Preoperative spectral-domain optical coherence tomography in patients having cataract surgery

Journal of Cataract and Refractive Surgery
Youssef AbdelmassihIsabelle Cochereau

Abstract

To evaluate the role and cost-effectiveness of preoperative spectral-domain optical coherence tomography (SD-OCT) in patients having cataract surgery. Fondation Opthalmologique Adolphe de Rothschild, Paris, France. Retrospective case series. All patients who had cataract surgery had macular and retinal nerve fiber layer SD-OCT preoperatively. A complete ophthalmologic examination was performed, including corrected near (CNVA) and corrected distance visual acuities, intraocular pressure (IOP), and a fundus examination. The study comprised 245 patients (401 eyes) with a mean age of 73.5 years ± 9.81 and a mean IOP of 15.6 ± 3.04 mm Hg. Of 107 eyes (26.7%) with abnormal macular SD-OCT, 70 eyes were judged normal on fundus examination. The most frequent anomalies were age-related macular degeneration and epiretinal membrane. Age over 70 years and CNVA worse than Parinaud 2 were associated with higher rate of abnormal macular SD-OCT (odds ratio, 2.76 and 2.28, respectively). Fifty-seven eyes (14.2%) had abnormal retinal nerve fiber layer SD-OCT, 30% of them with no history of glaucoma and no detected anomaly on fundus examination. Age over 70 years and a history of glaucoma were associated with a higher rate of retinal nerve fiber l...Continue Reading

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Citations

Sep 24, 2018·Journal of Cataract and Refractive Surgery·Jasmin Zvorničanin, Edita Zvorničanin
Nov 30, 2018·Current Opinion in Ophthalmology·Craig W SeeFasika A Woreta
Sep 13, 2020·Documenta Ophthalmologica. Advances in Ophthalmology·Atsuhiro TanikawaMasayuki Horiguchi

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