Comparative analysis of changes in retinal layer thickness following femtosecond laser-assisted cataract surgery and conventional cataract surgery

Background To investigate the influence of femtosecond laser-assisted cataract surgery (FLACS) on macula by examining changes in retinal layers after FLACS and to compare these changes with those after conventional cataract surgery (CCS)....

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Main Authors: Surl, Dongheon, Kim, Seungmin, Kim, Sangyeop, Kim, Tae-Im, Seo, Kyoung Yul, Jun, Ikhyun
Format: Article
Language:English
Published: Springer Science and Business Media LLC 2024
Online Access:https://hdl.handle.net/1721.1/155697
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author Surl, Dongheon
Kim, Seungmin
Kim, Sangyeop
Kim, Tae-Im
Seo, Kyoung Yul
Jun, Ikhyun
author_facet Surl, Dongheon
Kim, Seungmin
Kim, Sangyeop
Kim, Tae-Im
Seo, Kyoung Yul
Jun, Ikhyun
author_sort Surl, Dongheon
collection MIT
description Background To investigate the influence of femtosecond laser-assisted cataract surgery (FLACS) on macula by examining changes in retinal layers after FLACS and to compare these changes with those after conventional cataract surgery (CCS). Methods This study included 113 unrelated Korean patients with age-related cataract who underwent CCS or FLACS in Severance Hospital between September 2019 and July 2021. Optical coherence tomography was performed before and 1 month after surgery. The total retinal layer (TRL) was separated into the inner retinal layer (IRL) and outer retinal layer (ORL); moreover, the IRL was subdivided into the retinal nerve fiber layer, ganglion cell layer, inner plexiform layer, inner nuclear layer (INL), outer plexiform layer, and outer nuclear layer. We performed between-group comparisons of the postoperative thickness in each retinal layer and the postoperative differences in retinal thickness. The average retinal thickness of the four inner macular ring quadrants was used for comparative analysis. Results Compared with the CCS group, the FLACS group exhibited a thicker ORL (P = 0.004) and a thinner INL (P = 0.007) after surgery. All retinal layer thickness values showed significant postoperative changes regardless of the type of surgery (P < 0.05). The postoperative increase in TRL and IRL thickness was significantly smaller in the FLACS group than in the CCS group (P = 0.027, P = 0.012). Conclusions The 1-month postoperative retinal changes were less pronounced in the FLACS group than in the CCS group.
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spelling mit-1721.1/1556972024-09-16T04:33:06Z Comparative analysis of changes in retinal layer thickness following femtosecond laser-assisted cataract surgery and conventional cataract surgery Surl, Dongheon Kim, Seungmin Kim, Sangyeop Kim, Tae-Im Seo, Kyoung Yul Jun, Ikhyun Background To investigate the influence of femtosecond laser-assisted cataract surgery (FLACS) on macula by examining changes in retinal layers after FLACS and to compare these changes with those after conventional cataract surgery (CCS). Methods This study included 113 unrelated Korean patients with age-related cataract who underwent CCS or FLACS in Severance Hospital between September 2019 and July 2021. Optical coherence tomography was performed before and 1 month after surgery. The total retinal layer (TRL) was separated into the inner retinal layer (IRL) and outer retinal layer (ORL); moreover, the IRL was subdivided into the retinal nerve fiber layer, ganglion cell layer, inner plexiform layer, inner nuclear layer (INL), outer plexiform layer, and outer nuclear layer. We performed between-group comparisons of the postoperative thickness in each retinal layer and the postoperative differences in retinal thickness. The average retinal thickness of the four inner macular ring quadrants was used for comparative analysis. Results Compared with the CCS group, the FLACS group exhibited a thicker ORL (P = 0.004) and a thinner INL (P = 0.007) after surgery. All retinal layer thickness values showed significant postoperative changes regardless of the type of surgery (P < 0.05). The postoperative increase in TRL and IRL thickness was significantly smaller in the FLACS group than in the CCS group (P = 0.027, P = 0.012). Conclusions The 1-month postoperative retinal changes were less pronounced in the FLACS group than in the CCS group. 2024-07-17T16:15:18Z 2024-07-17T16:15:18Z 2024-07-09 2024-07-14T03:17:21Z Article http://purl.org/eprint/type/JournalArticle 1471-2415 https://hdl.handle.net/1721.1/155697 Surl, D., Kim, S., Kim, S. et al. Comparative analysis of changes in retinal layer thickness following femtosecond laser-assisted cataract surgery and conventional cataract surgery. BMC Ophthalmol 24, 276 (2024). PUBLISHER_CC en 10.1186/s12886-024-03543-1 BMC Ophthalmology Creative Commons Attribution https://creativecommons.org/licenses/by/4.0/ The Author(s) application/pdf Springer Science and Business Media LLC BioMed Central
spellingShingle Surl, Dongheon
Kim, Seungmin
Kim, Sangyeop
Kim, Tae-Im
Seo, Kyoung Yul
Jun, Ikhyun
Comparative analysis of changes in retinal layer thickness following femtosecond laser-assisted cataract surgery and conventional cataract surgery
title Comparative analysis of changes in retinal layer thickness following femtosecond laser-assisted cataract surgery and conventional cataract surgery
title_full Comparative analysis of changes in retinal layer thickness following femtosecond laser-assisted cataract surgery and conventional cataract surgery
title_fullStr Comparative analysis of changes in retinal layer thickness following femtosecond laser-assisted cataract surgery and conventional cataract surgery
title_full_unstemmed Comparative analysis of changes in retinal layer thickness following femtosecond laser-assisted cataract surgery and conventional cataract surgery
title_short Comparative analysis of changes in retinal layer thickness following femtosecond laser-assisted cataract surgery and conventional cataract surgery
title_sort comparative analysis of changes in retinal layer thickness following femtosecond laser assisted cataract surgery and conventional cataract surgery
url https://hdl.handle.net/1721.1/155697
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