Skip to main content

Advertisement

SpringerLink
Log in

Comparison of macular thickness change by optical coherence tomography after uncomplicated cataract surgery in eyes with and without exfoliation syndrome

  • Original Paper
  • Published:
International Ophthalmology Aims and scope Submit manuscript

Abstract

Purpose

To evaluate the effect of exfoliation syndrome (ES) on macular thickness after uncomplicated cataract surgery.

Methods

87 patients (87 eyes) who underwent uncomplicated cataract surgery were included in the study. Optical coherence tomography (OCT) films were taken in addition to the routine ophthalmologic examination before the surgery and at postoperative 1st week, 1st, 3rd and 6th months. Mean macular thickness, central macular thickness and macular volume values obtained from the 6 × 6 mm macular map in the OCT measurements were recorded. The cases were divided into two groups as Group 1: cases without ES and Group 2: cases with ES. The macular values obtained from the OCT measurements of the two groups were compared with statistical methods.

Results

Eighty-seven eyes were included in the study; while 51 had no ES (Group 1), 36 had ES (Group 2). The mean age of all cases was 66.70 ± 9.13 years. While the mean macular thickness, central macular thickness and macular volume were similar at the preoperative visit and the postoperative 1st week of all cases (each p value > 0.05); these values were higher at the postoperative 1st, 3rd and 6th month compared to the preoperative and the postoperative 1st week values (each p value < 0.05). The highest values were obtained at the postoperative 1st month; while the values of 1st, 3rd and 6th months were statistically similar (each p value > 0.05). No statistically significant difference was observed between Group 1 and Group 2 in terms of macular volume, central macular thickness and average macular thickness in these periods.

Conclusion

Exfoliation syndrome has not been evaluated as a risk factor for an increase in macular thickness after uncomplicated cataract surgery.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Aboobakar IF, Johnson WM, Stamer WD et al (2017) Major review: exfoliation syndrome; advances in disease genetics, molecular biology, and epidemiology. Exp Eye Res 154:88–103

    Article  CAS  Google Scholar 

  2. Bradford JS, O’Donoghue MW, Heltzer J (2003) Outcome of phacoemulsification in patients with and without pseudoexfoliation syndrome. J Cataract Refrac Surg 29(6):1080–1086

    Article  Google Scholar 

  3. Ilveskoski L, Taipale C, Holmström EJ, Tuuminen R (2019) Macular edema after cataract surgery in eyes with and without pseudoexfoliation syndrome. Eur J Ophthalmol 29(5):504–509

    Article  Google Scholar 

  4. Schumacher S, Nguyen NX, Kuchle M, Naumann GO (1999) Quantification of aqueous flare after phacoemulsification with intraocular lens implantation in eyes with pseudoexfoliation syndrome. Arch Ophthalmol 117(6):733–735

    Article  CAS  Google Scholar 

  5. Chu CJ, Johnston RL, Buscombe C et al (2016) Risk factors and incidence of macular edema after cataract surgery: a database study of 81984 eyes. Ophthalmology 123(2):316–323

    Article  Google Scholar 

  6. Flach AJ (1998) The incidence, pathogenesis and treatment of cystoid macular edema following cataract surgery. Trans Am Ophthalmol Soc 96:557–634

    CAS  PubMed  PubMed Central  Google Scholar 

  7. Packer M, Lowe J, Fine H (2012) Incidence of acute postoperative cystoid macular edema in clinical practice. J Cataract Refract Surg 38(12):2108–2111

    Article  Google Scholar 

  8. Mentes J, Erakgun T, Afrashi F, Kerci G (2003) Incidence of cystoid macular edema after uncomplicated phacoemulsification. Ophthalmologica 217:408–412

    Article  Google Scholar 

  9. Lobo CL, Faria PM, Soares MA, Bernardes RC, Cunha-Vaz JG (2004) Macular alterations after small-incision cataract surgery. J Cataract Refract Surg 30:752–760

    Article  Google Scholar 

  10. Yiğit U, Keskin Ş, Ağaçhan A, Çakmak TuğcuB (2012) The Evaluation of Macular Thickness Changes Measured by Optic Coherens Tomography After Uneventful Phacoemulsification Surgery in Patients with and without Pseudoexfoliation Syndrome. Turk J Ophthalmol 42(5):321–325

    Article  Google Scholar 

  11. Yuksel N, Dogu B, Karabas VL, Çağlar Y (2008) Foveal thickness after phacoemulsification in patients with pseudoexfoliation syndrome, pseudoexfoliation glaucoma, or primary open-angle glaucoma. J Cataract Refr Surg 34:1953–1957

