Effect of cataract surgery on macular and peripapillary optical coherence tomography values.

IF 1.4 4区医学 Q3 OPHTHALMOLOGY

International Ophthalmology Pub Date : 2025-05-12 DOI:10.1007/s10792-025-03557-8

Mona Pournaghi, Aidin Meshksar, Sadra Ashrafi, Kiana Hassanpour, Hossein Mohammad-Rabie, Shahin Yazdani, Bahareh Kheiri, Diba Idani, Farideh Sharifipour

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引用次数: 0

Abstract

Purpose: To evaluate the effects of cataract surgery on peripapillary retinal nerve fiber layer (pp-RNFL) and macular thickness measurements, obtained by optical coherence tomography (OCT).

Methods: In this prospective before-after study, both pp- and macular scans were obtained within two days before and then two weeks after surgery. Cataract density was graded using the Lens Opacities Classification System (LOCS) III. Pre- and postoperative quality scores and thicknesses were compared.

Results: In 100 studied eyes of 100 patients, quality scores and thickness values increased postoperatively. (all P < 0.001). The greatest change was observed at the nasal superior sector of pp-OCT (5.28 ± 11.11µm) and the temporal quadrant of 3-mm-diameter circle (7.40 ± 9.13 µm) of macular scans. Changes in the quality score were significantly correlated with changes in global, nasal, and temporal-inferior pp-RNFL thicknesses and none of macular sectors. The greatest changes in pp-RNFL and macular thicknesses were observed with posterior subcapsular and the least with cortical cataracts. In 14 eyes, the increase in pp-RNFL thickness measurements resulted in a change in color display of pie charts. In this subset of patients, significant positive correlation was observed between global thickness change and quality change. (r = 0.217, P = 0.033).

Conclusion: Cataract surgery significantly improves the quality score and thickness values of both pp- and macular OCT. Correcting OCT-derived pp-RNFL thicknesses in eyes with significant cataracts is needed to prevent misdiagnosis of glaucoma.

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白内障手术对黄斑和乳头周围光学相干断层扫描值的影响。

目的：评价白内障手术对视网膜乳头周围神经纤维层（pp-RNFL）及黄斑厚度测量的影响。方法：在这项前瞻性的术前-术后研究中，pp和黄斑扫描分别在手术前两天和术后两周内进行。采用晶状体混浊分级系统（los） III对白内障密度进行分级。比较术前和术后质量评分和厚度。结果：100例患者100只眼术后质量评分和厚度值均有提高。结论：白内障手术可显著提高pp- rnfl和黄斑oct的质量评分和厚度值。对于有明显白内障的眼，需要纠正oct获得的pp- rnfl厚度，以防止青光眼的误诊。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Ophthalmology OPHTHALMOLOGY-

CiteScore

3.20

自引率

0.00%

发文量

451

期刊介绍： International Ophthalmology provides the clinician with articles on all the relevant subspecialties of ophthalmology, with a broad international scope. The emphasis is on presentation of the latest clinical research in the field. In addition, the journal includes regular sections devoted to new developments in technologies, products, and techniques.