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Effect of Intracameral Carbachol and Epinephrine Use on Choroidal Thickness After Uncomplicated Phacoemulsification

BACKGROUND: Safety concerns about drugs used intracamerally during cataract surgery have been the subject of many studies. In this study, the effect of using intracameral carbachol and epinephrine on choroidal thickness was evaluated. MATERIAL/METHODS: This prospective interventional study included...

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Autores principales: Kaptı, Hasan Burhanettin, Özen, Serkan, Gök, Mustafa
Formato: Online Artículo Texto
Lenguaje:English
Publicado: International Scientific Literature, Inc. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9074745/
https://www.ncbi.nlm.nih.gov/pubmed/35491490
http://dx.doi.org/10.12659/MSM.935315
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author Kaptı, Hasan Burhanettin
Özen, Serkan
Gök, Mustafa
author_facet Kaptı, Hasan Burhanettin
Özen, Serkan
Gök, Mustafa
author_sort Kaptı, Hasan Burhanettin
collection PubMed
description BACKGROUND: Safety concerns about drugs used intracamerally during cataract surgery have been the subject of many studies. In this study, the effect of using intracameral carbachol and epinephrine on choroidal thickness was evaluated. MATERIAL/METHODS: This prospective interventional study included 81 eyes of 81 patients undergoing cataract surgery. During cataract surgery, intracameral carbachol was administered to 27 eyes, intracameral epinephrine was administered to 20 eyes, and 34 eyes were the control group. Macular choroidal thickness measurement was performed before, 1 day, and 1 week after phacoemulsification surgery in all patients using optical coherence tomography. RESULTS: Subfoveal choroidal thickness was significantly reduced at day 1 and week 1 in the group receiving intraoperative carbachol compared with preoperative measurement (P=0.016). In addition, choroidal thickness in the 500 μm nasal fovea was significantly reduced in the carbachol group at 1(st) week compared to the preoperative measurement (P=0.008). There was no significant difference in postoperative subfoveal thickness in the intraoperative epinephrine group and control group (P=0.179 and P=0.953, respectively). Choroidal thickness at 1000 μm nasal fovea was significantly higher in the epinephrine group at postoperative 1(st) day than preoperative and postoperative 1(st) week values (P=0.009). CONCLUSIONS: The use of intracameral epinephrine caused an increase in choroidal thickness 1000 μm nasal of the fovea, while intracameral carbachol caused thinning in the subfoveal and 500 μm nasal quadrant. Intracameral drug administration during cataract surgery may be associated with posterior segment complications.
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spelling pubmed-90747452022-05-27 Effect of Intracameral Carbachol and Epinephrine Use on Choroidal Thickness After Uncomplicated Phacoemulsification Kaptı, Hasan Burhanettin Özen, Serkan Gök, Mustafa Med Sci Monit Clinical Research BACKGROUND: Safety concerns about drugs used intracamerally during cataract surgery have been the subject of many studies. In this study, the effect of using intracameral carbachol and epinephrine on choroidal thickness was evaluated. MATERIAL/METHODS: This prospective interventional study included 81 eyes of 81 patients undergoing cataract surgery. During cataract surgery, intracameral carbachol was administered to 27 eyes, intracameral epinephrine was administered to 20 eyes, and 34 eyes were the control group. Macular choroidal thickness measurement was performed before, 1 day, and 1 week after phacoemulsification surgery in all patients using optical coherence tomography. RESULTS: Subfoveal choroidal thickness was significantly reduced at day 1 and week 1 in the group receiving intraoperative carbachol compared with preoperative measurement (P=0.016). In addition, choroidal thickness in the 500 μm nasal fovea was significantly reduced in the carbachol group at 1(st) week compared to the preoperative measurement (P=0.008). There was no significant difference in postoperative subfoveal thickness in the intraoperative epinephrine group and control group (P=0.179 and P=0.953, respectively). Choroidal thickness at 1000 μm nasal fovea was significantly higher in the epinephrine group at postoperative 1(st) day than preoperative and postoperative 1(st) week values (P=0.009). CONCLUSIONS: The use of intracameral epinephrine caused an increase in choroidal thickness 1000 μm nasal of the fovea, while intracameral carbachol caused thinning in the subfoveal and 500 μm nasal quadrant. Intracameral drug administration during cataract surgery may be associated with posterior segment complications. International Scientific Literature, Inc. 2022-05-02 /pmc/articles/PMC9074745/ /pubmed/35491490 http://dx.doi.org/10.12659/MSM.935315 Text en © Med Sci Monit, 2022 https://creativecommons.org/licenses/by-nc-nd/4.0/This work is licensed under Creative Common Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0 (https://creativecommons.org/licenses/by-nc-nd/4.0/) )
spellingShingle Clinical Research
Kaptı, Hasan Burhanettin
Özen, Serkan
Gök, Mustafa
Effect of Intracameral Carbachol and Epinephrine Use on Choroidal Thickness After Uncomplicated Phacoemulsification
title Effect of Intracameral Carbachol and Epinephrine Use on Choroidal Thickness After Uncomplicated Phacoemulsification
title_full Effect of Intracameral Carbachol and Epinephrine Use on Choroidal Thickness After Uncomplicated Phacoemulsification
title_fullStr Effect of Intracameral Carbachol and Epinephrine Use on Choroidal Thickness After Uncomplicated Phacoemulsification
title_full_unstemmed Effect of Intracameral Carbachol and Epinephrine Use on Choroidal Thickness After Uncomplicated Phacoemulsification
title_short Effect of Intracameral Carbachol and Epinephrine Use on Choroidal Thickness After Uncomplicated Phacoemulsification
title_sort effect of intracameral carbachol and epinephrine use on choroidal thickness after uncomplicated phacoemulsification
topic Clinical Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9074745/
https://www.ncbi.nlm.nih.gov/pubmed/35491490
http://dx.doi.org/10.12659/MSM.935315
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