Macular thickness in patients with pseudoexfoliation syndrome after uneventful phacoemulsification
https://doi.org/10.21516/2072-0076-2022-15-2-79-84
Abstract
To evaluate macular thickness in patients with pseudoexfoliation syndrome (PXS) after phacoemulsification.
Materials and methods. 30 patients with PXS (mean age 74.05 ± 5.21 years) and 31 age-matched patients (mean age 71.35 ± 7.51 years) without PXS (control group) were examined to assess macular thickness, which was measured by optical coherence tomography before phacoemulsification, 2 weeks, 2 and 6 months after it.
Results. A significant increase in retinal thickness was noted in patients of both groups in parafovea 2 weeks after phacoemulsification, in parafovea and periphovea after 2 months, and in parafovea after 6 months. At 2 months after surgery, in patients with PXS, the thickness o f the retina in the fovea and perifovea was significantly higher than in the control group; at other times, no difference was observed between the groups.
Conclusion. PXS does not affect macular thickness after phacoemulsification if no intraoperational or postoperational complications took place.
Keywords
About the Authors
V. V. PotemkinRussian Federation
Vitaly V. Potemkin, Cand. of Med. Sci., associate professor, head of the department
chair of ophthalmology with clinic
197022
6-8, L’va Tolstogo St.
department of eye microsurgery
194354
5, Uchebny Lane
St. Petersburg
S. Yu. Astakhov
Russian Federation
Sergey Yu. Astakhov, Dr of Med. Sci., professor, head of chair
chair of ophthalmology with clinic
197022
6-8, L’va Tolstogo St.
St. Petersburg
Siaoyuan Van
Russian Federation
Siaoyuan Van, Phd student
chair of ophthalmology with clinic
197022
6-8, L’va Tolstogo St.
St. Petersburg
À. R. Potemkina
Russian Federation
Àlbina R. Potemkina, ophthalmologist
laser microsurgery department
194354
5, Uchebny Lane
St. Petersburg
L. К. Anikina
Russian Federation
Lilia Ê. Anikina, resident
chair of ophthalmology with clinic
197022
6-8, L’va Tolstogo St.
St. Petersburg
References
1. Bourne R. R., Jonas J. B., Flaxman S. R., et al. Prevalence and causes of vision loss in high-income countries and in Eastern and Central Europe: 1990-2010. Br. J. Ophthalmol. 2014; 98 (5): 629–38. doi:10.1136/bjophthalmol-2013-304033
2. Grzybowski A., Sikorski B. L., Ascaso F. J., Huerva V. Pseudophakic cystoid macular edema: update 2016. Clin. Interv. Aging. 2016; 11: 1221–9. doi: 10.2147/CIA.S111761
3. Subramanian M. L., Devaiah A. K., Warren K. A. Incidence of postoperative cystoid macular edema by a single surgeon. Digit J. Ophthalmol. 2009; 15 (4): 37–41. URL: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5734907/
4. Ritch R., Schlötzer-Schrehardt U. Exfoliation syndrome. Surv. Ophthalmol. 2001; 45 (4): 265–315. doi: 10.1016/s0039-6257(00)00196-x
5. Schlötzer-Schrehardt U. M., Koca M. R., Naumann G. O., Volkholz H. Pseudoexfoliation syndrome. Ocular manifestation of a systemic disorder? Arch. Ophthalmol. 1992; 110 (12): 1752–6. doi: 10.1001/archopht.1992.01080240092038
6. Vazquez-Ferreiro P., Carrera-Hueso F. J., Poquet Jornet J. E., et al. Intraoperative complications of phacoemulsification in pseudoexfoliation: Metaanalysis. J. Cataract. Refract. Surg. 2016; 42 (11): 1666–75. doi: 10.1016/j.jcrs.2016.09.010
7. Сакалова Е. Д. Патогенез и диагностика послеоперационного макулярного отека / Е. Д. Сакалова [и др.] // Вестник офтальмологии. – 2018/ – 134 (1): 107–12. [Sakalova E. D., Avetisov K. S., Budzinskaya M. V., Andreeva I. V. Pathogenesis and diagnostics of postsurgical macular edema. Vestnik oftal’mologii. 2018; 134 (1): 107–12 (in Russian)]. doi: 10.17116/oftalma20181341107-112
8. Schumacher S., Nguyen N. X., Küchle M., Naumann G. O. Quantification of aqueous flare after phacoemulsification with intraocular lens implantation in eyes with pseudoexfoliation syndrome. Arch. Ophthalmol. 1999; 117 (6): 733–5. doi: 10.1001/archopht.117.6.733
9. Егоров В. В. Анализ влияния глазного псевдоэксфолиативного синдрома на характер осложнений и функциональные результаты хирургии возрастной катаракты / В. В. Егоров, Г. А. Федяшев, Г. П. Смолякова // Рефракционная хирургия и офтальмология. – 2010. – 10 (1): 14–21. [Egorov V. V., Fedyashev G. A., Smolyakova G. P. Analysis of pseudoexfoliative syndrome (PES) influence for complication character and cataract surgery results. Refraktsionnaya khirurgiya i oftal'mologiya. 2010; 10 (1): 14–21 (in Russian)].
