May 2008
Volume 49, Issue 13
Free
ARVO Annual Meeting Abstract  |   May 2008
Evaluation of Vitreous-Retinal Interface Changes in High Myopic Eyes After Phacoemulsification: A Prospective Study
Author Affiliations & Notes
  • G. Bolognesi
    Ophthalmology, Univ Hospital San Raffaele, Milan, Italy
  • F. Fasce
    Ophthalmology, Univ Hospital San Raffaele, Milan, Italy
  • L. Pierro
    Ophthalmology, Univ Hospital San Raffaele, Milan, Italy
  • A. Spinelli
    Ophthalmology, Univ Hospital San Raffaele, Milan, Italy
  • P. Mauceri
    Ophthalmology, Univ Hospital San Raffaele, Milan, Italy
  • S. Giatsidis
    Ophthalmology, Univ Hospital San Raffaele, Milan, Italy
  • Footnotes
    Commercial Relationships  G. Bolognesi, None; F. Fasce, None; L. Pierro, None; A. Spinelli, None; P. Mauceri, None; S. Giatsidis, None.
  • Footnotes
    Support  None.
Investigative Ophthalmology & Visual Science May 2008, Vol.49, 5664. doi:https://doi.org/
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      G. Bolognesi, F. Fasce, L. Pierro, A. Spinelli, P. Mauceri, S. Giatsidis; Evaluation of Vitreous-Retinal Interface Changes in High Myopic Eyes After Phacoemulsification: A Prospective Study. Invest. Ophthalmol. Vis. Sci. 2008;49(13):5664. doi: https://doi.org/.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract

Purpose: : To evaluate the modification of vitreous-retinal interface and epiretinal membrane in myopic and non-myopic eyes after phacoemulsification

Methods: : Tirthy eyes with axial length (AXL)> 27 mm (group A) and thirty eyes with AXL<24 mm (group B) (lens nucleus grade 2 or higher) underwent phacoemulsification. Patients were evaluated preoperatively and after 3 and 6 months, checking for best corrected visual acuity (BCVA), intraocular pressure (IOP), axial length, anatomical macular and vitreous-retinal interface abnormalities by ecography and OCT SLO. Surgical variables (US time, US power, I/A time) were evaluated. Kruskal-Wallis test was used to analyze the parameters

Results: : In group A only 3/12 (25%) myopic patients, who did not present epiretinal membrane pre-operatively, developed a cellophane maculopathy. Ten out of eighteen (54%) myopic patients, who suffered from epiretinal membrane pre-operatively, showed an anatomical worsening after six months. Macular anatomical changes were not influenced by surgical parameters of phacoemulsification, both in patients presenting preoperatively alterations of interface (21/30, 57%) and those who do not (9/30, 43%) (p=0.9). There was no significant difference between AXL of those patients who presented an epiretinal membrane (70%) and those who did not develop it after surgery (30%) (p=0.4). Patients of group B did not show epiretinal membrane and/or anatomical macular changes either before than after cataract surgery

Conclusions: : These results suggest that phacoemulsification may have a little role in promoting the development of epiretinal membrane, while it may be decisive in the progression of this pathology

Keywords: cataract • myopia • vitreous 
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