nach oben

International Ophthalmology

Erschienen in:

05.01.2022 | Original Paper

Three-dimensional topographic changes of anterior chamber depth following phacoemulsification with intraocular lens implantation in cataract patients

verfasst von: Yuexin Wang, Siman Sun, Shanshan Wei, Yining Guo, Tingyi Wu, Xuemin Li

Erschienen in: International Ophthalmology | Ausgabe 5/2022

Einloggen, um Zugang zu erhalten

Abstract

Purpose

To investigate the three-dimensional topographic changes of anterior chamber depth (ACD) following cataract surgery.

Methods

Seventy-eight eyes with age-related cataract undergoing phacoemulsification and intraocular lens (IOL) implantation were retrospectively enrolled. Participants were evaluated with Pentacam for ACD topography before and approximately four weeks after the surgery. The absolute changes of ACD (AACD) and the relative changes of ACD (RACD) topography were calculated, and three-dimensional topographic contours were plotted. The influence of age, gender, distance to corneal apex (DCA), temporal–nasal and superior–inferior on AACD and RACD was analyzed.

Results

Both AACD and RACD were negatively correlated with the DCA (p < 0.001; p < 0.001) and positively correlated with the age at all DCA (p < 0.05 for all the analyses). Significantly greater AACD and RACD were observed in female subjects (p < 0.05, respectively, at all DCA). AACD was significantly larger in the temporal compared with the nasal region (p < 0.001) and at the superior compared with the inferior region (p < 0.001), but not RACD. Subgroup analysis indicated that the significant difference of the AACD between the temporal and nasal regions was manifested at the DCA of more than 6 mm (p < 0.001), and the difference between the superior and inferior regions was observed at 2 mm DCA for both AACD (p < 0.001) and RACD (p = 0.001).

Conclusions

We depicted the topographic changes of ACD following cataract surgery and found that it was significantly influenced by age, gender, DCA and quadrant location. The research provided the basis for including postoperative ACD topography prediction before cataract surgery in the future.

Flaxman SR, Bourne RRA, Resnikoff S, Ackland P, Braithwaite T, Cicinelli MV, Das A, Jonas JB, Keeffe J, Kempen JH, Leasher J, Limburg H, Naidoo K, Pesudovs K, Silvester A, Stevens GA, Tahhan N, Wong TY, Taylor HR (2017) Global causes of blindness and distance vision impairment 1990–2020: a systematic review and meta-analysis. Lancet Glob Health 5(12):e1221–e1234. https://doi.org/10.1016/s2214-109x(17)30393-5CrossRefPubMed

Asbell PA, Dualan I, Mindel J, Brocks D, Ahmad M, Epstein S (2005) Age-related cataract. Lancet (London, England) 365(9459):599–609. https://doi.org/10.1016/s0140-6736(05)17911-2CrossRef

Zaidi FH, Corbett MC, Burton BJ, Bloom PA (2007) Raising the benchmark for the 21st century–the 1000 cataract operations audit and survey: outcomes, consultant-supervised training and sourcing NHS choice. Br J Ophthalmol 91(6):731–736. https://doi.org/10.1136/bjo.2006.104216CrossRefPubMed

Olsen T (2006) Prediction of the effective postoperative (intraocular lens) anterior chamber depth. J Cataract Refract Surg 32(3):419–424. https://doi.org/10.1016/j.jcrs.2005.12.139CrossRefPubMed

Goto S, Maeda N, Koh S, Ohnuma K, Hayashi K, Iehisa I, Noda T, Nishida K (2016) Prediction of postoperative intraocular lens position with angle-to-angle depth using anterior segment optical coherence tomography. Ophthalmology 123(12):2474–2480. https://doi.org/10.1016/j.ophtha.2016.09.005CrossRefPubMed

Tamaoki A, Kojima T, Tanaka Y, Hasegawa A, Kaga T, Ichikawa K, Tanaka K (2019) Prediction of effective lens position using multiobjective evolutionary algorithm. Trans Vis Sci Technol 8(3):64. https://doi.org/10.1167/tvst.8.3.64CrossRef

Jin H, Rabsilber T, Ehmer A, Borkenstein AF, Limberger IJ, Guo H, Auffarth GU (2009) Comparison of ray-tracing method and thin-lens formula in intraocular lens power calculations. J Cataract Refract Surg 35(4):650–662. https://doi.org/10.1016/j.jcrs.2008.12.015CrossRefPubMed

Olsen T (2007) Calculation of intraocular lens power: a review. Acta Ophthalmol Scand 85(5):472–485. https://doi.org/10.1111/j.1600-0420.2007.00879.xCrossRefPubMed

Sahin A, Hamrah P (2012) Clinically relevant biometry. Curr Opin Ophthalmol 23(1):47–53. https://doi.org/10.1097/ICU.0b013e32834cd63eCrossRefPubMedPubMedCentral

10.