10. Gulkilik G., Kocabora S., Taskapili M., Engin G. Cystoid macular edema after phacoemulsification: risk factors and effect on visual acuity. Can. J. Ophthalmol. 2006; 41 (6): 699–703. doi: 10.3129/i06-062
11. Bencić G., Zorić-Geber M., Sarić D., Corak M., Mandić Z. Clinical importance of the lens opacities classification system III (LOCS III) in phacoemulsification. Coll. Antropol. 2005; 29 (Suppl 1): 91–4.
12. Küchle M., Nguyen N. X., Hannappel E., Naumann G. O. The blood-aqueous barrier in eyes with pseudoexfoliation syndrome. Ophthalmic Res. 1995; 27 (1): 136–42. doi: 10.1159/000267859
13. Ursell P. G., Spalton D. J., Whitcup S. M., Nussenblatt R. B. Cystoid macular edema after phacoemulsification: relationship to blood-aqueous barrier damage and visual acuity. J. Cataract. Refract. Surg. 1999; 25 (11): 1492–7. doi: 10.1016/s0886-3350(99)00196-0
14. Taipale C., Holmström E. J., Ilveskoski L., Tuuminen R. Incidence of pseudophakic cystoid macular edema in eyes with and without pupil expansion device. Acta Ophthalmol. 2019; 97 (7): 688–94. doi: 10.1111/aos.14007
15. Chu C. J., Johnston R. L., Buscombe C., et al. Risk factors and incidence of macular edema after cataract surgery: A database study of 81984 eyes. Ophthalmology. 2016; 123 (2): 316–23. doi:10.1016/j.ophtha.2015.10.001
16. Cursiefen C., Händel A., Schönherr U., Naumann G. O. [Pseudoexfoliation syndrome in patients with retinal vein branch and central vein thrombosis]. Klin. Monbl. Augenheilkd. 1997; 211 (1): 17–21 (in German). doi:10.1055/s-2008-1035088
17. Karagiannis D., Kontadakis G. A., Klados N. E., et al. Central retinal vein occlusion and pseudoexfoliation syndrome. Clin. Interv. Aging. 2015; 10: 879–83. doi:10.2147/CIA.S77630
18. Yüksel N., Doğu B., Karabaş V. L., Cağlar Y. Foveal thickness after phacoemulsification in patients with pseudoexfoliation syndrome, pseudoexfoliation glaucoma, or primary open-angle glaucoma. J. Cataract. Refract. Surg. 2008; 34 (11): 1953–7. doi:10.1016/j.jcrs.2008.07.016
19. Ilveskoski L., Taipale C., Holmström E. J., Tuuminen R. Macular edema after cataract surgery in eyes with and without pseudoexfoliation syndrome. Eur. J. Ophthalmol. 2019; 29 (5): 504–9. doi:10.1177/1120672118799622
20. Perente I., Utine C. A., Ozturker C., et al. Evaluation of macular changes after uncomplicated phacoemulsification surgery by optical coherence tomography. Curr. Eye Res. 2007; 32 (3): 241–7. doi:10.1080/02713680601160610
21. Sahin M., Cingü A. K., Gözüm N. Evaluation of cystoid macular edema using optical coherence tomography and fundus autofluorescence after uncomplicated phacoemulsification surgery. J. Ophthalmol. 2013; 2013: 376013. doi:10.1155/2013/376013
Review
For citations:
Potemkin V.V., Astakhov S.Yu., Van S., Potemkina À.R., Anikina L.К. Macular thickness in patients with pseudoexfoliation syndrome after uneventful phacoemulsification. Russian Ophthalmological Journal. 2022;15(2):79-84. (In Russ.) https://doi.org/10.21516/2072-0076-2022-15-2-79-84