Refractive Outcomes of Uneventful Cataract Surgery in Pseudoexfoliation Syndrome and Pseudoexfoliation Glaucoma
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Purpose: To compare the refractive outcomes after cataract surgery between patients with and without pseudoexfoliation,and to evaluate the risk factors of refractive error. Methods: Retrospective review of 210 eyes with pseudoexfoliation (study group) and 510 normal eyes (control group) thatunderwent uneventful phacoemulsification with intraocular lens implantation. The study group included pseudoexfoliationsyndrome and pseudoexfoliation glaucoma (PXG) subgroups. The main outcome measure was refractive error, defined as thedifference between the target refraction and postoperative refraction in diopter (D). A refractive error >±1.0 D was identifiedas a large-magnitude refractive error. The frequency of the large-magnitude refractive error was compared between studyand control groups, and also between each subgroup and normal eyes. The factors influencing refractive error were analyzedby logistic regression. Results: There was a significantly higher frequency of a refractive error >± 1.0 D and hyperopic error >1.0 D in the studygroup than in the control group (p = 0.001 and p = 0.003, respectively). In the multivariate logistic regression analysis, PXGand poor preoperative visual acuity were related with a large-magnitude refractive error (p = 0.001 and p = 0.02, respectively)Refractive error >± 1.0 D and hyperopic error >1.0 D were noted more often in PXG eyes that had an intraocular pressurespike >25 mmHg at postoperative first 24 hours (p = 0.01 and p=0.03, respectively). Conclusions: The eyes with pseudoexfoliation were at a high risk for refractive error, especially in the presence of glaucoma. In PXG, the only significant risk factor for refractive error was observed to be the presence of an intraocular pressure spike.
Abstract
Purpose: To compare the refractive outcomes after cataract surgery between patients with and without pseudoexfoliation,and to evaluate the risk factors of refractive error. Methods: Retrospective review of 210 eyes with pseudoexfoliation (study group) and 510 normal eyes (control group) thatunderwent uneventful phacoemulsification with intraocular lens implantation. The study group included pseudoexfoliationsyndrome and pseudoexfoliation glaucoma (PXG) subgroups. The main outcome measure was refractive error, defined as thedifference between the target refraction and postoperative refraction in diopter (D). A refractive error >±1.0 D was identifiedas a large-magnitude refractive error. The frequency of the large-magnitude refractive error was compared between studyand control groups, and also between each subgroup and normal eyes. The factors influencing refractive error were analyzedby logistic regression. Results: There was a significantly higher frequency of a refractive error >± 1.0 D and hyperopic error >1.0 D in the studygroup than in the control group (p = 0.001 and p = 0.003, respectively). In the multivariate logistic regression analysis, PXGand poor preoperative visual acuity were related with a large-magnitude refractive error (p = 0.001 and p = 0.02, respectively)Refractive error >± 1.0 D and hyperopic error >1.0 D were noted more often in PXG eyes that had an intraocular pressurespike >25 mmHg at postoperative first 24 hours (p = 0.01 and p=0.03, respectively). Conclusions: The eyes with pseudoexfoliation were at a high risk for refractive error, especially in the presence of glaucoma. In PXG, the only significant risk factor for refractive error was observed to be the presence of an intraocular pressure spike.
