Anterior chamber depth change following cataract surgery in pseudoexfoliation syndrome; a preliminary study

Purpose: To assess the pseudophakic anterior chamber depth (PP-ACD) or effective lens position (ELP) change after cataract surgery in patients with pseudoexfoliation syndrome (PEX). Methods: Consecutive eyes with PEX and cataract underwent standard phacoemulsification and were implanted with single-...

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Main Authors: Mohammad Reza Fallah Tafti, Hossein Abdollah Beiki, S Farzad Mohammadi, Golshan Latifi, Elham Ashrafi, Zahra Fallah Tafti
Format: Article
Language:English
Published: Knowledge E 2017-01-01
Series:Journal of Ophthalmic & Vision Research
Subjects:
Online Access:http://www.jovr.org/article.asp?issn=2008-322X;year=2017;volume=12;issue=2;spage=165;epage=169;aulast=Tafti
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author Mohammad Reza Fallah Tafti
Hossein Abdollah Beiki
S Farzad Mohammadi
Golshan Latifi
Elham Ashrafi
Zahra Fallah Tafti
author_facet Mohammad Reza Fallah Tafti
Hossein Abdollah Beiki
S Farzad Mohammadi
Golshan Latifi
Elham Ashrafi
Zahra Fallah Tafti
author_sort Mohammad Reza Fallah Tafti
collection DOAJ
description Purpose: To assess the pseudophakic anterior chamber depth (PP-ACD) or effective lens position (ELP) change after cataract surgery in patients with pseudoexfoliation syndrome (PEX). Methods: Consecutive eyes with PEX and cataract underwent standard phacoemulsification and were implanted with single-piece acrylic posterior chamber intraocular lenses (IOLs). Eyes with severe PEX and with axial length (AL) greater than 24 mm or less than 22 mm were not included. Eyes with capsular complication or unstable bags that needed capsular tension ring insertion were excluded. The SRK-II formula was applied to calculate IOL power for postoperative emmetropia. PP-ACD or ELP was measured using anterior segment optical coherence tomography. Data obtained at one and six months post operation were evaluated during analysis. Results: Twenty-six eyes of 26 subjects (mean age: 72 years; range: 60–84 years) were studied. PP-ACD was deepened (mean change: 0.08 mm) and a concurrent hyperopic shift (0.3 D) was observed postoperatively between month 1 and month 6 (P values ≤0.002). PP-ACD and postoperative refraction changes were correlated with age and AL (P values < 0.025), respectively. Increased hyperopic shift and PP-ACD deepening in eyes with posterior capsule opacification (PCO) was noted postoperatively at six months, but the difference was not statistically significant (P values = 0.15 and 0.2, respectively). Conclusion: After cataract surgery in eyes with PEX syndrome, a significant backward movement of the IOL occurs postoperatively in the first six months, which is associated with a concurrent small hyperopic shift.
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spelling doaj.art-ed986e0ecd6d43de8b0f56c9b88ac4b02022-12-22T03:26:29ZengKnowledge EJournal of Ophthalmic & Vision Research2008-322X2017-01-0112216516910.4103/jovr.jovr_81_15Anterior chamber depth change following cataract surgery in pseudoexfoliation syndrome; a preliminary studyMohammad Reza Fallah TaftiHossein Abdollah BeikiS Farzad MohammadiGolshan LatifiElham AshrafiZahra Fallah TaftiPurpose: To assess the pseudophakic anterior chamber depth (PP-ACD) or effective lens position (ELP) change after cataract surgery in patients with pseudoexfoliation syndrome (PEX). Methods: Consecutive eyes with PEX and cataract underwent standard phacoemulsification and were implanted with single-piece acrylic posterior chamber intraocular lenses (IOLs). Eyes with severe PEX and with axial length (AL) greater than 24 mm or less than 22 mm were not included. Eyes with capsular complication or unstable bags that needed capsular tension ring insertion were excluded. The SRK-II formula was applied to calculate IOL power for postoperative emmetropia. PP-ACD or ELP was measured using anterior segment optical coherence tomography. Data obtained at one and six months post operation were evaluated during analysis. Results: Twenty-six eyes of 26 subjects (mean age: 72 years; range: 60–84 years) were studied. PP-ACD was deepened (mean change: 0.08 mm) and a concurrent hyperopic shift (0.3 D) was observed postoperatively between month 1 and month 6 (P values ≤0.002). PP-ACD and postoperative refraction changes were correlated with age and AL (P values < 0.025), respectively. Increased hyperopic shift and PP-ACD deepening in eyes with posterior capsule opacification (PCO) was noted postoperatively at six months, but the difference was not statistically significant (P values = 0.15 and 0.2, respectively). Conclusion: After cataract surgery in eyes with PEX syndrome, a significant backward movement of the IOL occurs postoperatively in the first six months, which is associated with a concurrent small hyperopic shift.http://www.jovr.org/article.asp?issn=2008-322X;year=2017;volume=12;issue=2;spage=165;epage=169;aulast=TaftiCataract Surgery; Effective Lens Position; Pseudoexfoliation
spellingShingle Mohammad Reza Fallah Tafti
Hossein Abdollah Beiki
S Farzad Mohammadi
Golshan Latifi
Elham Ashrafi
Zahra Fallah Tafti
Anterior chamber depth change following cataract surgery in pseudoexfoliation syndrome; a preliminary study
Journal of Ophthalmic & Vision Research
Cataract Surgery; Effective Lens Position; Pseudoexfoliation
title Anterior chamber depth change following cataract surgery in pseudoexfoliation syndrome; a preliminary study
title_full Anterior chamber depth change following cataract surgery in pseudoexfoliation syndrome; a preliminary study
title_fullStr Anterior chamber depth change following cataract surgery in pseudoexfoliation syndrome; a preliminary study
title_full_unstemmed Anterior chamber depth change following cataract surgery in pseudoexfoliation syndrome; a preliminary study
title_short Anterior chamber depth change following cataract surgery in pseudoexfoliation syndrome; a preliminary study
title_sort anterior chamber depth change following cataract surgery in pseudoexfoliation syndrome a preliminary study
topic Cataract Surgery; Effective Lens Position; Pseudoexfoliation
url http://www.jovr.org/article.asp?issn=2008-322X;year=2017;volume=12;issue=2;spage=165;epage=169;aulast=Tafti
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