J Korean Ophthalmol Soc.  2017 Jul;58(7):804-810. 10.3341/jkos.2017.58.7.804.

Incidence of Complications in Cataract Surgery according to the Availability of Partial Coherence Laser Interferometry

• Choi H
• Eom Y
• Kang SY
• Song JS
• Kim HM

• KMID: 2387154
• DOI: http://doi.org/10.3341/jkos.2017.58.7.804

Abstract

PURPOSE
To validate the possibility of IOLMaster measurement as a predictor of intraoperative and postoperative complications during phacoemulsification surgery.
METHODS
In this study, 2,107 eyes from 1,456 patients who underwent phacoemulsification with intraocular lens (IOL) implantation were divided into two groups according to the possibility of performing optical biometry with the IOLMaster (measurable group: 1,746 eyes from 1,141 patients, unmeasurable group: 361 eyes from 315 patients). The intraoperative and postoperative complication rates were compared between the two groups.
RESULTS
Three hundred sixty-one eyes (17.1%) could not be measured using optical biometry. Dense posterior subcapsular cataract (56.0%) was the main factor resulting in failed measurements with optical biometry, followed by anterior subcapsular cataract (12.5%). The rates of posterior capsule rupture and radial tear were significantly higher in the unmeasurable group than in the measurable group (p = 0.001, p < 0.001, respectively). Corneal edema was significantly higher in the unmeasurable group (16.1%) than in the measurable group (5.3%) at postoperative 1 week (p < 0.001).
CONCLUSIONS
Possibility of optical biometry measurement can be used as a simple predictor of intraoperative and postoperative complications of phacoemulsification surgery. Surgeons should pay close attention to patients who cannot be measured using IOLMaster.

Keyword

Cataract surgery; Complication; Optical biometry; Phacoemulsification

MeSH Terms

Biometry
Cataract*
Corneal Edema
Humans
Incidence*
Interferometry*
Lenses, Intraocular
Phacoemulsification
Postoperative Complications
Rupture
Surgeons
Tears

Reference

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