참고문헌 (29)
- Hiller R, "Pseudoexfoliation, intraocular pressure, and senile lens changes in a population-based survey", Arch Ophthalmol, 100, pp.1080~1082 (1982)
- Puska P, "Exfoliation syndrome as a risk factor for cataract development : five-year follow-up of lens opacities in exfoliation syndrome", J Cataract Refract Surg, 27, pp.1992~1998 (2001)
- Merkur A, "Intraocular pressure decrease after phacoemulsification in patients with pseudoexfoliation syndrome", J Cataract Refract Surg, 27, pp.528~532 (2001)
- Shingleton BJ, "Effect of phacoemulsification on intraocular pressure in eyes with pseudoexfoliation : single-surgeon series", J Cataract Refract Surg, 34, pp.1834~1841 (2008)
- Mierzejewski A, "Cataract phacoemulsification and intraocular pressure in glaucoma patients", Klin Oczna, 110, pp.11~17 (2008)
- Gur Gungor S, "Changes in anterior chamber depth after phacoemulsification in pseudoexfoliative eyes and their effect on accuracy of intraocular lens power calculation", Turk J Ophthalmol, 46, pp.255~258 (2016)
- Masket S, "Late complications with intraocular lens dislocation after capsulorhexis in pseudoexfoliation syndrome", J Cataract Refract Surg, 28, pp.1481~1484 (2002)
- Ishikawa N, "Errors in the prediction of postoperative refraction following intraocular lens implantation in eyes with pseudoexfoliation syndrome", J Cataract Refract Surg, 39, pp.649~650 (2013)
- Chen PP, "Trabeculectomy function after cataract extraction", Ophthalmology, 105, pp.1928~1935 (1998)
- Hayashi K, "Intraocular pressure elevation after cataract surgery and its prevention by oral acetazolamide in eyes with pseudoexfoliation syndrome", J Cataract Refract Surg, 44, pp.175~181 (2018)
- Aristodemou P, "Formula choice: Hoffer Q, Holladay 1, or SRK", T and refractive outcomes in 8108 eyes after cataract surgery with biometry by partial coherence interferometry, 2011, pp.37, 63~71
- Olsen T, "Calculation of intraocular lens power : a review", Acta Ophthalmol Scand, 85, pp.472~485 (2007)
- Altan C, "Anterior chamber depth, iridocorneal angle width, and intraocular pressure changes after uneventful phacoemulsification in eyes without glaucoma and with open iridocorneal angles", J Cataract Refract Surg, 30, pp.832~838 (2004)
- Doganay S, "Evaluation of anterior segment parameter changes using the Pentacam after uneventful phacoemulsification", Acta Ophthalmol, 88, pp.601~606 (2010)
- Ucakhan OO, "Anterior chamber parameters measured by the Pentacam CES after uneventful phacoemulsification in normotensive eyes", Acta Ophthalmol, 87, pp.544~548 (2009)
- Martha Kim, "Changes in Anterior Chamber Configuration after Cataract Surgery as Measured by Anterior Segment Optical Coherence Tomography", Korean Journal of Ophthalmology, 25(2), pp.77~83 (2011), 대한안과학회
- Ning X, "Anterior chamber depth : a predictor of refractive outcomes after age-related cataract surgery", BMC Ophthalmol, 19, pp.134~ (2019)
- Muzyka-Wozniak M, "Anterior chamber depth and iris and lens position before and after phacoemulsification in eyes with a short or long axial length", J Cataract Refract Surg, 42, pp.563~568 (2016)
- Doganay S, "Evaluation of Pentacam-Scheimpflug imaging of anterior segment parameters in patients with pseudoexfoliation syndrome and pseudoexfoliative glaucoma", Clin Exp Optom, 95, pp.218~222 (2012)
- Yang F, "Analysis of refractive status after cataract surgery in age-related cataract patients with shallow anterior chamber", Zhonghua Yan Ke Za Zhi, 50, pp.84~88 (2014)
- Kugelberg M, "Factors related to the degree of success in achieving target refraction in cataract surgery : Swedish National Cataract Register study", J Cataract Refract Surg, 34, pp.1935~1939 (2008)
- Norrby S, "Sources of error in intraocular lens power calculation", J Cataract Refract Surg, 34, pp.368~376 (2008)
- Lundstrom M, "Risk factors for refractive error after cataract surgery : analysis of 282 811cataract extractions reported to the European Registry of Quality Outcomes for cataract and refractive surgery", J Cataract Refract Surg, 44, pp.447~452 (2018)
- Manoharan N, "Refractive outcomes of phacoemulsification cataract surgery in glaucoma patients", J Cataract Refract Surg, 44, pp.348~354 (2018)
- Schild AM, "Effect of a capsular tension ring on refractive outcomes in eyes with high myopia", J Cataract Refract Surg, 36, pp.2087~2093 (2010)
- Saadet GI, "Effect of the capsular tension ring on refractive outcome after phacoemulsification", Rom J Ophthalmol, 65, pp.59~63 (2021)
- Yeh OL, "Refractive outcome of cataract surgery in eyes with prior trabeculectomy : risk factors for postoperative myopia", J Glaucoma, 26, pp.65~70 (2017)
- Lee HS, "Factors affecting refractive outcome after cataract surgery in patients with a history of acute primary angle closure", Jpn J Ophthalmol, 58, pp.33~39 (2014)
- Erickson P, "Effects of intraocular lens position errors on postoperative refractive error", J Cataract Refract Surg, 16, pp.305~311 (1990)