Norrby S (2008) Sources of error in intraocular lens power calculation. J Cataract Refract Surg 34(3):368–376. https://doi.org/10.1016/j.jcrs.2007.10.031CrossRefPubMed

11.

Steuhl KP, Marahrens P, Frohn C, Frohn A (1992) Intraocular pressure and anterior chamber depth before and after extracapsular cataract extraction with posterior chamber lens implantation. Ophthalmic Surg 23(4):233–237PubMed

12.

Simsek A, Ciftci S (2012) Evaluation of ultrasonic biomicroscopy results in anterior eye segment before and after cataract surgery. Clin Ophthalmol 6:1931–1934. https://doi.org/10.2147/opth.s37614CrossRefPubMedPubMedCentral

13.

Pereira FA, Cronemberger S (2003) Ultrasound biomicroscopic study of anterior segment changes after phacoemulsification and foldable intraocular lens implantation. Ophthalmology 110(9):1799–1806. https://doi.org/10.1016/s0161-6420(03)00623-7CrossRefPubMed

14.

Hayashi K, Hayashi H, Nakao F, Hayashi F (2000) Changes in anterior chamber angle width and depth after intraocular lens implantation in eyes with glaucoma. Ophthalmology 107(4):698–703. https://doi.org/10.1016/s0161-6420(00)00007-5CrossRefPubMed

15.

Dooley I, Charalampidou S, Malik A, Loughman J, Molloy L, Beatty S (2010) Changes in intraocular pressure and anterior segment morphometry after uneventful phacoemulsification cataract surgery. Eye 24(4):519–526. https://doi.org/10.1038/eye.2009.339CrossRefPubMed

16.

Cho YK (2008) Early intraocular pressure and anterior chamber depth changes after phacoemulsification and intraocular lens implantation in nonglaucomatous eyes Comparison of groups stratified by axial length. J Cataract Refractive Surg 34(7):1104–1109. https://doi.org/10.1016/j.jcrs.2008.03.023CrossRef

17.

Tarongoy P, Ho CL, Walton DS (2009) Angle-closure glaucoma: the role of the lens in the pathogenesis, prevention, and treatment. Surv Ophthalmol 54(2):211–225. https://doi.org/10.1016/j.survophthal.2008.12.002CrossRefPubMed

18.

Gunning FP, Greve EL (1991) Uncontrolled primary angle closure glaucoma: results of early intercapsular cataract extraction and posterior chamber lens implantation. Int Ophthalmol 15(4):237–247. https://doi.org/10.1007/bf00171026CrossRefPubMed

19.

Gunning FP, Greve EL (1998) Lens extraction for uncontrolled angle-closure glaucoma: long-term follow-up. J Cataract Refract Surg 24(10):1347–1356. https://doi.org/10.1016/s0886-3350(98)80227-7CrossRefPubMed

20.

Ma J, Wang Y, Wei P, Jhanji V (2018) Biomechanics and structure of the cornea: implications and association with corneal disorders. Surv Ophthalmol 63(6):851–861. https://doi.org/10.1016/j.survophthal.2018.05.004CrossRefPubMed

21.

Pant AD, Dorairaj SK, Amini R (2018) Appropriate Objective Functions for Quantifying Iris Mechanical Properties Using Inverse Finite Element Modeling. J Biomech Eng. https://doi.org/10.1115/1.4039679CrossRefPubMed

22.

Dick HB (2009) Recent developments in aspheric intraocular lenses. Curr Opin Ophthalmol 20(1):25–32. https://doi.org/10.1097/ICU.0b013e32831b8bb3CrossRefPubMed

23.

Petermeier K, Frank C, Gekeler F, Spitzer MS, Messias A, Szurman P (2011) Influence of the pupil size on visual quality and spherical aberration after implantation of the Tecnis 1-piece intraocular lens. Br J Ophthalmol 95(1):42–45. https://doi.org/10.1136/bjo.2009.169680CrossRefPubMed

24.

