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The electro-oculogram in the early postoperative period following intracapsular cataract surgery

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Summary

EOGs were obtained from 30 patients with bilateral senile cataract the day before surgery and 2, 5, 8, 11, and 14 days after application of various techniques of uniocular intracapsular cataract extraction. Preoperatively and on the third postoperative day, mean EOG amplitudes of both eyes were generally about equal. In the absence of postoperative complications, trough and peak potentials of the treated eyes were significantly less than those of the untreated fellow eyes five days after surgery, and they remained at this lower level until the end of the test period. The averaged light-dark ratios about paralleled this behavior. The EOG changes observed appear to reflect delayed disturbances of the choroidal circulation as a normal consequence of cataract extraction.

Zusammenfassung

An 30 Patienten mit beidseitiger Cataracta senilis wurde das EOG am Tag vor und 2, 5, 8, 11 und 14 Tage nach einseitiger, in Schnitt- und Nahtverfahren differierender, intrakapsulärer Linsenextraktion abgeleitet. Präoperativ und am 3. postoperativen Tag unterschieden sich die mittleren EOG-Amplituden der operierten und nicht operierten Augen nur unwesentlich voneinander. 5 Tage nach dem Eingriff wurde eine signifikante Abnahme der Extremwerte bei Dunkel- sowie Helladaptation für die aphaken Augen gegenüber den Kontrollaugen registriert. Diese Divergenz blieb bis zum Ende der Meßperiode nahezu unverändert bestehen. Die prozentualen Verhältniswerte nach Arden u. Mitarb. zeigten im Mittel einen, im Vergleich zu den absoluten Daten, verspäteten Abfall. Die beobachteten EOG-Veränderungen sprechen für eine protrahiert, auch bei unkompliziertem Heilverlauf nach Kataraktoperation auftretende Störung der Chorioideazirkulation.

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Authors and Affiliations

  1. Department of Ophthalmology, University of Heidelberg, Germany

    H. J. Roth, E. Alexandridis & R. Pape

  2. Universitäts-Augenklinik, Bergheimer Str. 20, D-6900, Heidelberg, Germany

    H. J. Roth

Authors
  1. H. J. Roth
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  2. E. Alexandridis
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  3. R. Pape
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This work was supported in part by funds of the Deutsche Forschungsgemeinschaft.

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Roth, H.J., Alexandridis, E. & Pape, R. The electro-oculogram in the early postoperative period following intracapsular cataract surgery. Albrecht v. Graefes Arch. klin. exp. Ophthal. 190, 207–214 (1974). https://doi.org/10.1007/BF00407094

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