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Changes of conjunctivochalasis after cataract surgery via a superior transconjunctival sclerocorneal incision

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Abstract

The purpose of this study was to evaluate the changes in the severity of conjunctivochalasis after cataract surgery performed via a superior conjunctival sclerocorneal incision. Prospective investigation was performed in a consecutive series of 36 eyes of 36 patients aged 62–85 years who underwent phacoemulsification and implantation of a 6.0-mm foldable intraocular lens through a 2.8-mm superior sclerocorneal incision. The age, gender, medical history, ocular history, grade, refraction, and axial length were determined in all subjects. The conjunctivochalasis score (0–3) and other parameters were determined at three sites (nasal, middle, and temporal) according to the system for grading conjunctivochalasis proposed by Meller and Tseng (at baseline and at 1, 4, and 12 weeks postoperatively). The total conjunctivochalasis score (sum of the scores for the temporal, middle, and nasal regions: 0–9) increased significantly from 4.0 ± 1.9 at baseline to 4.8 ± 2.1 at 1 week postoperatively (p = 0.0048), and subsequently decreased again at 4 weeks (4.3 ± 2.0) and 12 weeks (4.0 ± 1.9). Multivariate logistic regression analysis showed that progression of conjunctivochalasis at 12 weeks was significantly associated with the axial length [odds ratio (OR) = 1.21, p = 0.0118] and with conjunctival suture placement (OR = 1.34, p = 0.0493). When cataract surgery was performed via a superior sclerocorneal incision, the severity of conjunctivochalasis at 12 weeks postoperatively was similar to that at baseline. Our findings suggest that a superior sclerocorneal incision has no influence on the progression of conjunctivochalasis after cataract surgery.

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Acknowledgments

This work was partly supported by a Grant-in-Aid for Scientific Research from the Ministry of Education, Culture, Sports, Science and Technology of Japan and by a Health Labour Sciences Research Grant from The Ministry of Health Labour and Welfare of Japan.

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Authors and Affiliations

  1. Department of Ophthalmology, Tokyo Women’s Medical University Medical Center East, 2-1-10 Nishiogu, Arakawa-ku, Tokyo, 116-8567, Japan

    Tatsuya Mimura, Michiko Iida, Rie Oshima, Yuko Kamei, Mari Goto, Aki Kondo & Masao Matsubara

  2. Department of Ophthalmology, University of Tokyo Graduate School of Medicine, Tokyo, Japan

    Tatsuya Mimura & Aki Kondo

  3. Department of Ophthalmology, Hachioji Medical Center, Tokyo Medical University, Tokyo, Japan

    Hidetaka Noma

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  1. Tatsuya Mimura
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  2. Michiko Iida
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  3. Rie Oshima
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  4. Hidetaka Noma
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  5. Yuko Kamei
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  6. Mari Goto
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  7. Aki Kondo
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  8. Masao Matsubara
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Correspondence to Tatsuya Mimura.

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Mimura, T., Iida, M., Oshima, R. et al. Changes of conjunctivochalasis after cataract surgery via a superior transconjunctival sclerocorneal incision. Int Ophthalmol 37, 691–700 (2017). https://doi.org/10.1007/s10792-016-0328-y

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  • DOI: https://doi.org/10.1007/s10792-016-0328-y

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