Corneal Subbasal Nerve Density and Sensitivity After Pars Plana Vitrectomy Using Contact or Noncontact Wide-Angle Viewing Systems
| Autor: | Davide Marigliani, Tommaso Bacci, Gian Marco Tosi, Gabriele Cevenini, Antonio Tarantello, Gianni Virgili, Claudio Traversi, Gianluca Martone |
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| Rok vydání: | 2018 |
| Předmět: |
Male
0301 basic medicine Intraocular pressure Visual acuity genetic structures medicine.medical_treatment Visual Acuity Vitrectomy Cornea Computer-Assisted 0302 clinical medicine Prospective Studies Tomography Microscopy Microscopy Confocal Retinal detachment Middle Aged Scleral Buckling medicine.anatomical_structure Surgery Computer-Assisted Trigeminal Nerve Diseases Confocal Female medicine.symptom Tomography Optical Coherence Pseudophakia Diagnostic Imaging Pars plana medicine.medical_specialty Endotamponade 03 medical and health sciences Ophthalmology medicine Humans Intraocular Pressure Aged business.industry Retinal Detachment Cataract surgery medicine.disease eye diseases 030104 developmental biology Optical Coherence 030221 ophthalmology & optometry Surgery sense organs business |
| Zdroj: | Cornea. 37:1130-1137 |
| ISSN: | 0277-3740 |
| DOI: | 10.1097/ico.0000000000001656 |
| Popis: | To assess corneal subbasal nerve density (SBND) and corneal sensitivity (CS) after pars plana vitrectomy (PPV) for rhegmatogenous retinal detachment (RRD) without intraoperative 360-degree laser treatment using contact or noncontact panoramic viewing systems.This is a prospective study of 34 eyes affected by RRD, which underwent PPV using contact (18 eyes) and noncontact (16 eyes) panoramic viewing systems; 12 eyes which underwent scleral buckling, and 17 eyes which underwent cataract surgery. SBND and CS were assessed before surgery and 3 and 6 months postoperatively by in vivo confocal microscopy and Cochet-Bonnet esthesiometry.Compared with baseline values, at 6 months, SBND and CS decreased in both contact PPV (SBND preoperative value: 19.1 ± 3.7 mm/mm; SBND postoperative value: 3.5 ± 1.3 mm/mm; CS preoperative value: 5.1 ± 0.5 cm; CS postoperative value: 1.5 ± 0.4 cm) and in noncontact PPV groups (SBND preoperative value: 19.5 ± 3.8 mm/mm; SBND postoperative value: 8.7 ± 2.3 mm/mm; CS preoperative value: 5.3 ± 0.5 cm; CS postoperative value: 2.5 ± 0.7 cm) (P0.001 for all comparisons). SBND reduction was greater in the contact PPV group than in the noncontact PPV group (P0.001). By contrast, the scleral buckling and cataract surgery group values were unchanged (P0.1 for all comparisons). In multivariate analysis, no significant effect was found for cataract surgery associated with PPV, pseudophakia, surgical time, intraocular pressure, or for laser in horizontal sectors for PPV groups. SBND was highly correlated with CS (r = 0.93).A contact viewing system reduces SBND after PPV more than a noncontact system does. |
| Databáze: | OpenAIRE |
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