Refractive Error Induced by Combined Phacotrabeculectomy
Journal of the Korean Ophthalmological Society
; : 1173-1180, 2018.
Article
em Ko
| WPRIM
| ID: wpr-738498
Biblioteca responsável:
WPRO
ABSTRACT
PURPOSE:
We evaluated the postoperative accuracy of intraocular lens power prediction for patients undergoing phacotrabeculectomy and identified preoperative factors associated with refractive outcome in those with primary open-angle glaucoma (POAG).METHODS:
We retrospectively reviewed the medical records of 27 patients who underwent phacotrabeculectomy to treat POAG. We recorded all discrepancies between predicted and actual postoperative refractions. We compared the data to those of an age- and sex-matched control group that underwent uncomplicated cataract surgery during the same time period. Preoperative factors associated with the mean absolute error (MAE) were identified via multivariate regression analyses.RESULTS:
The mean refractive error of the 27 eyes that underwent phacotrabeculectomy was comparable to that of the 27 eyes treated via phacoemulsification (+0.02 vs. −0.01 D, p = 0.802). The phacotrabeculectomy group exhibited a significantly higher MAE (0.65 vs. 0.35 D, p = 0.035) and more postoperative astigmatism (−1.07 vs. −0.66 D, p = 0.020) than the phacoemulsification group. The preoperative anterior chamber depth (ACD) and the changes in the postoperative intraocular pressure (IOP) were significantly associated with a greater MAE after phacotrabeculectomy.CONCLUSIONS:
POAG treatment via combined phacoemulsification/trabeculectomy was associated with greater error in terms of final refraction prediction, and more postoperative astigmatism. As both a shallow preoperative ACD and a greater postoperative change in IOP appear to increase the predictive error, these two factors should be considered when planning phacotrabeculectomy.Palavras-chave
Texto completo:
1
Base de dados:
WPRIM
Assunto principal:
Erros de Refração
/
Astigmatismo
/
Catarata
/
Glaucoma
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Glaucoma de Ângulo Aberto
/
Prontuários Médicos
/
Estudos Retrospectivos
/
Facoemulsificação
/
Pressão Intraocular
/
Lentes Intraoculares
Tipo de estudo:
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Humans
Idioma:
Ko
Ano de publicação:
2018
Tipo de documento:
Article