Wavefront Aberrometry in Pseudophakic Patients Before and After Vitrectomy for Bothersome Floaters.

IF 0.5 Q4 OPHTHALMOLOGY
Daniel A Adelberg, Mark T Parsons
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Abstract

Introduction: To investigate whether the outcome of patients with persistent bothersome floaters who are managed with vitrectomy can be correlated with improvements in higher-order aberrations with wavefront aberrometry. Methods: Pseudophakic patients who had 27-gauge vitrectomy for persistent floaters and whose clinical assessment included preoperative and postoperative wavefront aberrometry were included. The primary outcome was the change in the higher-order aberration percentage measured by wavefront aberrometry. Results: The study included 76 eyes of 66 patients with a mean age (±SD) of 67.8 ± 7.5 years. The Snellen visual acuity improved from 20/32 preoperatively to 20/25 postoperatively (P = .004). Wavefront aberrometry showed a highly significant reduction in the higher-order aberration percentage (P < .000001), with a mean preoperative percentage of 53.9 and a mean postoperative percentage of 38.3. Subgroup analysis found a significant reduction in patients with no previous posterior capsulotomy (P = .001), previous neodymium:YAG capsulotomy (P < .000001), a monofocal intraocular lens (IOL) (P < .000001), and a multifocal IOL (P = .006). There was no significant difference in the mean preoperative and postoperative pupil size, sphere, cylinder, or spherical equivalent. Conclusions: Wavefront aberrometry demonstrates an objective, significant reduction in higher-order aberrations immediately after vitrectomy in pseudophakic patients with bothersome floaters.

玻璃体切除术前后假晶状体患者的波前像差测定。
前言:研究玻璃体切除术后持续性恼人飞蚊症患者的预后是否与波前像差法高阶像差的改善相关。方法:选取行27号玻璃体切除术治疗持续性飞蚊的假性晶状体患者,其临床评价包括术前和术后波前像差。主要结果是波前像差法测量的高阶像差百分比的变化。结果:纳入66例患者76只眼,平均年龄(±SD) 67.8±7.5岁。Snellen视力由术前的20/32提高到术后的20/25 (P = 0.004)。波前像差法显示高阶像差百分比的显著降低(P < 0.000001),术前平均百分比为53.9,术后平均百分比为38.3。亚组分析发现,无后囊膜切开术(P = 0.001)、有过nydymium:YAG囊切开术(P < 0.000001)、单焦点人工晶状体(P < 0.000001)和多焦点人工晶状体(P = 0.006)患者的白内障发生率显著降低。术前和术后的平均瞳孔大小、球体、圆柱形或球体等效大小没有显著差异。结论:波前像差法显示了玻璃体切除术后假性晶状体患者高阶像差的客观、显著降低。
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
CiteScore
1.20
自引率
16.70%
发文量
0
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