Cargando…

Acuity and Quality of Vision in Eyes with Epithelial Basement Membrane Dystrophy after Regular Pseudophakia

Purpose: This retrospective case-control study was conducted to quantitatively and qualitatively assess the visual impairment in eyes with Epithelial Basement Membrane Dystrophy (EBMD) after regular cataract surgery. Methods: EBMD pseudophakic eyes were compared with matched pseudophakic eyes free f...

Descripción completa

Detalles Bibliográficos
Autores principales: Bellucci, Carlo, Mora, Paolo, Tedesco, Salvatore A., Carta, Arturo, Gandolfi, Stefano, Bellucci, Roberto
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9917418/
https://www.ncbi.nlm.nih.gov/pubmed/36769747
http://dx.doi.org/10.3390/jcm12031099
_version_ 1784886361376948224
author Bellucci, Carlo
Mora, Paolo
Tedesco, Salvatore A.
Carta, Arturo
Gandolfi, Stefano
Bellucci, Roberto
author_facet Bellucci, Carlo
Mora, Paolo
Tedesco, Salvatore A.
Carta, Arturo
Gandolfi, Stefano
Bellucci, Roberto
author_sort Bellucci, Carlo
collection PubMed
description Purpose: This retrospective case-control study was conducted to quantitatively and qualitatively assess the visual impairment in eyes with Epithelial Basement Membrane Dystrophy (EBMD) after regular cataract surgery. Methods: EBMD pseudophakic eyes were compared with matched pseudophakic eyes free from surface disorders. At least 3 weeks after surgery we evaluated uncorrected and best-corrected distance visual acuity (UDVA and CDVA), objective aberrometry, Point Spread Function (PSF), Modulation Transfer Function (MTF), and patient complaints. Results: Twenty-five EBMD eyes and 25 control eyes (13 patients per group) were included. Nine patients per group had a monofocal IOL, and four patients had a trifocal IOL. All the EBMD patients complained of postoperative blurred vision with ocular discomfort; intensive use of lubricants induced subjective improvement only in eyes with monofocal IOLs. Postoperative mean UDVA was 0.19 ± 0.16 LogMAR in the EBMD eyes and 0.11 ± 0.04 LogMAR in the control group (p = 0.016). Mean CDVA was 0.18 ± 0.15 LogMAR in the EBMD eyes and 0.06 ± 0.04 LogMAR in the control eyes (p = 0.001). The PSF curve width was significantly worse in the EBMD group (p < 0.001). The MTF cut-off value was lower in the EBMD group than in the control group (p < 0.001). Conclusion: After cataract removal, eyes with EBMD had significantly lower UDVA and CDVA than controls. All the aberrometric parameters were significantly worse in EBMD cases. EBMD patients complained about their postoperative visual outcome, while control patients did not.
format Online
Article
Text
id pubmed-9917418
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-99174182023-02-11 Acuity and Quality of Vision in Eyes with Epithelial Basement Membrane Dystrophy after Regular Pseudophakia Bellucci, Carlo Mora, Paolo Tedesco, Salvatore A. Carta, Arturo Gandolfi, Stefano Bellucci, Roberto J Clin Med Article Purpose: This retrospective case-control study was conducted to quantitatively and qualitatively assess the visual impairment in eyes with Epithelial Basement Membrane Dystrophy (EBMD) after regular cataract surgery. Methods: EBMD pseudophakic eyes were compared with matched pseudophakic eyes free from surface disorders. At least 3 weeks after surgery we evaluated uncorrected and best-corrected distance visual acuity (UDVA and CDVA), objective aberrometry, Point Spread Function (PSF), Modulation Transfer Function (MTF), and patient complaints. Results: Twenty-five EBMD eyes and 25 control eyes (13 patients per group) were included. Nine patients per group had a monofocal IOL, and four patients had a trifocal IOL. All the EBMD patients complained of postoperative blurred vision with ocular discomfort; intensive use of lubricants induced subjective improvement only in eyes with monofocal IOLs. Postoperative mean UDVA was 0.19 ± 0.16 LogMAR in the EBMD eyes and 0.11 ± 0.04 LogMAR in the control group (p = 0.016). Mean CDVA was 0.18 ± 0.15 LogMAR in the EBMD eyes and 0.06 ± 0.04 LogMAR in the control eyes (p = 0.001). The PSF curve width was significantly worse in the EBMD group (p < 0.001). The MTF cut-off value was lower in the EBMD group than in the control group (p < 0.001). Conclusion: After cataract removal, eyes with EBMD had significantly lower UDVA and CDVA than controls. All the aberrometric parameters were significantly worse in EBMD cases. EBMD patients complained about their postoperative visual outcome, while control patients did not. MDPI 2023-01-31 /pmc/articles/PMC9917418/ /pubmed/36769747 http://dx.doi.org/10.3390/jcm12031099 Text en © 2023 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
Bellucci, Carlo
Mora, Paolo
Tedesco, Salvatore A.
Carta, Arturo
Gandolfi, Stefano
Bellucci, Roberto
Acuity and Quality of Vision in Eyes with Epithelial Basement Membrane Dystrophy after Regular Pseudophakia
title Acuity and Quality of Vision in Eyes with Epithelial Basement Membrane Dystrophy after Regular Pseudophakia
title_full Acuity and Quality of Vision in Eyes with Epithelial Basement Membrane Dystrophy after Regular Pseudophakia
title_fullStr Acuity and Quality of Vision in Eyes with Epithelial Basement Membrane Dystrophy after Regular Pseudophakia
title_full_unstemmed Acuity and Quality of Vision in Eyes with Epithelial Basement Membrane Dystrophy after Regular Pseudophakia
title_short Acuity and Quality of Vision in Eyes with Epithelial Basement Membrane Dystrophy after Regular Pseudophakia
title_sort acuity and quality of vision in eyes with epithelial basement membrane dystrophy after regular pseudophakia
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9917418/
https://www.ncbi.nlm.nih.gov/pubmed/36769747
http://dx.doi.org/10.3390/jcm12031099
work_keys_str_mv AT belluccicarlo acuityandqualityofvisionineyeswithepithelialbasementmembranedystrophyafterregularpseudophakia
AT morapaolo acuityandqualityofvisionineyeswithepithelialbasementmembranedystrophyafterregularpseudophakia
AT tedescosalvatorea acuityandqualityofvisionineyeswithepithelialbasementmembranedystrophyafterregularpseudophakia
AT cartaarturo acuityandqualityofvisionineyeswithepithelialbasementmembranedystrophyafterregularpseudophakia
AT gandolfistefano acuityandqualityofvisionineyeswithepithelialbasementmembranedystrophyafterregularpseudophakia
AT bellucciroberto acuityandqualityofvisionineyeswithepithelialbasementmembranedystrophyafterregularpseudophakia