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Evaluation of anterior-segment inflammation and retinal thickness change following cataract surgery.

AbstractPURPOSE:
To investigate the physiological retinal response to uneventful cataract surgery using conventional time-domain (TD-OCT) and current spectral-domain optical coherence tomography (SD-OCT) in combination with an assessment of the anterior chamber inflammatory reaction by laser flare/cell meter (LCFM).
METHODS:
Thirty-four patients scheduled for cataract surgery were included in this prospective pilot study. Retinal parameters were examined according to a standardized examination procedure using TD-OCT (Stratus; Carl Zeiss Meditec, Dublin, California, USA) and SD-OCT (Cirrus; Carl Zeiss Meditec) devices. The inflammatory reaction of the anterior chamber was measured by LFCM (Kowa FC-1000, Kowa Co. Ltd, Tokyo, Japan). Examinations were carried out preoperatively and at day 2, week 1 and week 4 postoperatively.
RESULTS:
A slight decrease of central retinal thickness values was identified at day 2 postoperatively followed by an increase of these parameters at week 4. LFCM showed peak values in all patients at day 2 postoperatively with a constant decrease at the following visits. No visible pathological retinal changes were seen after surgery.
CONCLUSION:
A biphasic retinal response after surgery could be shown with SD-OCT and TD-OCT technology. By using the advantages of rasterscanning mode, SD-OCT technology is superior to TD-OCT imaging in the investigation of the physiological retinal response to cataract surgery.
AuthorsGeraldine Stock, Christian Ahlers, Roman Dunavoelgyi, Guenal Kahraman, Joerg Schauersberger, Ursula Schmidt-Erfurth, Michael Amon
JournalActa ophthalmologica (Acta Ophthalmol) Vol. 89 Issue 4 Pg. 369-75 (Jun 2011) ISSN: 1755-3768 [Electronic] England
PMID19878107 (Publication Type: Journal Article)
Copyright© 2009 The Authors. Journal compilation © 2009 Acta Ophthalmol.
Topics
  • Aged
  • Aged, 80 and over
  • Anterior Eye Segment (pathology)
  • Capsulorhexis
  • Diagnostic Techniques, Ophthalmological
  • Female
  • Humans
  • Inflammation (pathology)
  • Lens Implantation, Intraocular
  • Male
  • Middle Aged
  • Phacoemulsification
  • Pilot Projects
  • Postoperative Complications
  • Prospective Studies
  • Retina (pathology)
  • Tomography, Optical Coherence
  • Uveitis, Anterior (diagnosis)

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