Comparison of macular thickness change by optical coherence tomography after uncomplicated cataract surgery in eyes with
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ORIGINAL PAPER
Comparison of macular thickness change by optical coherence tomography after uncomplicated cataract surgery in eyes with and without exfoliation syndrome Burcu Kemer Atik
. Asli Kirmaci Kabakci . Ruveyde Garip
Received: 27 April 2020 / Accepted: 1 October 2020 © Springer Nature B.V. 2020
Abstract Purpose To evaluate the effect of exfoliation syndrome (ES) on macular thickness after uncomplicated cataract surgery. Methods 87 patients (87 eyes) who underwent uncomplicated cataract surgery were included in the study. Optical coherence tomography (OCT) films were taken in addition to the routine ophthalmologic examination before the surgery and at postoperative 1st week, 1st, 3rd and 6th months. Mean macular thickness, central macular thickness and macular volume values obtained from the 696 mm macular map in the OCT measurements were recorded. The cases were divided into two groups as Group 1: cases without ES and Group 2: cases with ES. The macular values obtained from the OCT measurements of the two groups were compared with statistical methods. Results Eighty-seven eyes were included in the study; while 51 had no ES (Group 1), 36 had ES B. Kemer Atik (&) University of Health Sciences Gaziosmanpasa Training and Research Hospital, ˙Istanbul, Turkey e-mail: [email protected] A. Kirmaci Kabakci University of Health Sciences Okmeydani Training and Research Hospital, ˙Istanbul, Turkey e-mail: [email protected] R. Garip Trakya University, Edirne, Turkey e-mail: [email protected]
(Group 2). The mean age of all cases was 66.70± 9.13 years. While the mean macular thickness, central macular thickness and macular volume were similar at the preoperative visit and the postoperative 1st week of all cases (each p value[0.05); these values were higher at the postoperative 1st, 3rd and 6th month compared to the preoperative and the postoperative 1st week values (each p value\0.05). The highest values were obtained at the postoperative 1st month; while the values of 1st, 3rd and 6th months were statistically similar (each p value[0.05). No statistically significant difference was observed between Group 1 and Group 2 in terms of macular volume, central macular thickness and average macular thickness in these periods. Conclusion Exfoliation syndrome has not been evaluated as a risk factor for an increase in macular thickness after uncomplicated cataract surgery. Keywords Cataract · Central macular thickness · Cystoid macular edema · Exfoliation syndrome · Macular thickness · Macular volume · Phaco-emu¨lsification
Introduction Exfoliation syndrome (ES) is a systemic disease characterized by production and deposition of abnormal fibrillary extracellular protein. Glaucoma, lens instability and endothelial deficiency are among the
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ocular complications of ES [1]. Besides, there is a higher risk of complications during cataract surgery due to increased fragility of zonula and poor mydriasis [2]. Moreover, there are several studies in the
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