Importance of optical coherence tomography before cataract surgery.
Cataract
Occult retinal pathology
Optical coherence tomography
Preoperative evaluation
Journal
BMC ophthalmology
ISSN: 1471-2415
Titre abrégé: BMC Ophthalmol
Pays: England
ID NLM: 100967802
Informations de publication
Date de publication:
12 Aug 2024
12 Aug 2024
Historique:
received:
30
04
2024
accepted:
07
08
2024
medline:
13
8
2024
pubmed:
13
8
2024
entrez:
12
8
2024
Statut:
epublish
Résumé
To determine the importance of optical coherence tomography (OCT) in patients scheduled for cataract surgery who present with no pathologies in biomicroscopic fundus examination. Retrospective study. In this study, the routine ophthalmologic examination of patients who were recommended cataract surgery was performed.Occult retinal pathologies were evaluated using OCT in patients without any pathologies in biomicroscopic fundus examination.According to whether retinal pathologies were detected on OCT, the patients were divided into two groups: normal and abnormal OCT.The findings of patients with retinal pathologies on OCT and their distribution according to age were also evaluated. A total of 271 eyes from 271 patients were evaluated.The number of patients with retinal pathologies on OCT despite normal fundoscopic examination findings was 38(14.0%).Of these patients,15(39.4%) had an epiretinal membrane,10(26.3%) had age-related macular degeneration, eight(21%) had vitreomacular traction, two(5.2%) had a lamellar hole, and 1(2.6%) patient each had a full-thickness macular hole, an intraretinal cyst, and photoreceptor layer damage.The age distribution of the patients with retinal pathologies was as follows: two patients,<60 years; six patients,60-70 years;14 patients,70-80 years; and 16 patients,>80 years.The rate of patients aged > 70 years and above was 78.9%.There was no statistically significant difference between the normal and abnormal OCT groups in terms of age, gender, the presence of systemic diseases, visual acuity, central macular thickness, and cataract type or density(p > 0.05 for all). In one of seven patients evaluated, retinal pathologies were detected on OCT despite normal fundoscopic examination findings.OCT can be used to detect occult retinal pathologies that cannot be detected by biomicroscopic fundus examination before cataract surgery.
Identifiants
pubmed: 39135029
doi: 10.1186/s12886-024-03622-3
pii: 10.1186/s12886-024-03622-3
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
339Informations de copyright
© 2024. The Author(s).
Références
Lee CM, Afshari NA. The global state of cataract blindness. Curr Opin Ophthalmol. 2017;28:98–103.
doi: 10.1097/ICU.0000000000000340
pubmed: 27820750
Allen D, Vasavada A. Cataract and surgery for cataract. BMJ. 2006;333:128–32.
doi: 10.1136/bmj.333.7559.128
pubmed: 16840470
pmcid: 1502210
See CW, Iftikhar M, Woreta FA. Preoperative evaluation for cataract surgery. Curr Opin Ophthalmol. 2019;30(1):3–8.
doi: 10.1097/ICU.0000000000000535
pubmed: 30489358
Hirnschall N, Leisser C, Radda S, et al. Macular disease detection with a swept-source optical coherence tomography-based biometry device in patients scheduled for cataract surgery. J Cataract Refract Surg. 2016;42:530–6.
doi: 10.1016/j.jcrs.2016.02.029
pubmed: 27113874
Klein BR, Brown EN, Casden RS. Preoperative macular spectral-domain optical coherence tomography in patients considering advanced-technology intraocular lenses for cataract surgery. J Cataract Refract Surg. 2016;42:537–41.
doi: 10.1016/j.jcrs.2016.01.036
pubmed: 27113875
Creese K, Ong D, Zamir E. Should macular optical coherence tomography be part of routine preoperative cataract assessment? Clin Exp Ophthalmol. 2012;40:e118–119.
doi: 10.1111/j.1442-9071.2011.02623.x
pubmed: 21668777
Sudhalkar A, Vasavada V, Bhojwani D, Raju CVG, Vasudev P, Jain S, et al. Incorporating optical coherence tomography in the cataract preoperative armamentarium: additional need or additional burden? Am J Ophthalmol. 2019;198:209–14.
doi: 10.1016/j.ajo.2018.10.025
pubmed: 30389372
Huang X, Zhang Z, Wang J, Meng X, Chen T, Wu Z. Macular assessment of preoperative optical coherence tomography in ageing Chinese undergoing routine cataract surgery. Sci Rep. 2018;8:5103.
doi: 10.1038/s41598-018-22807-7
pubmed: 29572456
pmcid: 5865193
Ahmed TM, Siddiqui MAR, Hussain B. Optical coherence tomography as a diagnostic intervention before cataract surgery-a review. Eye (Lond). 2023;37(11):2176–82.
doi: 10.1038/s41433-022-02320-y
pubmed: 36517576
Sparrow JM, BronAJ, Brown NA, Ayliffe W, Hill AR. The Oxford clinical cataract classification and grading system. Int Ophthalmol. 1986;9:207–25.
