Biometric stability after the facoemulsification
Keywords:
anterior chamber, axial length, biometric stabilityAbstract
Introduction: Since the transition from extracapsular surgery to phacoemulsification, refractive outcomes of cataract surgery have been favorable.
Objective: To determine the stability of biometric parameters at different postoperative time points.
Methods: An observational-descriptive and longitudinal-prospective study was conducted at the Ocular Microsurgery Center of the Cuban Institute of Ophthalmology "Ramón Pando Ferrer." Data were collected during the follow-up period: 1, 4, 6, and 12 weeks.
Results: The sample consisted of 43 eyes of 29 patients who underwent cataract surgery using phacoemulsification. 55.2% were female. The mean age was 65.93 (SD = 10.66) years. Regarding keratometric cylinder measurements, the average decrease was one diopter in the first week, with a statistically significant decrease occurring in the sixth week (p = 0.001). Regarding corneal thickness, the highest values were found in the first week and decreased significantly from the fourth week onwards (p = 0.030). No statistically significant differences were found in axial length (p = 0.424) and anterior chamber thickness (p = 0.078) during follow-up.
Conclusions: The sample was characterized by a slight predominance of females and patients in their seventies. No changes were found in axial length and anterior chamber thickness after the first postoperative week. Significant changes in keratometric cylinder stabilized at week 6. The greatest change in corneal thickness occurred in the first postoperative week compared to the preoperative period.
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1. Berríos Dolz V, Chirinos Saldaña P, Adrianzén R E. Efecto de la cirugía de catarata en la sensibilidad al contraste y la calidad de vida de pacientes con diferentes tipos de catarata [Internet]. Rev mex oftalmol. 2020 [acceso: 31/11/2024]; 94(2):68-76. Disponible en: https://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S2604-122720200002000685
2. Río Torres M. Cirugía de cataratas en Cuba [Internet]. Rev Cubana Oftalmol. 2019 [acceso: 14/02/2025]; 32(1): [aprox. 1p.]. Disponible en: https://revoftalmologia.sld.cu/index.php/oftalmologia/article/view/710
3. Nikose AS, Saha D, Laddha PM, Patil M. Surgically induced astigmatism after phacoemulsification by temporal clear corneal and superior clear corneal approach: a comparison [Internet]. Clin Ophthalmol. 2018 [acceso: 14/11/2024]; 12:65-70. Disponible en: https://pubmed.ncbi.nlm.nih.gov/29379266/
4. Lee NS, Ong K. Changes in refraction after cataract phacoemulsification surgery [Internet]. Int Ophthalmol. 2023 [acceso: 15/10/2024]; 43(5):1545-51. Disponible en: https://pubmed.ncbi.nlm.nih.gov/36223001/
5. Caglar C, Batur M, Eser E, Demir H, Yaşar T. The Stabilization Time of Ocular Measurements after Cataract Surgery [Internet]. Semin Ophthalmol. 2017 [acceso: 14/11/2024]; 32(4):412-7. Disponible en: https://pubmed.ncbi.nlm.nih.gov/27082151/
6. World Medical Association. World Medical Association Declaration of Helsinki: ethical principles for medical research involving human participants [Internet]. JAMA; 2024; 33(1):71-4. DOI: 10.1001/jama.2024.21972
7. Sera Velázquez S, Jorge Chilundo CD, Fernández Domínguez TM, Sánchez Miranda M, Cruz Betancourt A. Resultados de la cirugía de catarata por las técnicas de incisión pequeña tunelizada y por facoemulsificación [Internet]. CCM. 2021 [acceso: 15/10/2024]; 25(1):e3685. Disponible en: https://revcocmed.sld.cu/index.php/cocmed/article/view/3685
8. Palmero Aragón EY, Pina García MJ, León Bernal D, Cardoso Hernández C, Rodríguez Montero P, Cabeza Martínez E. Extracción de catarata mediante la técnica de facoemulsificación con implante de lente intraocular [Internet]. Gac méd espirit . 2017 [acceso: 14/02/2025]; 19(2):e1136. Disponible en: https://revgmespirituana.sld.cu/index.php/gme/article/view/1136
9. Miranda AB, Dalmagro JA, Guantay CD, Castellanos AG, Viotto PM, Espósito E, et al. Resultados refractivos postcirugía de catarata con implante de lente intraocular en pacientes mayores de 40 años [Internet]. Oftalmol Clínica Exp. 2021; 14(4). DOI: 10.70313/2718.7446.v14.n4.88
10. Jiayue W, Hernández Silva JR, Hernández Ramos H, Ramos López M, Fu Q. Criofacoemulsificación en la cirugía de catarata [Internet]. Rev Cubana Oftalmol. 2021 [acceso: 14/02/2025]; 34(2): [aprox. 10p.] Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S08641762021000200007&lng=es
11. De Juan V, Herreras JM, Pérez I, Morejón Á, Río-Cristóbal A, Martín R, et al. Refractive stabilization and corneal swelling after cataract surgery [Internet]. Optom Vis Sci. 2013; 90(1):31-6. DOI: 10.1097/OPX.0b013e318278fc44
12. Keel S, Malesic L, Chan SP. Diurnal variation in central corneal thickness and intraocular pressure in eyes with pseudoexfoliation syndrome without glaucoma. Indian J Ophthalmol. 2014; 62(11):1072-6. DOI: 10.4103/0301-4738.146755
13. Moura CN, Filomena J, Ribeiro JF. ZEISS IOLMaster 700 [Internet]. Medical Technology. 2024. [acceso: 14/02/2025]. Disponible en: https://www.zeiss.com/meditec/es/productos/biometros-opticos/iolmaster-700.html
14. Torres Lucho OM. Variación del ángulo irido-corneal en pacientes operados de catarata en una clínica oftalmológica [Internet]. [Tesis de licenciatura]. Perú: Universidad Nacional Federico Villarreal; 2024. [acceso: 14/02/2025]. Disponible en: https://repositorio.unfv.edu.pe/handle/20.500.13084/8514
15. Ugurlu A, Gamze-Tasli N. Evaluación del segmento anterior y cambios en la presión intraocular después de la cirugía de catarata por facoemulsificación [Internet]. Rev mex oftalmol. 2024; 94(6):252-9. DOI: 10.24875/RMO.M20000132
16. Xia J, Hu F, Fan L, Yu L, Ye J. Postoperative Changes After Phacoemulsification with Posterior Intraocular Lens Implantation Combined with Goniosynechialysis in Patients with Different Axial Lengths [Internet]. Research Square. [Preprint]. 2021. DOI: 10.21203/rs.3.rs-970331/v1
17. Chlasta-Twardzik E, Nowińska A, Wylęgała E. Comparison of the selected parameters of the anterior segment of the eye between femtosecond laser-assisted cataract surgery, microincision cataract surgery, and conventional phacoemulsification: A case-control study [Internet]. Medicine (Baltimore). 2019; 98(52):e18340. DOI: 10.1097/MD.0000000000018340
18. Kruse M. Postoperative stability of refractive error after cataract surgery [Internet]. Optometry & Contact Lenses Journa. 2021 [acceso: 14/02/2025]; 1(1):14-20. Disponible en: https://www.ocl-online.de/en/postoperative-stabilityrefractive-error
19. Pattanayak S, Patra SHS, Nanda AK, Subudhi P. Stabilization of refraction and timing of spectacle prescription following manual small-incision cataract surgery [Internet]. Indian J Ophthalmol. 2022; 70(11):3938-41. DOI: 10.4103/ijo.IJO_95_22
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