    Article  Google Scholar 

  12. Ching HY, Wong AC, Wong CC, Woo DC, Chan CW (2006) Cystoid macular oedema and changes in retinal thickness after phacoemulsification with optical coherence tomography. Eye 20:297–303

    Article  Google Scholar 

  13. Georgopoulos GT, Papaconstantinou D, Niskopoulou M, Moschos M, Georgalas I, Koutsandrea C (2008) Foveal thickness after phacoemulsification as measured by optical coherence tomography. Clin Ophthalmol 2:817–820

    PubMed  PubMed Central  Google Scholar 

  14. Perente I, Utine CA, Ozturker C, Cakır M, Kaya V, Eren H, Kapran Z, Yilmaz OF (2007) Evaluation of macular changes after un- complicated phacoemulsification surgery by optical coherence tomography. Curr Eye Res 32:241–247

    Article  Google Scholar 

  15. Tetikoğlu M, Ün Y, Tunc Y, Yılmaz T, Öztürk M, Cinhüseyinoğlu N, Elçioğlu M (2014) Evaluation of macular thickness after phacoemulsification surgery by optical coherence tomography. Turk J Ophthalmol 44:88–91

    Article  Google Scholar 

  16. Değı̇rmencı̇ C, Afrashı̇ F, Öztaş Z, Nalçacı S, Menteş J, Akkın C (2015) Evaluation of macular thickness changes after uneventful cataract surgery using optical coherence tomography. Ret Vit 23:313–316

    Google Scholar 

  17. Cagini C, Fiore T, Laccheri B, Piccinelli F, Ricci MA, Fruttini D (2009) Macular thickness measured by optical coherence tomography in a healthy population before and after uncomplicated cataract phacoemulsification surgery. Curr Eye Res 34:1036–1041

    Article  Google Scholar 

  18. Sissko K, Knez N, Pahor D (2015) Influence of cataract surgery on macular thickness: a 6-month follow-up. Wien Klin Wochenschr 127:169–174

    Article  Google Scholar 

  19. Von Jagow B, Ohrloff C, Kohnen T (2007) Macular thickness after uneventful cataract surgery determined by optical coherence tomography. Graefes Arch Clin Exp Ophthalmol 245:1765–1771

    Article  Google Scholar 

  20. Kessel L, Tendal B, Jorgensen KJ et al (2014) Post-cataract prevention of inflammation and macular edema by steroid and nonsteroidal anti-inflammatory eye drops: a systematic review. Ophthalmology 121:1915–1924

    Article  Google Scholar 

  21. Gulkilik G, Kocabora S, Taskapili M, Engin G (2006) Cystoid macular edema after phacoemulsification: risk factors and effect on visual acuity. Can J Ophthalmol 41:699–703

    Article  Google Scholar 

  22. Coassin M, Iovieno A, Soldani A et al (2016) Bromfenac ophthalmic solution 009% as an adjunctive therapy to topical ster- oids after cataract surgery in pseudoexfoliation syndrome. J Cataract Refr Surg 42:1119–1125

    Article  Google Scholar 

Download references

Funding

No funding was received.

Author information

Authors and Affiliations

  1. University of Health Sciences Gaziosmanpasa Training and Research Hospital, İstanbul, Turkey

    Burcu Kemer Atik

  2. University of Health Sciences Okmeydani Training and Research Hospital, İstanbul, Turkey

    Asli Kirmaci Kabakci

  3. Trakya University, Edirne, Turkey

    Ruveyde Garip

Authors
  1. Burcu Kemer Atik
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Asli Kirmaci Kabakci
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Ruveyde Garip
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Burcu Kemer Atik.

Ethics declarations

Conflict of interest

The authors declare that there is no conflict of interest regarding the publication of this article.

Ethics approval

This study was conducted in accordance with that the principles of the Declaration of HELSINKI and written informed consent were obtained from all patients. It was approved by the institutional ethical committee board of University of Health Sciences Gaziosmanpasa Training and Research Hospital (05.02.2019/33).

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Kemer Atik, B., Kirmaci Kabakci, A. & Garip, R. Comparison of macular thickness change by optical coherence tomography after uncomplicated cataract surgery in eyes with and without exfoliation syndrome. Int Ophthalmol 41, 519–526 (2021). https://doi.org/10.1007/s10792-020-01602-2

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10792-020-01602-2

Keywords

Search

Navigation