دورية أكاديمية
Macular Optical Coherence Tomography before Cataract Surgery.
| العنوان: | Macular Optical Coherence Tomography before Cataract Surgery. |
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| المؤلفون: | Alizadeh Y; Eye Research Center, Department of Eye, Amiralmomenin Hospital, School of Medicine, Guilan University of Medical Science, Rasht, Iran., Akbari M; Eye Research Center, Department of Eye, Amiralmomenin Hospital, School of Medicine, Guilan University of Medical Science, Rasht, Iran., Moghadam RS; Eye Research Center, Department of Eye, Amiralmomenin Hospital, School of Medicine, Guilan University of Medical Science, Rasht, Iran., Medghalchi A; Eye Research Center, Department of Eye, Amiralmomenin Hospital, School of Medicine, Guilan University of Medical Science, Rasht, Iran., Dourandeesh M; Eye Research Center, Department of Eye, Amiralmomenin Hospital, School of Medicine, Guilan University of Medical Science, Rasht, Iran., Bromandpoor F; Eye Research Center, Department of Eye, Amiralmomenin Hospital, School of Medicine, Guilan University of Medical Science, Rasht, Iran. |
| المصدر: | Journal of current ophthalmology [J Curr Ophthalmol] 2021 Oct 22; Vol. 33 (3), pp. 317-322. Date of Electronic Publication: 2021 Oct 22 (Print Publication: 2021). |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Wolters Kluwer - Medknow Country of Publication: India NLM ID: 101678509 Publication Model: eCollection Cited Medium: Print ISSN: 2452-2325 (Print) Linking ISSN: 24522325 NLM ISO Abbreviation: J Curr Ophthalmol Subsets: PubMed not MEDLINE |
| أسماء مطبوعة: | Publication: 2020- : Mumbai, India : Wolters Kluwer - Medknow Original Publication: [Tehran] : Iranian Society of Ophthalmology, production and hosting by Elsevier B.V., [2015]- |
| مستخلص: | Purpose: To determine the benefits of performing preoperative spectral domain optical coherence tomography (SD-OCT) and to identify occult macular pathologies in patients scheduled for routine cataract surgery. Methods: In this cross-sectional study, macular SD-OCT scans were performed on all patients with clinically undetected macular abnormalities who were scheduled for cataract surgery. Patients with clinically evident macular abnormalities were excluded from the study. A retinal specialist reviewed all the scans. The severity of the cataract was determined using the Oxford Clinical Cataract Classification and Grading System. Results: Of the 598 evaluated cases, 33 patients (5.52%) had an occult macular abnormality. The most common pathology found in these patients was idiopathic epiretinal membrane, which was detected in 17 eyes (51.52%), followed by vitreomacular traction in nine eyes (27.27%), and dry age-related macular degeneration in four eyes (12.12%). Full-thickness macular holes and a lamellar macular hole were found in two patients (6.06%) and one patient (3.03%), respectively. The frequency of cortical cataracts was significantly lower in patients without macular lesions ( P = 0.012) than in those with macular lesions. Multivariate logistic regression analysis revealed that age >70 years ( P = 0.025 and odds ratio [OR] =11.12), smoking history ( P = 0.043 and OR = 3.43), and hypertension were independently associated with occult macular lesions. The surgical plan was changed for five patients (0.83%). Conclusions: Macular SD-OCT can be used to detect occult macular lesions and provide useful information about a macula before cataract surgery. Although preoperative OCT found macular abnormalities in about 5% of patients with presumed normal fundus examination, it can result in changing the surgical plan in 0.83% of all patients. Competing Interests: There are no conflicts of interest. (Copyright: © 2021 Journal of Current Ophthalmology.) |
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| فهرسة مساهمة: | Keywords: Cataract surgery; Occult macular disease; Optical coherence tomography |
| تواريخ الأحداث: | Date Created: 20211112 Latest Revision: 20220428 |
| رمز التحديث: | 20240628 |
| مُعرف محوري في PubMed: | PMC8579804 |
| DOI: | 10.4103/joco.joco_240_20 |
| PMID: | 34765821 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 2452-2325 |
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| DOI: | 10.4103/joco.joco_240_20 |