IOLs). Eyes with severe PEX and with axial length (AL) greater than 24 mm or less than 22 mm were not included. Eyes with capsular complication or unstable bags that needed capsular tension ring insertion were excluded. The SRK‑II formula was applied to calculate IOL power for postoperative emmetropia. PP‑ACD or ELP was measured using anterior segment optical coherence tomography. Data obtained at one and six months post operation were evaluated during analysis.Results
Twenty‑six eyes of 26 subjects (mean age: 72 years; range: 6084 years) were studied. PP‑ACD was deepened (mean change: 0.08 mm) and a concurrent hyperopic shift (0.3 D) was observed postoperatively between month 1 and month 6 (P values ≤0.002). PP‑ACD and postoperative refraction changes were correlated with age and AL (P values Conclusion
After cataract surgery in eyes with PEX syndrome, a significant backward movement of the IOL occurs postoperatively in the first six months, which is associated with a concurrent small hyperopic shift.Keywords:
Language:
English
Published:
Journal of Ophthalmic and Vision Research, Volume:12 Issue: 2, Apr-Jun 2017
Page:
165
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