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Comparison between refractive outcomes between macula-on and macula-off retinal detachments after phaco-vitrectomy

  • Clinical Investigation
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Abstract

Purpose

To evaluate axial length (AL) measurements and refractive outcomes in vitrectomy combined with cataract operation for rhegmatogenous retinal detachment (RRD) with wholly detached macula.

Study design

Retrospective, consecutive, comparative, clinical study.

Methods

We reviewed the data of patients treated by vitrectomy combined with cataract operation for RRD. The group “Attach” (n=31) consisted of eyes in which retina was not detached within 1.5 disc diameters from the foveal center, and the group “Detach” (n=33) consisted of eyes in which that area was detached entirely. Only those eyes inthe group “Detach”, only the eyes (n=20) which AL were measured similar to those fellow eyes were compared to the group “Attach” (n=31). Refractive shift (RS) was defined as the average of the difference between postoperative spherical equivalent (SE) and predicted SE.

Results

AL was well measured by A-scan ultrasonography (A-scan) in all 31 eyes of the group “Attach” and their RS was ‒0.57 diopters (D). AL was measured by A-scan similar to the fellow eye in 20 of 33 eyes (60.6%) of the group “Detach”, and the RS was ‒0.09 D. The AL difference as much as central subfield macular thickness (about 300um) can make this difference of RS (0.48 D, P=0.025)

Conclusion

When AL can be measured by A-scan similar to its fellow eye in RRD with wholly detached macula, RS would be smaller than that of the wholly attached macula after phacovitrectomy. It assumed that AL was measured from the RPE under the detached macula in RRD with wholly detached macula.

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References

  1. Park SW, Kwon HJ, Kim HY, Byon IS, Lee JE, Oum BS. Comparison of scleral buckling and vitrectomy using wide angle viewing system for rhegmatogenous retinal detachment in patients older than 35 years. BMC Ophthalmol. 2015;15:1.

    Article  Google Scholar 

  2. Rose LT, Moshegov CN. Comparison of the Zeiss IOLMaster and applanation A-scan ultrasound: biometry for intraocular lens calculation. Clin Exp Ophthalmol. 2003;31:121–4.

    Article  PubMed  Google Scholar 

  3. Choi JH, Roh GH. The reproducibility and accuracy of biometry parameter measurement from IOL master (R). J Korean Ophthalmol Soci. 2004;45:1665–73.

    Google Scholar 

  4. Rahman R, Bong CX, Stephenson J. Accuracy of intraocular lens power estimation in eyes having phacovitrectomy for rhegmatogenous retinal detachment. Retina. 2014;34:1415–20.

    Article  PubMed  Google Scholar 

  5. Cho KH, Park IW, Kwon SI. Changes in postoperative refractive outcomes following combined phacoemulsification and pars plana vitrectomy for rhegmatogenous retinal detachment. Am J Ophthalmol. 2014;158:251–6.

    Article  PubMed  Google Scholar 

  6. Olsen T. Sources of error in intraocular lens power calculation. J Cataract Refract Surg. 1992;18:125–9.

    Article  CAS  PubMed  Google Scholar 

  7. Drexler W, Findl O, Menapace R, Rainer G, Vass C, Hitzenberger CK, et al. Partial coherence interferometry: a novel approach to biometry in cataract surgery. Am J Ophthalmol. 1998;126:524–34.

    Article  CAS  PubMed  Google Scholar 

  8. Findl O, Drexler W, Menapace R, Hitzenberger CK, Fercher AF. High precision biometry of pseudophakic eyes using partial coherence interferometry. J Cataract Refract Surg. 1998;24:1087–93.

    Article  CAS  PubMed  Google Scholar 

  9. Shin JA, Chung SK. Comparison of the refractive results measured by ultrasound and partial coherence interferometers. J Korean Ophthalmol Soc. 2013;54:723–7.

    Article  Google Scholar 

  10. Suzuki Y, Sakuraba T, Mizutani H, Matsuhashi H, Nakazawa M. Postoperative refractive error after simultaneous vitrectomy and cataract surgery. Ophthalmic Surg Lasers. 2000;31:271–5.

    CAS  PubMed  Google Scholar 

  11. Patel D, Rahman R, Kumarasamy M. Accuracy of intraocular lens power estimation in eyes having phacovitrectomy for macular holes. J Cataract Refract Surg. 2007;33:1760–2.

    Article  PubMed  Google Scholar 

  12. Jeoung JW, Chung H, Yu HG. Factors influencing refractive outcomes after combined phacoemulsification and pars plana vitrectomy: results of a prospective study. J Cataract Refract Surg. 2007;33:108–14.

    Article  PubMed  Google Scholar 

  13. Abou-Shousha M, Helaly HA, Osman IM. The accuracy of axial length measurements in cases of macula-off retinal detachment. Can J Ophthalmol. 2016;51:108–12.

    Article  PubMed  Google Scholar 

  14. Rahman R, Kolb S, Bong CX, Stephenson J. Accuracy of user-adjusted axial length measurements with optical biometry in eyes having combined phacovitrectomy for macular-off rhegmatogenous retinal detachment. J Cataract Refract Surg. 2016;42:1009–14.

    Article  PubMed  Google Scholar 

  15. Kim YK, Woo SJ, Hyon JY, Ahn J, Park KH. Refractive outcomes of combined phacovitrectomy and delayed cataract surgery in retinal detachment. Can J Ophthalmol. 2015;50:360–6.

    Article  PubMed  Google Scholar 

Download references

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Authors and Affiliations

  1. Department of Ophthalmology, Haeundae Paik Hospital, Inje University, Busan, Korea

    Kang Yeun Pak

  2. Department of Ophthalmology, School of Medicine, Pusan National University, Busan, South Korea

    Kang Yeun Pak, Keun Heung Park, Sung Who Park, Ik Soo Byon & Ji Eun Lee

  3. Medical Research Institute, Pusan National University Hospital, Ami dong 1-10, Seo-gu, Busan, South Korea

    Keun Heung Park, Sung Who Park & Ji Eun Lee

  4. Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Yangsan, South Korea

    Ik Soo Byon

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  1. Kang Yeun Pak
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  2. Keun Heung Park
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Correspondence to Sung Who Park.

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Conflicts of interest

K Y. Pak, None; K. H. Park, None; S. W. Park, None; I. S. Byon, None; J. E. Lee, None.

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Corresponding author: Sung Who Park

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Pak, K.Y., Park, K.H., Park, S.W. et al. Comparison between refractive outcomes between macula-on and macula-off retinal detachments after phaco-vitrectomy. Jpn J Ophthalmol 63, 310–316 (2019). https://doi.org/10.1007/s10384-019-00667-6

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  • DOI: https://doi.org/10.1007/s10384-019-00667-6

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