Change in Biometric Parameters after Deep Vitrectomy with Silicon Oil Tamponade

Mohsen Gohari, E. Babaei, Alireza Attar, Mohammad Shiravani, Laleh Salehi
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Abstract

Purpose:  To determine change in biometric parameters after PPV with silicon oil tamponade. Study Design:  Quasi experimental study. Place and Duration of Study:  Shahid Sadoughi University of Medical Sciences, Yazd, Iran, from 2021 to 2023. Method:  This study included 50 patients of 50 to 85 years with vitreous hemorrhage and proliferative diabetic retinopathy who were referred to Yazd hospital for PPV. The study evaluated all patients before and three months after PPV with Silicon oil (SO) injection in terms of anterior segment biometric parameters including lens thickness (LT), axial length AL, central corneal thickness (CCT), anterior chamber depth (ACD) and mean of keratometry.  The IBM SPSS version 16.0 processor software was used to analyze the data. The Kolmogorov-Smirnov test was employed to evaluate the normality of the data distribution. The paired t-test was performed to evaluate the mean differences between datasets. The P-value of less than 0.05 was considered statistically significant. Results:  The study consisted of 50 participants, of which 28% (n = 14) were females. Mean age was 65.92 ± 9.58 years. Vitreous hemorrhage was present in 34% (n = 17) participants and proliferative diabetic retinopathy was seen in 66% (n = 33). Mean of each parameter was as follows after surgery: AL: 23.88 ± 1.48, LT: 4.32 ± 0.39, CCT: 527.63 ± 39.38, ACD: 3.17 ± 0.59, and keratometry: 44.0 ± 1.32. Conclusion:  SO increased the axial length of the eye and caused a myopic shift in patients who underwent vitrectomy surgery with SO tamponade.
硅油填塞法玻璃体深部切除术后生物测量参数的变化
目的:探讨硅油填塞PPV后生物特征参数的变化。研究设计:准实验研究。学习地点和时间:Shahid Sadoughi医学大学,亚兹德,伊朗,2021年至2023年。方法:本研究纳入50例50 ~ 85岁的玻璃体出血合并增殖性糖尿病视网膜病变患者,这些患者转诊至亚兹德医院接受PPV治疗。该研究评估了所有患者在PPV前和三个月后注射硅油(SO)的前段生物特征参数,包括晶状体厚度(LT),轴向长度AL,角膜中央厚度(CCT),前房深度(ACD)和角膜测量平均值。采用IBM SPSS 16.0处理软件对数据进行分析。采用Kolmogorov-Smirnov检验评价数据分布的正态性。配对t检验评估数据集之间的平均差异。p值小于0.05认为有统计学意义。结果:该研究包括50名参与者,其中28% (n = 14)为女性。平均年龄65.92±9.58岁。玻璃体出血发生率为34% (n = 17),增殖性糖尿病视网膜病变发生率为66% (n = 33)。术后各参数平均值:AL: 23.88±1.48,LT: 4.32±0.39,CCT: 527.63±39.38,ACD: 3.17±0.59,角膜度数:44.0±1.32。结论:在玻璃体切除术患者中,SO增加了眼轴长度并引起近视移位。
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