The effects of peripheral anterior synechiae on refractive outcomes after cataract surgery in eyes with primary angle-closure disease.

Abstract

ABSTRACT:

Objective of the study was to investigate the effects of peripheral anterior synechiae (PAS) on refractive outcomes after cataract surgery in eyes with primary angle-closure disease (PACD).This is a retrospective, cross-sectional study. Seventy eyes of 70 PACD patients who underwent phacoemulsification and intraocular lens implantation. Patients were divided into 2 groups based on the presence of PAS on preoperative gonioscopy. The predictive power of the intraocular lens was calculated by the SRK/T, Hoffer Q, Haigis, and Holladay formulae. The mean absolute error (MAE) and predicted refractive errors were compared between PAS (+) and PAS (-) groups. We also evaluated the refractive errors with regards to the extent of PAS in the subanalyses.The mean MAE was greater in the PAS (+) group with all formulae (0.61-0.70 diopters [D] vs 0.33-0.45 D, all P < .05). The eyes with PAS tended towards myopia (-0.30 D to -0.51 D vs -0.05 D to +0.24 D, all P < .05). However, the MAEs or predicted refractive errors were not different, irrespective of the extent of PAS in the subanalyses (all, P > .05).The presence or absence of PAS may influence the postoperative refractive outcomes in PACD patients.

• Authors: Tae-Eun Lee, Chungkwon Yoo, Yong Yeon Kim
• Journal: Medicine (Medicine (Baltimore)) Vol. 100 Issue 14 Pg. e24673 (Apr 09 2021) ISSN: 1536-5964 [Electronic] United States
• PMID: 33832065 (Publication Type: Journal Article, Observational Study)
• Copyright: Copyright © 2021 the Author(s). Published by Wolters Kluwer Health, Inc.

Topics

• Aged
• Case-Control Studies
• Cataract Extraction
• Cross-Sectional Studies
• Female
• Glaucoma, Angle-Closure (complications)
• Humans
• Iris Diseases (etiology)
• Lens Implantation, Intraocular (adverse effects)
• Male
• Phacoemulsification (adverse effects)
• Refractive Errors (etiology)
• Retrospective Studies