Post-phacoemulsification examination of intraocular pathologies that could not bedetected by fundus biomicroscopy or OCT in eyes with dense cataract: trying to avoid intra- and post-operative complications

IF 2.6 3区医学 Q2 ONCOLOGY

Photodiagnosis and Photodynamic Therapy Pub Date : 2025-06-26 DOI:10.1016/j.pdpdt.2025.104696

Sule Gokcek Gurturk Icoz , Sevde Akcay Usta , Mehmet Icoz

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引用次数: 0

Abstract

Purpose

: To investigate postoperative intraocular pathologies in eyes with dense cataracts that preclude fundus evaluation.

Design

:Retrospective study.

Methods

: This study was conducted on 88 eyes from 88 patients.All participants underwent uncomplicated phacoemulsification and intraocular lens implantation due to dense cataracts that prevented fundus evaluation in biomicroscopic dilated fundus examination. In the postoperative first-month follow-up, intraocular pathologies were assessed via dilated biomicroscopic fundus examination, color fundus photography, and optical coherence tomography.Potential risk factors were identified using univariate and multivariate regression analyses.

Results

: The mean age of the patients was 69 ± 11 (range:28–92) years, with 49 being female. Intraocular pathologies were detected in 33 patients (37 %).The most frequently observed pathologies were diabetic retinopathy (n = 11, 13 %), followed by age-related macular degeneration (n = 7, 8 %), epiretinal membrane (n = 6, 7 %), full-thickness or lamellar macular holes (n = 3, 3 %), photoreceptor damage (n = 2, 2 %), glaucomatous changes (n = 2, 2 %), myopic degeneration (n = 1, 1 %), and vitreomacular traction (n = 1, 1 %).Both univariate and multivariate regression analyses revealed diabetes mellitus and the presence of pathology in the fellow eye as significant risk factors for postoperative intraocular pathologies in patients with dense cataracts (p < 0.05 and p < 0.001,respectively).

Conclusion

: A considerable proportion of intraocular pathologies were detected postoperatively in eyes with dense cataracts.Diabetes mellitus and the presence of pathology in the fellow eye were found to be significant risk factors for postoperative intraocular pathologies in both univariate and multivariate regression analyses.These findings provide valuable evidence for clinicians and patients regarding postoperative intraocular pathologies in eyes with mature cataracts.

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致密性白内障白内障行超声乳化术后检查眼底生物显微镜或OCT检查不出的眼内病变，避免术中及术后并发症。

目的：探讨致密性白内障术后妨碍眼底评价的眼内病变。设计：回顾性研究。方法：对88例患者88只眼进行研究。所有的参与者都接受了简单的超声乳化术和人工晶状体植入术，因为在生物显微镜下的眼底扩张检查中，密集的白内障阻碍了对眼底的评估。术后第一个月随访时，通过眼底生物显微镜检查、彩色眼底摄影和光学相干断层扫描评估眼内病理。使用单因素和多因素回归分析确定潜在的危险因素。结果：患者平均年龄69±11岁（28 ~ 92岁），其中女性49岁。33例（37%）患者发现眼内病变。最常见的病变是糖尿病视网膜病变（n= 11,13 %），其次是年龄相关性黄斑变性（n= 7,8 %）、视网膜前膜（n= 6,7 %）、全层或板层黄斑孔洞（n= 3,3 %）、光感受器损伤（n= 2,2 %）、青光眼病变（n= 2,2 %）、近视变性（n= 1,1 %）和玻璃体黄斑牵拉（n= 1,1 %）。单因素和多因素回归分析均显示糖尿病和同眼病变是致密性白内障患者术后发生眼内病变的重要危险因素(结论：致密性白内障术后发现相当比例的眼内病变。在单因素和多因素回归分析中，糖尿病和伴眼病变被发现是术后眼内病变的重要危险因素。这些发现为临床医生和患者了解成熟白内障术后眼内病变提供了有价值的依据。

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来源期刊

Photodiagnosis and Photodynamic Therapy ONCOLOGY-

CiteScore

5.80

自引率

24.20%

发文量

509

审稿时长

50 days

期刊介绍： Photodiagnosis and Photodynamic Therapy is an international journal for the dissemination of scientific knowledge and clinical developments of Photodiagnosis and Photodynamic Therapy in all medical specialties. The journal publishes original articles, review articles, case presentations, "how-to-do-it" articles, Letters to the Editor, short communications and relevant images with short descriptions. All submitted material is subject to a strict peer-review process.