Academic Journal
Refractive outcomes of a single-step and a two-step approach for silicone oil removal and cataract surgery
| العنوان: | Refractive outcomes of a single-step and a two-step approach for silicone oil removal and cataract surgery |
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| المؤلفون: | V G Madanagopalan, Pradeep Susvar, M Arthi |
| المصدر: | Indian Journal of Ophthalmology, Vol 67, Iss 5, Pp 625-629 (2019) |
| بيانات النشر: | Wolters Kluwer Medknow Publications, 2019. |
| سنة النشر: | 2019 |
| المجموعة: | LCC:Ophthalmology |
| مصطلحات موضوعية: | Cataract surgery, myopic shift, refractive outcome, silicone oil removal, two-step surgery, Ophthalmology, RE1-994 |
| الوصف: | Purpose: To compare the intermediate-term refractive outcomes of a single-step and a two-step approach for silicone oil removal (SOR) and cataract surgery. Methods: Case records of patients who had SOR and phacoemulsification (PE) from 2011 to 2013 at a tertiary center in South India were retrospectively analyzed. A total of 135 eyes that underwent ultrasound biometry (UB) were studied. Eighty-seven eyes had SOR and PE at a single surgery (Group A), where as UB was done in a silicone oil (SO) filled eye. Forty-eight eyes had SOR followed by PE later (Group B), where UB was done in a fluid-filled eye. The refractive error (RE) and best-corrected visual acuity (BCVA) at postoperative day 45 (D45) and postoperative month 3 (M3) were compared. Results: Baseline axial length, intraocular lens (IOL) power, and RE in both groups were comparable. A myopic shift (4.18 ± 5.47 diopters [D]) was noted in 92% eyes at M3. Forty-nine percent eyes had a RE of ≤±1.5D at M3. RE at D45 and at M3 was significantly lesser in Group B (−1.73 ± 2.04 vs. −0.64 ± 1.75; P, 0.002). BCVA was significantly lesser in Group A at baseline, at D45, and at M3 (P < 0.01 for all). There was no difference in other baseline characteristics of eyes that had RE ≤±1.5D and those that had RE >±1.5D at M3. Conclusion: SO-filled eyes had a myopic shift in refraction after SOR and PE. When UB is used for IOL power calculation, better refractive outcomes are obtained when SOR and PE are performed in a two-step approach. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 0301-4738 1998-3689 |
| Relation: | http://www.ijo.in/article.asp?issn=0301-4738;year=2019;volume=67;issue=5;spage=625;epage=629;aulast=Madanagopalan; https://doaj.org/toc/0301-4738; https://doaj.org/toc/1998-3689 |
| DOI: | 10.4103/ijo.IJO_1380_18 |
| URL الوصول: | https://doaj.org/article/1f9b6ac6a46f4ee6952574d2b7c7dc8b |
| رقم الانضمام: | edsdoj.1f9b6ac6a46f4ee6952574d2b7c7dc8b |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 03014738 19983689 |
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| DOI: | 10.4103/ijo.IJO_1380_18 |