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Session Title: Cystoid Macular Oedema and Infection
Session Date/Time: Sunday 06/10/2013 | 16:30-18:00
Paper Time: 17:07
Venue: Forum (Ground Floor)
First Author: : S.Samet Ermis TURKEY
Co Author(s): : E. Sogutlu Sarı A. Kılıç G. Şahin A. Yazıcı
To compare the effect of combined topical-intracameral and topical -alone anesthesia on macular thickness changes evaluated with spectral domain optical coherence tomography (SD-OCT) after uneventful phacoemulsification.
Bal?kesir University Medical Faculty Ophthalmology Department
This study is a prospective and non- randomized clinical trial. Seventy nine eyes of 59 healthy patients were included. All eyes were underwent standard phacoemulsification surgery under two different anesthesia type (combined topical-intracameral with 1% lidocaine: Group 1, topical -alone: Group 2). SD-OCT measurement was performed before surgery and postoperatively at 1 week and at 1 and 3 months. Cataract grade, axial length, anterior chamber depth, best corrected visual acuity and phaco parameters was also evaluated.
There was a significant increase in macular thickness of both groups for 3mm and 6mm areas at 1 week, 1 and 3 months after surgery (P<0.001) and at 1 and 3 months for central point thickness (p=0.01). In Group 1 significantly higher increment was observed in parafoveal areas of macular thickness at 1 week and 1 month when compared the Group 2 (p=0.032). There was no significant correlation between macular thickness changes and preoperative factors (age, axial length, anterior chamber depth and best-corrected visual acuity) and phaco parameters (phaco time, cumulative dissipated energy, estimated fluid used).
The current study demonstrated that macular thickness significantly increased after uncomplicated cataract surgery. The most important finding was the parafoveal area seems to be more affected with combined topical-intracameral anesthesia than the topical -alone anesthesia especially at early postoperative period.
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