Pandita D, Raj SM, Vasavada VA, Vasavada VA, Kazi NS, Vasavada AR (2007) Contrast sensitivity and glare disability after implantation of AcrySof IQ Natural aspherical intraocular lens: prospective randomized masked clinical trial. J Cataract Refract Surg 33(4):603–610. https://doi.org/10.1016/j.jcrs.2007.01.009CrossRefPubMed

25.

Salati C, Salvetat ML, Zeppieri M, Brusini P (2007) Pupil size influence on the intraocular performance of the multifocal AMO-Array intraocular lens in elderly patients. Eur J Ophthalmol 17(4):571–578. https://doi.org/10.1177/112067210701700415CrossRefPubMed

26.

Mester U, Dillinger P, Anterist N (2003) Impact of a modified optic design on visual function: clinical comparative study. J Cataract Refract Surg 29(4):652–660. https://doi.org/10.1016/s0886-3350(02)01983-1CrossRefPubMed

27.

Fallah Tafti MR, Abdollah Beiki H, Mohammadi SF, Latifi G, Ashrafi E, Fallah Tafti Z (2017) Anterior chamber depth change following cataract surgery in pseudoexfoliation syndrome; a preliminary study. J Ophthalmic Vis Res 12(2):165–169. https://doi.org/10.4103/jovr.jovr_81_15CrossRefPubMedPubMedCentral

28.

Klein BE, Klein R, Moss SE (2000) Lens thickness and five-year cumulative incidence of cataracts: The Beaver Dam Eye Study. Ophthalmic Epidemiol 7(4):243–248. https://doi.org/10.1076/opep.7.4.243.4176CrossRefPubMed

29.

Dubbelman M, van der Heijde GL, Weeber HA (2001) The thickness of the aging human lens obtained from corrected Scheimpflug images. Optometry Vis Sci 78(6):411–416. https://doi.org/10.1097/00006324-200106000-00013CrossRef

30.

Kim M, Park KH, Kim TW, Kim DM (2011) Changes in anterior chamber configuration after cataract surgery as measured by anterior segment optical coherence tomography. Korean J Ophthalmol 25(2):77–83. https://doi.org/10.3341/kjo.2011.25.2.77CrossRefPubMedPubMedCentral

31.

Eghrari AO, Riazuddin SA, Gottsch JD (2015) Overview of the cornea: structure, function, and development. Prog Mol Biol Transl Sci 134:7–23. https://doi.org/10.1016/bs.pmbts.2015.04.001CrossRefPubMed

32.

Nolan WP, See JL, Aung T, Friedman DS, Chan YH, Smith SD, Zheng C, Huang D, Foster PJ, Chew PT (2008) Changes in angle configuration after phacoemulsification measured by anterior segment optical coherence tomography. J Glaucoma 17(6):455–459. https://doi.org/10.1097/IJG.0b013e3181650f31CrossRefPubMed

33.

Kim M, Park KH, Kim TW, Kim DM (2012) Anterior chamber configuration changes after cataract surgery in eyes with glaucoma. Korean J Ophthalmol 26(2):97–103. https://doi.org/10.3341/kjo.2012.26.2.97CrossRefPubMedPubMedCentral

34.

Yi JH, Hong S, Seong GJ, Kang SY, Ma KT, Kim CY (2008) Anterior chamber measurements by pentacam and AS-OCT in eyes with normal open angles. Korean J Ophthalmol 22(4):242–245. https://doi.org/10.3341/kjo.2008.22.4.242CrossRefPubMedPubMedCentral

35.

Lee H, Zukaite I, Juniat V, Dimitry ME, Lewis A, Nanavaty MA (2019) Changes in symmetry of anterior chamber following routine cataract surgery in non-glaucomatous eyes. Eye and Vis 6:19. https://doi.org/10.1186/s40662-019-0144-3CrossRef

36.

Garbee DD (1997) Phacoemulsification procedures performed with topical anesthesia. AORN J 66(2):260–262. https://doi.org/10.1016/s0001-2092(06)62794-4CrossRef

37.

