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Long-Term Variations in Retinal Parameters after Uncomplicated Cataract Surgery

Background: Cataract phacoemulsification surgery provides excellent refractive results; however, it also elicits changes in the posterior segment of the eye. This study aimed to determine changes in retinal parameters measured by spectral-domain optical coherence tomography (SD-OCT) and OCT angiogra...

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Autores principales: Gawęcki, Maciej, Prądzyńska, Natalia, Karska-Basta, Izabella
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9225292/
https://www.ncbi.nlm.nih.gov/pubmed/35743496
http://dx.doi.org/10.3390/jcm11123426
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author Gawęcki, Maciej
Prądzyńska, Natalia
Karska-Basta, Izabella
author_facet Gawęcki, Maciej
Prądzyńska, Natalia
Karska-Basta, Izabella
author_sort Gawęcki, Maciej
collection PubMed
description Background: Cataract phacoemulsification surgery provides excellent refractive results; however, it also elicits changes in the posterior segment of the eye. This study aimed to determine changes in retinal parameters measured by spectral-domain optical coherence tomography (SD-OCT) and OCT angiography (OCTA) after an uncomplicated cataract surgery, including the impact of effective phacoemulsification time (EPT). Methods: The study included 44 patients without retinal abnormalities, followed up after unilateral uncomplicated cataract phacoemulsification in a single ophthalmological unit. Patients were evaluated for the following parameters at baseline and at 2 weeks, 3 months, and 12 months after the surgery: best corrected visual acuity, central retinal thickness (CRT), average central retinal thickness (CRTA), central retinal volume (cube volume (CV)), vessel density central (VDC), vessel density full (VDF), vessel perfusion central (VPC), and vessel perfusion full (VPF). The EPT recorded at each procedure was used as a covariant for the evaluation of changes in retinal parameters after the surgery. Analysis included 44 eyes for SD-OCT and 17 for OCTA evaluation, according to adopted scan quality thresholds. Results: A significant increase in CRT, CRTA, and CV was noted at each follow-up point compared with baseline. The rising tendency was observed in the first 3 months after the surgery, with a decline over the subsequent months. The VPF parameter showed a stable improvement after the surgery. The analysis of covariance did not confirm any significant effect of the EPT on variations in CRT, CV, CRTA, VDC, and VPF and there was a weak effect on the VDF parameter. Conclusions: Uncomplicated cataract surgery results in an increase in retinal thickness and volume in the first few months after the surgery, followed by a spontaneous decline in these parameters in the subsequent months. A long-standing improvement is noted in the VPF parameter.
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spelling pubmed-92252922022-06-24 Long-Term Variations in Retinal Parameters after Uncomplicated Cataract Surgery Gawęcki, Maciej Prądzyńska, Natalia Karska-Basta, Izabella J Clin Med Article Background: Cataract phacoemulsification surgery provides excellent refractive results; however, it also elicits changes in the posterior segment of the eye. This study aimed to determine changes in retinal parameters measured by spectral-domain optical coherence tomography (SD-OCT) and OCT angiography (OCTA) after an uncomplicated cataract surgery, including the impact of effective phacoemulsification time (EPT). Methods: The study included 44 patients without retinal abnormalities, followed up after unilateral uncomplicated cataract phacoemulsification in a single ophthalmological unit. Patients were evaluated for the following parameters at baseline and at 2 weeks, 3 months, and 12 months after the surgery: best corrected visual acuity, central retinal thickness (CRT), average central retinal thickness (CRTA), central retinal volume (cube volume (CV)), vessel density central (VDC), vessel density full (VDF), vessel perfusion central (VPC), and vessel perfusion full (VPF). The EPT recorded at each procedure was used as a covariant for the evaluation of changes in retinal parameters after the surgery. Analysis included 44 eyes for SD-OCT and 17 for OCTA evaluation, according to adopted scan quality thresholds. Results: A significant increase in CRT, CRTA, and CV was noted at each follow-up point compared with baseline. The rising tendency was observed in the first 3 months after the surgery, with a decline over the subsequent months. The VPF parameter showed a stable improvement after the surgery. The analysis of covariance did not confirm any significant effect of the EPT on variations in CRT, CV, CRTA, VDC, and VPF and there was a weak effect on the VDF parameter. Conclusions: Uncomplicated cataract surgery results in an increase in retinal thickness and volume in the first few months after the surgery, followed by a spontaneous decline in these parameters in the subsequent months. A long-standing improvement is noted in the VPF parameter. MDPI 2022-06-15 /pmc/articles/PMC9225292/ /pubmed/35743496 http://dx.doi.org/10.3390/jcm11123426 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Gawęcki, Maciej
Prądzyńska, Natalia
Karska-Basta, Izabella
Long-Term Variations in Retinal Parameters after Uncomplicated Cataract Surgery
title Long-Term Variations in Retinal Parameters after Uncomplicated Cataract Surgery
title_full Long-Term Variations in Retinal Parameters after Uncomplicated Cataract Surgery
title_fullStr Long-Term Variations in Retinal Parameters after Uncomplicated Cataract Surgery
title_full_unstemmed Long-Term Variations in Retinal Parameters after Uncomplicated Cataract Surgery
title_short Long-Term Variations in Retinal Parameters after Uncomplicated Cataract Surgery
title_sort long-term variations in retinal parameters after uncomplicated cataract surgery
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9225292/
https://www.ncbi.nlm.nih.gov/pubmed/35743496
http://dx.doi.org/10.3390/jcm11123426
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