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Changes in ocular biometric parameters after renal transplantation

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Abstract

Purpose

This study aimed to investigate the changes in postoperative ocular biometric parameters in end-stage renal disease patients who underwent renal transplantation.

Material and methods

This retrospective study included a total of 33 eyes of 33 patients. The ocular biometric measurements which were evaluated were axial length (AL), central corneal thickness (CCT), anterior chamber depth (ACD), corneal keratometry (K1 and K2), degree of astigmatism, lens thickness (LT), and intraocular pressure (IOP). Refractive prediction error (RE) was calculated before and after renal transplantation using the same diopter (D) for intraocular lens (IOL) power calculation and evaluated for potential cataract surgery.

Results

The study included 15 male (45%) and 18 female (55%) patients. Mean patient age was 31.55 ± 8.24 (range: 18–49 years). In the comparison of preoperative and 1-month postoperative measurements, there was a statistically significant difference in AL, LT, ACD, and CCT (p < 0.001). There was no statistically significant difference between K1, K2, and astigmatism measurements (p = 0.72; p = 0.35; p = 0.62, respectively). There was no statistically significant difference in RE (p = 0.61-Holladay 2).

Conclusion

While renal transplantation surgery does not lead to significant changes in astigmatism, predicted refractive error, corneal keratometry, or intraocular pressure, it causes significant decrease in axial length, lens thickness, and central corneal thickness and significant increase in anterior chamber depth. However, these changes do not result in significant changes in IOL power calculation in planned cataract surgery.

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Funding

This study was funded by Baskent University Research Fund (94603339–604.01.02/23270).

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Authors and Affiliations

  1. Department of Ophthalmology, Faculty of Medicine, Baskent University, 06490, Ankara, Turkey

    Mustafa Aksoy, Leyla Asena, Sirel Gur Gungor & Ahmet Akman

  2. Department of General Surgery, Faculty of Medicine, Baskent University, Ankara, Turkey

    Ebru H. Ayvazoglu Soy & Mehmet Haberal

Authors
  1. Mustafa Aksoy
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  2. Leyla Asena
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  3. Sirel Gur Gungor
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  4. Ebru H. Ayvazoglu Soy
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  5. Ahmet Akman
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  6. Mehmet Haberal
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Corresponding author

Correspondence to Mustafa Aksoy.

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Conflict of interest

The authors declared that there is no Conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the Institutional Ethics Review Board of Baskent University and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

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Aksoy, M., Asena, L., Gungor, S.G. et al. Changes in ocular biometric parameters after renal transplantation. Int Ophthalmol 40, 2283–2289 (2020). https://doi.org/10.1007/s10792-020-01411-7

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  • DOI: https://doi.org/10.1007/s10792-020-01411-7

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