Anterior segment morphometry and intraocular pressure change after uneventful phacoemulsification

To evaluate the changes in anterior segment morphometry and intraocular pressure (IOP) with 3D rotating Scheimpflug camera-topography system after uneventful phacoemulsification. Materials and methods: In 56 eyes of 54 patients, anterior chamber depth (ACD), anterior chamber volume (ACV), anterior chamber angle (ACA), and central corneal thickness (CCT) were measured with the Sirius 3D Rotating Scheimpflug camera-topography system preoperatively and 1 month after surgery. IOP was measured with applanation tonometer. The preoperative and postoperative results were compared. Results: Preoperative and postoperative anterior segment parameters were as follows: ACD 2.7 ± 0.4 and 3.5 ± 0.3 mm, ACV 143.6 ± 48.8 and 192.4 ± 59.5 mm3, nasal ACA 42.3 ± 8.4° and 53.0 ± 4.5°, temporal ACA 36.9 ± 11.9° and 45.8 ± 13.2° (P < 0.001). CCT, iris diameter, and pupil diameter changes were not statistically significant (P > 0.05). Mean axial length (AL) was 23.4 ± 0.8 mm. The IOP and corrected IOP were 14.6 ± 3.5 and 14.5 ± 3.9 preoperatively and 10.4 ± 2.4 and 10.0 ± 3.3 mmHg postoperatively (P < 0.001). There was not a correlation between AL and IOP, ACD, ACV, or ACA, and no correlation was found between IOP change and ACD, ACV, or ACA (P > 0.05). Conclusion: Measurements confirm that after uneventful phacoemulsification, IOP decreases while ACD, ACV, and ACA increase. Preoperative AL and IOP changes did not correlate with ACD, ACV, and ACA.

Anterior segment morphometry and intraocular pressure change after uneventful phacoemulsification

To evaluate the changes in anterior segment morphometry and intraocular pressure (IOP) with 3D rotating Scheimpflug camera-topography system after uneventful phacoemulsification. Materials and methods: In 56 eyes of 54 patients, anterior chamber depth (ACD), anterior chamber volume (ACV), anterior chamber angle (ACA), and central corneal thickness (CCT) were measured with the Sirius 3D Rotating Scheimpflug camera-topography system preoperatively and 1 month after surgery. IOP was measured with applanation tonometer. The preoperative and postoperative results were compared. Results: Preoperative and postoperative anterior segment parameters were as follows: ACD 2.7 ± 0.4 and 3.5 ± 0.3 mm, ACV 143.6 ± 48.8 and 192.4 ± 59.5 mm3, nasal ACA 42.3 ± 8.4° and 53.0 ± 4.5°, temporal ACA 36.9 ± 11.9° and 45.8 ± 13.2° (P < 0.001). CCT, iris diameter, and pupil diameter changes were not statistically significant (P > 0.05). Mean axial length (AL) was 23.4 ± 0.8 mm. The IOP and corrected IOP were 14.6 ± 3.5 and 14.5 ± 3.9 preoperatively and 10.4 ± 2.4 and 10.0 ± 3.3 mmHg postoperatively (P < 0.001). There was not a correlation between AL and IOP, ACD, ACV, or ACA, and no correlation was found between IOP change and ACD, ACV, or ACA (P > 0.05). Conclusion: Measurements confirm that after uneventful phacoemulsification, IOP decreases while ACD, ACV, and ACA increase. Preoperative AL and IOP changes did not correlate with ACD, ACV, and ACA.

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  • Doganay S, Bozgul Firat P, Emre S, Yologlu S. Evaluation of anterior segment parameter changes using the Pentacam after uneventful phacoemulsification. Acta Ophthalmol 2010; 88: 601–6.
  • Uçakhan ÖÖ, Özkan M, Kanpolat A. Anterior chamber parameters measured by the Pentacam CES after uneventful phacoemulsification in normotensive eyes. Acta Ophthalmol 2009; 87: 544–8.
  • Rabsilber TM, Khoramnia R, Auffarth GU. Anterior chamber measurements using Pentacam rotating Scheimpflug camera. J Cataract Refract Surg 2006; 32: 456–9.
  • Savini G, Carbonelli M, Sbreglia A, Barboni P, Deluigi G, Hoffer KJ. Comparison of anterior segment measurements by 3 Scheimpflug tomographers and 1 Placido corneal topographer. J Cataract Refract Surg 2011; 37: 1679–85.
  • Savini G, Barboni P, Carbonelli M, Hoffer KJ. Repeatability of automatic measurements by a new Scheimpflug camera combined with Placido topography. J Cataract Refract Surg 2011; 37: 1809–16.
  • Bland JM, Altman DG. Statistical methods for assessing agreement between two methods of clinical measurement. Lancet 1986; 8: 307–10.
  • Wegener A, Laser-Junga H. Photography of the anterior eye segment according to Scheimpflug’s principle: options and limitations - a review. Clin Exp Ophthalmol 2009; 37: 144–54.
  • Nasser CK, Singer R, Barkana Y, Zadok D, Avni I, Goldich Y. Repeatability of the Sirius imaging system and agreement with the Pentacam HR. J Refract Surg 2012; 28: 493–7.
  • Chen W, McAlinden C, Pesudovs K, Wang Q, Lu F, Feng Y et al. Scheimpflug-Placido topographer and optical low-coherence reflectometry biometer: repeatability and agreement. J Cataract Refract Surg 2012; 38: 1626–32.
  • Hayashi K, Hayashi H, Nakao F, Hayashi F. Changes in anterior chamber angle width and depth after intraocular lens implantation in eyes with glaucoma. Ophthalmology 2000; 107: 698–703.
  • Kashiwagi K, Kashiwagi F, Tsukahara S. Effects of small incision phacoemulsification and intraocular lens implantation on anterior chamber depth and intraocular pressure. J Glaucoma 2006; 15: 103–9.
  • Kerstetter JR, Brubaker RF, Wilson SE, Kullerstrand LJ. Prostaglandin F2α-1-isopropylester lowers intraocular pressure without decreasing aqueous humor flow. Am J Ophthalmol 1988; 105: 30–4.
  • Meyer MA, Savitt ML, Kopitas E. The effect of phacoemulsification on aqueous outflow facility. Ophthalmology 1997; 104: 1221–7.
  • O’Donnell C, Maldonado-Codina C. Agreement and repeatability of central corneal thickness measurement in normal corneas using ultrasound pachymetry and the OCULUS Pentacam. Cornea 2005; 24: 920–4.
  • Amano S, Honda N, Amano Y, Yamagami S, Miyai T, Samejima T et al. Comparison of central corneal thickness measurements by rotating Scheimpflug camera, ultrasonic pachymetry and scanning slit corneal topography. Ophthalmology 2006; 113: 937–41.
  • Hayashi K, Hayashi H. Pupil size before and after phacoemulsification in non-diabetic and diabetic patients. J Cataract Refract Surg 2004; 30: 2543–50.
  • Hosny M, Alio JL, Claramonte P, Attia WH, Perez-Santonja JJ. Relationship between anterior chamber depth, refractive state, corneal diameter, and axial length. J Refract Surg 2000; 16: 336- 40.
Turkish Journal of Medical Sciences-Cover
  • ISSN: 1300-0144
  • Yayın Aralığı: Yılda 6 Sayı
  • Yayıncı: TÜBİTAK
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