Clinically significant pseudophakic cystoid macular edema after bag-in-the-lens implantation
| Autor: | Dorothée Scheers, Sorcha Ní Dhubhghaill, Marie-José Tassignon, Kristien Wouters, Luc Van Os |
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| Přispěvatelé: | Ophtalmology - Eye surgery |
| Rok vydání: | 2020 |
| Předmět: |
Male
genetic structures Visual Acuity/physiology medicine.medical_treatment Visual Acuity Intraocular lens 0302 clinical medicine Lens Implantation Intraocular risk factors Medicine Intraoperative Complications Capsulorhexis Hazard ratio Middle Aged Sensory Systems young adult Female Adult Pseudophakia/etiology medicine.medical_specialty Pseudophakia Macular Edema/etiology Macular Edema 03 medical and health sciences Ophthalmology Diabetes mellitus Phacoemulsification/adverse effects postoperative complications Humans Lens Implantation Intraocular/adverse effects Macular edema Aged Retrospective Studies Phacoemulsification business.industry Macular degeneration Cataract surgery medicine.disease eye diseases incidence 030221 ophthalmology & optometry Surgery Human medicine sense organs aged 80 and over business 030217 neurology & neurosurgery Follow-Up Studies |
| Zdroj: | Journal of cataract and refractive surgery |
| ISSN: | 1873-4502 0886-3350 |
| Popis: | Purpose: To determine the incidence of clinically significant pseudophakic cystoid macular edema (CSPME) after phacoemulsification using the bag-in-the-lens intraocular lens (BIL IOL) implantation technique and to examine the influence of associated risk factors, both ocular and systemic. Setting: Monocentric, Antwerp University Hospital, Belgium. Design: Retrospective. Methods: This study included 1 077 first-operated eyes of 1 077 adults who underwent phaco-emulsification cataract surgery using the BIL IOL implantation technique between January 2013 and December 2015. Results: The 3-month incidence of CSPME in the subgroup without risk factors was 0% (95% CI, 0.0-0.0). The 3-month incidence of CSPME in the subgroup with risk factors was 2.8% (95% CI, 1.3-4.3). The 3-month incidence of CSPME in the total group of 1077 patients was 1.4% (95% CI, 0.6-2.1). The risk factors most significantly associated with CSPME included diabetes (hazard ratio [HR]: 5.37; 95% CI, 1.5-19.3; P = .019), exudative age-related macular degeneration (HR: 121; 95% CI, 36.1-409; P < .001), and macular traction (HR: 6.47; 95% CI, 1.9-22.1; P < .009). Conclusions: The incidence of CSPME was zero in eyes without risk factors. The incidence was consistent with previous reports in the literature regarding the lens-in-the-bag IOL implantation technique in eyes with risk factors. This indicates that the BIL IOL implantation technique is a safe procedure and does not confer a higher risk for developing cystoid macular edema after cataract surgery compared with the lens-in-the-bag IOL implantation technique, despite the requirement of a primary posterior continuous curvilinear capsulorhexis. Copyright (C) 2020 Published by Wolters Kluwer on behalf of ASCRS and ESCRS |
| Databáze: | OpenAIRE |
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