Tanaka S, Saika S, Ohmi S, Miyamoto T, Ishida I, Okada Y, Yamanaka O, Ohnishi Y, Ooshima A (2002) Cellular fibronectin, but not collagens, disappears in the central posterior capsules during healing after lens extraction and IOL implantation in rabbits. Jpn J Ophthalmol 46(2):147–152. https://doi.org/10.1016/s0021-5155(01)00503-2CrossRefPubMed

Titel: Three-dimensional topographic changes of anterior chamber depth following phacoemulsification with intraocular lens implantation in cataract patients
verfasst von: Yuexin Wang
Siman Sun
Shanshan Wei
Yining Guo
Tingyi Wu
Xuemin Li
Publikationsdatum: 05.01.2022
Verlag: Springer Netherlands
Erschienen in: International Ophthalmology / Ausgabe 5/2022
Print ISSN: 0165-5701
Elektronische ISSN: 1573-2630
DOI: https://doi.org/10.1007/s10792-021-02126-z

Randomized contralateral comparison of visual outcomes following implantation of two monofocal aspherical intraocular lenses after cataract surgery

Original Paper

Posterior corneal elevation changes and characteristic analysis 1 year after corneal collagen cross-linking for keratoconus

Original Paper

Retinal optical coherence tomography angiography findings of acute anterior uveitis

Original Paper

Efficacy of prophylactic laser retinopexy in acute retinal necrosis: A systematic review and meta-analysis

Review

Endophthalmitis panorama in the Jerusalem area

Original Paper

The AIDA and the extra laser systems for excimer laser trabeculotomy proved comparable IOP lowering efficacy—12-month results

Open Access
Original Paper

Neu im Fachgebiet Augenheilkunde

Zirkulierende Tumorzellen bei uvealem Melanom

Aderhautmelanom
Leitthema

Die Erstbeschreibung von Tumorzellen in der Blutbahn erfolgte 1869 durch Thomas Ashworth. Dieser beschrieb in der Blutprobe eines metastasierten Krebskranken „cells identical with those of the cancer itself“ und postulierte, dass diese „may tend …

Elektrophysiologie in der Augenheilkunde

Visuell-evozierte-Potentiale
CME-Artikel

Mit elektrophysiologischen Untersuchungen kann man in der Augenheilkunde die Funktionalität der Neurone der Sehbahn untersuchen. Weil elektrophysiologische Ableitungen von der subjektiven Wahrnehmung und Antwort des Patienten unabhängig sind …

„Liquid biopsy“ bei Retinoblastom

Retinoblastom
Leitthema

Die „liquid biopsy“ spielt eine zunehmend wichtige Rolle bei der Diagnose und Behandlung des Retinoblastoms. Die Möglichkeit der sicheren und unkomplizierten Entnahme und Untersuchung von Kammerwasser aus der Vorderkammer trägt wesentlich zur …

Die „onkologische Spur“: zirkulierende Tumor-DNA beim Aderhautmelanom

Aderhautmelanom
Leitthema

In Körperflüssigkeiten wurde zirkulierende Desoxyribonukleinsäure (DNA) bereits vor mehr als 75 Jahren beschrieben [ 19 ]. Aber erst durch die eindrucksvolle technische Weiterentwicklung im Bereich der Nukleinsäureanalyse in den letzten Jahren ist …

Update Augenheilkunde

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Springer Medizin

Three-dimensional topographic changes of anterior chamber depth following phacoemulsification with intraocular lens implantation in cataract patients

Abstract

Purpose

Methods

Results

Conclusions

Weitere Artikel der Ausgabe 5/2022

Randomized contralateral comparison of visual outcomes following implantation of two monofocal aspherical intraocular lenses after cataract surgery

Posterior corneal elevation changes and characteristic analysis 1 year after corneal collagen cross-linking for keratoconus

Retinal optical coherence tomography angiography findings of acute anterior uveitis

Efficacy of prophylactic laser retinopexy in acute retinal necrosis: A systematic review and meta-analysis

Endophthalmitis panorama in the Jerusalem area

The AIDA and the extra laser systems for excimer laser trabeculotomy proved comparable IOP lowering efficacy—12-month results

Neu im Fachgebiet Augenheilkunde

Zirkulierende Tumorzellen bei uvealem Melanom

Elektrophysiologie in der Augenheilkunde

„Liquid biopsy“ bei Retinoblastom

Die „onkologische Spur“: zirkulierende Tumor-DNA beim Aderhautmelanom

Update Augenheilkunde

Springer Medizin

Abstract

Purpose

Methods

Results

Conclusions

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten