Association between anterior chamber biometry and posterior capsular defects.
Journal
Journal of cataract and refractive surgery
ISSN: 1873-4502
Titre abrégé: J Cataract Refract Surg
Pays: United States
ID NLM: 8604171
Informations de publication
Date de publication:
01 11 2023
01 11 2023
Historique:
received:
13
05
2022
accepted:
24
07
2023
medline:
6
11
2023
pubmed:
3
8
2023
entrez:
2
8
2023
Statut:
ppublish
Résumé
To analyze the association between anterior chamber biometric factors and posterior capsular defects (PCDs) that occur during extracapsular cataract extraction. University Eye Hospital, Goethe University Frankfurt, Germany. Population-based study. Extracapsular cataract extractions for inpatient cases within 4 years were retrospectively analyzed. The data on the occurrence of PCDs, age, sex, surgeon, and biometry were obtained. For cases with PCDs, the secondary ocular diseases, number of procedures, lens implant, visual acuity, and course were also recorded. Swept-source optical coherence tomography measurements allowed the measurement of lens thickness (LT) in addition to the usual biometry values. A total of 1967 cataract surgeries (patients age: 70.56 ± 8.42, 1005 women; 962 men) were included, and PCDs were documented for 59 (2.54%; 31 women, 28 men) cases (patient age: 70.95 ± 8.52 years). There were no differences ( P = .76) related to the surgeons (n = 9) with minimal effect sizes. The mean LT, axial length, corneal curvature, and anterior chamber depth were 4950.36 ± 466.63 μm, 23.73 ± 1.77 mm, 43.89 ± 1.36 diopters, and 3.02 ± 0.71 mm, respectively. The Wilcoxon-Mann-Whitney test showed significant associations between LT ( P = .01) and PCDs with moderate relevance for the Rosenthal effect size (LT R = 0.34; ACD R = 0.29). In addition to ACD, a tendency for the occurrence of PCD could be proven, especially for LT. Therefore, special attention should be paid to LT preoperatively for comprehensive risk stratification.
Identifiants
pubmed: 37532253
doi: 10.1097/j.jcrs.0000000000001274
pii: 02158034-202311000-00002
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1086-1091Informations de copyright
Copyright © 2023 Published by Wolters Kluwer on behalf of ASCRS and ESCRS.
Références
Liu Y-C, Wilkins M, Kim T, Malyugin B, Mehta JS. Cataracts. Lancet 2017;390:600–612
Kruse FM, Groenewoud S, Atsma F, van der Galiën OP, Adang EMM, Jeurissen PPT. Do independent treatment centers offer more value than general hospitals? The case of cataract care. Health Serv Res 2019;54:1357–1365
Chen M, Lamattina KC, Patrianakos T, Dwarakanathan S. Complication rate of posterior capsule rupture with vitreous loss during phacoemulsification at a Hawaiian cataract surgical center: a clinical audit. Clin Ophthalmol 2014;8:375–378
Barraquer RI, Michael R, Abreu R, Lamarca J, Tresserra F. Human lens capsule thickness as a function of age and location along the sagittal lens perimeter. Invest Ophthalmol Vis Sci 2006;47:2053–2060
Han JV, Patel DV, Liu K, Kim BZ, Sherwin T, McGhee CNJ. Auckland Cataract Study IV: practical application of NZCRS cataract risk stratification to reduce phacoemulsification complications. Clin Exp Ophthalmol 2020;48:311–318
Turnbull AM, Lash SC. Confidence of ophthalmology specialist trainees in the management of posterior capsule rupture and vitreous loss. Eye (Lond) 2016;30:943–948
Muhtaseb M, Kalhoro A, Ionides A. A system for preoperative stratification of cataract patients according to risk of intraoperative complications: a prospective analysis of 1441 cases. Br J Ophthalmol 2004;88:1242–1246
Akman A, Asena L, Gungor SG. Evaluation and comparison of the new swept source OCT-based IOLMaster 700 with the IOLMaster 500. Br J Ophthalmol 2016;100:1201–1205
Hipolito-Fernandes D, Luis ME, Serras-Pereira R, Gil P, Maduro V, Feijao J, Alves N. Anterior chamber depth, lens thickness and intraocular lens calculation formula accuracy: nine formulas comparison. Br J Ophthalmol 2022;106:349–355
Mann HB, Whitney DR. On a test of whether one of two random variables is stochastically larger than the other. Ann Math Stat 1947;18:50–60, 11
