PMID- 24533465
OWN - NLM
STAT- MEDLINE
DCOM- 20140925
LR  - 20211021
IS  - 1471-2415 (Electronic)
IS  - 1471-2415 (Linking)
VI  - 14
DP  - 2014 Feb 17
TI  - Spectral-domain optical coherence tomography evaluation of postoperative cystoid 
      macular oedema following phacoemulsification with intraoperative complication.
PG  - 16
LID - 10.1186/1471-2415-14-16 [doi]
AB  - BACKGROUND: To report the rate of cystoid macular oedema (CMO) as detected by 
      spectral-domain optical coherence tomography (SD-OCT) after intraoperative 
      complication during phacoemulsification. The secondary objectives include 
      comparing mean macular thickness and best-corrected visual acuity (BCVA) between 
      those who developed postoperative CMO against those who did not. METHODS: This is 
      a prospective cohort study conducted in a tertiary hospital between July 2009 and 
      June 2010. Serial SD-OCT and BCVA were performed at baseline, 1 week, 6 weeks and 
      16 weeks postoperatively. RESULTS: Single eyes from 47 subjects were analyzed; of 
      these 16 (34%) eyes developed CMO. In the CMO group, mean macular thickness (+/-SD) 
      increased sharply by 56 mum from 273 +/- 24 mum at baseline to 329 +/- 31 mum at 16 
      weeks; whereas in the non-CMO group, macular thickness showed a slight increase 
      of 14 mum from 259 +/- 21 mum to 272 +/- 20 mum. In the CMO group, mean BCVA (in 
      logarithm of minimum angle of resolution) improved modestly from 0.92 +/- 0.66 to 
      0.66 +/- 0.41 at week 16; while in the non-CMO group, mean BCVA improved markedly 
      from 0.98 +/- 0.59 to 0.21 +/- 0.13. The two groups differed significantly in mean 
      macular thickness (p < 0.001) and mean BCVA (p < 0.001) at 16 weeks. CONCLUSION: 
      As detection rate of CMO is high, postoperative OCT monitoring for patients with 
      intraoperative complications allows earlier diagnosis and treatment.
FAU - Khaw, Keat Ween
AU  - Khaw KW
AD  - Department of Ophthalmology, University of Malaya Medical Centre, Lembah Pantai, 
      Kuala Lumpur 59100, Malaysia. gideon_khaw@hotmail.com.
FAU - Lam, Hee Hong
AU  - Lam HH
FAU - Khang, Tsung Fei
AU  - Khang TF
FAU - Wan Ab Kadir, Azida Juana
AU  - Wan Ab Kadir AJ
FAU - Subrayan, Visvaraja
AU  - Subrayan V
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20140217
PL  - England
TA  - BMC Ophthalmol
JT  - BMC ophthalmology
JID - 100967802
SB  - IM
MH  - Aged
MH  - Aged, 80 and over
MH  - Case-Control Studies
MH  - Female
MH  - Humans
MH  - Intraoperative Complications/*diagnosis
MH  - Macular Edema/*diagnosis/physiopathology
MH  - Male
MH  - Middle Aged
MH  - Phacoemulsification/*adverse effects
MH  - Postoperative Period
MH  - Prospective Studies
MH  - Tomography, Optical Coherence/*methods
MH  - Visual Acuity
PMC - PMC3932987
EDAT- 2014/02/19 06:00
MHDA- 2014/09/26 06:00
PMCR- 2014/02/17
CRDT- 2014/02/19 06:00
PHST- 2013/03/31 00:00 [received]
PHST- 2014/02/12 00:00 [accepted]
PHST- 2014/02/19 06:00 [entrez]
PHST- 2014/02/19 06:00 [pubmed]
PHST- 2014/09/26 06:00 [medline]
PHST- 2014/02/17 00:00 [pmc-release]
AID - 1471-2415-14-16 [pii]
AID - 10.1186/1471-2415-14-16 [doi]
PST - epublish
SO  - BMC Ophthalmol. 2014 Feb 17;14:16. doi: 10.1186/1471-2415-14-16.