Effect of centration and circularity of manual capsulorrhexis on cataract surgery refractive outcomes

Ophthalmology
Mali OkadaDavid van der Straaten

Abstract

To determine if postoperative refractive outcome in cataract surgery relates to centration or circularity of the capsulorrhexis. Prospective, observational study. One hundred thirteen eyes from 108 patients undergoing routine phacoemulsification cataract surgery with manual continuous curvilinear capsulorrhexis. Patients underwent refraction, and digital retroillumination photographs were obtained 1 month and 1 year after surgery. Capsulorrhexis parameters were analyzed using computer photographic software. Postoperative spherical equivalent (SE), deviation from predicted refraction, and postoperative spectacle cylinder. At 1 month, mean capsulorrhexis circularity index was 0.83 ± 0.01 mm and mean decentration was 0.30 ± 0.14 mm. There was no significant correlation between either circularity or decentration and any of the refractive outcomes of SE, deviation from predicted refraction, or spectacle cylinder at 1 month or at 1 year. In contrast, an association between capsulorrhexis decentration and change in postoperative SE from 1 month to 1 year was observed: 56% of patients with more than 0.4 mm of decentration had a change in SE of more than 0.25 diopter (D) compared with 30% with 0.4 mm or less of decentration (P = 0.04). ...Continue Reading

References

May 1, 1990·Journal of Cataract and Refractive Surgery·P Erickson
Sep 1, 1993·Journal of Cataract and Refractive Surgery·J A Davison
Jun 26, 2007·Journal of Cataract and Refractive Surgery·Jay C ErieJames P Burke
Mar 15, 2011·Journal of Cataract and Refractive Surgery·Ramon Naranjo TackmanKeith Edwards
Jun 22, 2011·Journal of Refractive Surgery·Zoltán Zsolt NagyMichael C Knorz
Jun 28, 2011·Journal of Cataract and Refractive Surgery·Neil J FriedmanWilliam W Culbertson
Oct 12, 2011·Journal of Refractive Surgery·Kata MiháltzZoltán Z Nagy

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Citations

Jul 17, 2014·Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft·R M Menapace, H B Dick
Sep 28, 2015·Survey of Ophthalmology·Dilraj S GrewalH Burkhard Dick
Apr 22, 2015·Saudi Journal of Ophthalmology : Official Journal of the Saudi Ophthalmological Society·Ahmed A Al-Saleh
Oct 11, 2016·Journal of Refractive Surgery·Malik Y KahookHarvey S Uy
Nov 6, 2018·Current Opinion in Ophthalmology·Wen Fan Hu, Sherleen H Chen
Nov 11, 2018·Journal of Cataract and Refractive Surgery·Harry W RobertsDavid P S O'Brart
Jun 17, 2020·Journal of Cataract and Refractive Surgery·Jeremy Z KievalUNKNOWN ASCRS Refractive Cataract Surgery Subcommittee
Nov 17, 2020·Journal of Cataract and Refractive Surgery·Anna Sophie Mursch-EdlmayrMatthias Bolz
Sep 29, 2021·Indian Journal of Ophthalmology·Jing DongJunhong Li
Sep 7, 2021·Journal of Cataract and Refractive Surgery·Vance ThompsonDavid Sretavan

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