Prediction of postoperative visual acuity in cataract patients with idiopathic macular epiretinal membrane by hand-held retinal optometer and optical coherence tomography.
10.12122/j.issn.1673-4254.2021.01.18
- Author:
Hongyang LI
1
;
Yanying LI
1
;
Liping XUE
1
;
Honglei ZOU
1
;
Renlong LIANG
1
;
Binghua YANG
1
;
Yi WU
1
Author Information
1. Department of Ophthalmology, Guangdong Second Provincial People's Hospital, Guangzhou 510310, China.
- Publication Type:Journal Article
- Keywords:
cataract;
hand-held retinal optometer;
idiopathic macular epiretinal membrane;
optical coherence tomography
- MeSH:
Cataract/diagnostic imaging*;
Epiretinal Membrane/surgery*;
Humans;
Retrospective Studies;
Tomography, Optical Coherence;
Visual Acuity;
Vitrectomy
- From:
Journal of Southern Medical University
2021;41(1):123-127
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To investigate the value of hand-held retinal optometer and optical coherence tomography (OCT) in predicting postoperative visual acuity in patients with age-related cataract and idiopathic macular epiretinal membrane.
METHODS:We retrospectively analyzed the data of patients undergoing phacoemulsification combined with intraocular lens implantation for age-related cataract in our hospital from January, 2019 to April, 2020.Preoperative examination detected idiopathic macular epiretinal membrane in 45 of the patients (52 eyes) with lens opacity grade C2N2P1 according to LOCSⅡ lens opacity classification criteria.Based on the thickness of the macular fovea, the eyes were divided into group A (9 eyes) with macular thickness < 300 μm by OCT examination, group B (25 eyes) with macular thickness of 300 to 400 μm, and group C (18 eyes) with macular thickness >400 μm.The best corrected visual acuity and retinal visual acuity before operation and the best corrected visual acuity on the first day and at 3 months after the surgery were compared among the 3 groups.The consistency between the preoperative retinal vision and the best corrected vision at 3 months after the surgery was analyzed.
RESULTS:The best corrected visual acuity at one day and 3 months after the surgery differed significantly from that before the surgery in all the 3 groups (
CONCLUSIONS:For patients with cataract and idiopathic macular epiretinal membrane, phacoemulsification combined with intraocular lens implantation can improve postoperative vision.Hand-held retinal optometer can accurately assess postoperative vision in patients with stage C2N2P1 cataract.Patients with a macular thickness >400 μm caused by idiopathic macular epiretinal membrane are likely to have poor postoperative visual outcomes.