Rosenthal R. Applied Social Research Methods Series, Vol. 6. Meta-Analytic Procedures for Social Research (revised ed.). Thousand Oaks, CA: Sage Publications; 1991
Spearman C The proof and measurement of association between two things. Am J Psychol 1987;100:441–471
Haldane JBS. The cumulants and moments of the binomial distribution, and the cumulants of χ 2 for a (n × 2)-fold table. Biometrika 1940;31:392–396
Segers MHM, Behndig A, van den Biggelaar F, Brocato L, Henry YP, Nuijts R, Rosen P, Tassignon MJ, Young D, Stenevi U, Lundström M, Dickman MM. Outcomes of cataract surgery complicated by posterior capsule rupture in the European Registry of Quality Outcomes for Cataract and Refractive Surgery. J Cataract Refract Surg 2022;48:942–946
Mulhern M, Kelly G, Barry P. Effects of posterior capsular disruption on the outcome of phacoemulsification surgery. Br J Ophthalmol 1995;79:1133–1137
Narendran N, Jaycock P, Johnston RL, Taylor H, Adams M, Tole DM, Asaria RH, Galloway P, Sparrow JM. The Cataract National Dataset electronic multicentre audit of 55,567 operations: risk stratification for posterior capsule rupture and vitreous loss. Eye (Lond) 2009;23:31–37
Segers MHM, Behndig A, van den Biggelaar F, Brocato L, Henry YP, Nuijts R, Rosen P, Tassignon MJ, Young D, Stenevi U, Lundström M, Dickman MM. Risk factors for posterior capsule rupture in cataract surgery as reflected in the European Registry of Quality Outcomes for Cataract and Refractive Surgery. J Cataract Refract Surg 2022;48:51–55
Johnston RL, Taylor H, Smith R, Sparrow JM. The Cataract National Dataset electronic multi-centre audit of 55,567 operations: variation in posterior capsule rupture rates between surgeons. Eye (Lond) 2010;24:888–893
El-Hindy N, Johnston RL, Jaycock P, Eke T, Braga AJ, Tole DM, Galloway P, Sparrow JM. The Cataract National Dataset Electronic Multi-centre Audit of 55,567 operations: anaesthetic techniques and complications. Eye (Lond) 2009;23:50–55
Zuberbuhler B, Seyedian M, Tuft S. Phacoemulsification in eyes with extreme axial myopia. J Cataract Refract Surg 2009;35:335–340
Wladis EJ, Gewirtz MB, Guo S. Cataract surgery in the small adult eye. Surv Ophthalmol 2006;51:153–161
Carifi G, Safa F, Aiello F, Baumann C, Maurino V. Cataract surgery in small adult eyes. Br J Ophthalmol 2014;98:1261–1265
Khan A, Murphy DA, Kloek CE, Dvorak JD, Woreta FA, Riaz KM. Surgeons' perspectives on intraoperative gray area surgical complications of cataract surgery. J Cataract Refract Surg 2022;48:954–960
Savini G, Hoffer KJ, Schiano-Lomoriello D. Agreement between lens thickness measurements by ultrasound immersion biometry and optical biometry. J Cataract Refract Surg 2018;44:1463–1468
Hirnschall N, Varsits R, Doeller B, Findl O. Enhanced penetration for axial length measurement of eyes with dense cataracts using swept source optical coherence tomography: a consecutive observational study. Ophthalmol Ther 2018;7:119–124
Ermiss SS, Ozturk F, Inan UU. Comparing the efficacy and safety of phacoemulsification in white mature and other types of senile cataracts. Br J Ophthalmol 2003;87:1356–1359
Lee AY, Day AC, Egan C, Bailey C, Johnston RL, Tsaloumas MD, Denniston AK, Tufail A; United Kingdom Age-related Macular Degeneration and Diabetic Retinopathy Electronic Medical Records Users Group. Previous intravitreal therapy is associated with increased risk of posterior capsule rupture during cataract surgery. Ophthalmology 2016;123:1252–1256
Chan E, Mahroo OA, Spalton DJ. Complications of cataract surgery. Clin Exp Optom 2010;93:379–389
Gupta A, Singh J, Dhillon B. Cataract classification system for risk stratification in surgery. J Cataract Refract Surg 2011;37:1363–1364
Makhotkina NY, Berendschot T, van den Biggelaar F, Weik ARH, Nuijts R. Comparability of subjective and objective measurements of nuclear density in cataract patients. Acta Ophthalmol 2018;96:356–363
Kohnen S, Lotfipour S. Capsule rupture and vitrectomy during phacoemulsification [in German]. Ophthalmologe 2019;116:267–272