doi: 10.1007/BF00137534
pubmed: 3793374
Pinto WP, Rabello LP, Ventura MC, Rocha CS, Ventura BV. Prevalence of macular abnormalities identified only by optical coherence tomography in Brazilian patients with cataract. J Cataract Refract Surg. 2019;45(7):915–8.
doi: 10.1016/j.jcrs.2019.01.022
pubmed: 31174986
Moreira Neto CA, Moreira Júnior CA, Moreira AT. Optical coherence tomography in patients undergoing cataract surgery. Arq Bras Oftalmol. 2015;78(4):241–5.
doi: 10.5935/0004-2749.20150062
pubmed: 26375340
Abdelmassih Y, El-Khoury S, Georges S, Guindolet D, Gabison E, Cochereau I. Preoperative spectral-domain optical coherence tomography in patients having cataract surgery. J Cataract Refract Surg. 2018;44(5):610–4.
doi: 10.1016/j.jcrs.2018.02.020
pubmed: 29752047
Meuer SM, Myers CE, Klein BEK, Swift MK, Huang Y, Gangaputra S, et al. The epidemiology of vitreoretinal interface abnormalities as detected by spectral-domain optical coherence tomography; the Beaver Dam Eye Study. Ophthalmology. 2015;122(4):787–95.
doi: 10.1016/j.ophtha.2014.10.014
pubmed: 25556116
George B, Chen S, Chaudhary V, Gonder J, Chakrabarti S. Extracellular matrix proteins in epiretinal membranes and in diabetic retinopathy. Curr Eye Res. 2009;34(2):134–44.
doi: 10.1080/02713680802585946
pubmed: 19219685
Fraser-Bell S, Ying-Lai M, Klein R, Varma R. Prevalence and associations of epiretinal membranes in latinos: the Los Angeles latino Eye Study. Invest Ophthalmol Vis Sci. 2004;45(6):1732–6.
doi: 10.1167/iovs.03-1295
pubmed: 15161833
Semeraro F, Morescalchi F, Duse S, Gambicorti E, Russo A, Costagliola C. Current trends about Inner limiting membrane peeling in surgery for Epiretinal membranes. J Ophthalmol. 2015;2015.
Jahn CE, Minich V, Moldaschel S, Kron M. [Perioperative prevalence of epiretinal membranes in eyes with senile cataract]. Klin Monatsbl Augenheilkd. 1999;215:252–4.
doi: 10.1055/s-2008-1034709
pubmed: 10572889
Contreras I, Noval S, Tejedor J. [Use of optical coherence tomography to measure prevalence of epiretinal membranes in patients referred for cataract surgery]. Arch Soc Esp Oftalmol. 2008;83:89–94.
pubmed: 18260019
Sigler EJ, Randolph JC, Calzada JI. Incidence, morphology, and classification of epimacular membrane rip. Retina. 2013;33:1158–65.
doi: 10.1097/IAE.0b013e318276e104
pubmed: 23348863
Schaub F, Adler W, Enders P, Koenig MC, Koch KR, Cursiefen C, et al. Preexisting epiretinal membrane is associated with pseudophakic cystoid macular edema. Graefes Arch Clin Exp Ophthalmol. 2018;256:909–17.
doi: 10.1007/s00417-018-3954-4
pubmed: 29564551
Hoerster R, Muether PS, Hermann MM, Koch K, Kirchhof B, Fauser S. Subjective and functional deterioration in recurrences of neovascular AMD are often preceded by morphologic changes in optic coherence tomography. Br J Ophthalmol. 2011;95:1424–6.
doi: 10.1136/bjo.2010.201129
pubmed: 21768186
Kowallick A, Fischer CV, Hoerauf H. Optical coherence tomography findings in patients prior to cataract surgery regarded as unremarkable with ophthalmoscopy. PLoS ONE. 2018;13(12):e0208980.
doi: 10.1371/journal.pone.0208980
pubmed: 30533037
pmcid: 6289407
Mönestam E, Lundqvist B. Long-term visual outcome after cataract surgery: comparison of healthy eyes and eyes with age-related macular degeneration. J Cataract Refract Surg. 2012;38(3):409–14.
doi: 10.1016/j.jcrs.2011.09.041
pubmed: 22245170
Kessel L, Erngaard D, Flesner P, Andresen J, Tendal B, Hjortdal J. Cataract surgery and age-related macular degeneration. An evidence-based update. Acta Ophthalmol. 2015;93(7):593–600.
doi: 10.1111/aos.12665
pubmed: 25601333
pmcid: 6680180
Weill Y, Hanhart J, Zadok D, Smadja D, Gelman E, Abulafia A. Patient management modifications in cataract surgery candidates following incorporation of routine preoperative macular optical coherence tomography. J Cataract Refract Surg. 2021;47(1):78–82.
doi: 10.1097/j.jcrs.0000000000000389
pubmed: 32815862