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Journals / MN Oftalmoloji / 2016 / Cilt: 23 - Sayı: 4

Anterior Segment Changes after Uncomplicated Phacoemulsification Surgery;A Pentacam Image Study

Komplikasyonsuz Fakoemülsifikasyon Cerrahisi Sonrası Ön Segment Değişiklikleri: Bir Pentacam Görüntüleme Çalışması

İSA YUVACI
Ender SIRAKAYA
Alperen AĞADAYI
Emine PANGAL
Nurettin BAYRAM
Pages
219–223
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Pentecam seems to be advantageous in determination of developed changes due to its easy, rapid, contact-free and automated measurements.

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: Evaluation of changes in anterior segment parameters after surgery in patients for whom phacoemulsification and posterior chamber intraocular lens (IOL) implantation were performed with Pentacam Scheimpflug system.
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Key Findings & Data:Material and Method: 73 eyes of 69 patients (33 women, 36 men) for whom phacoemulsification surgery was performed were included in the study.
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Conclusion & Impact:Pentecam seems to be advantageous in determination of developed changes due to its easy, rapid, contact-free and automated measurements.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Objective: Evaluation of changes in anterior segment parameters after surgery in patients for whom phacoemulsification and posterior chamber intraocular lens (IOL) implantation were performed with Pentacam Scheimpflug system. Material and Method: 73 eyes of 69 patients (33 women, 36 men) for whom phacoemulsification surgery was performed were included in the study. Keratometric values both preoperative and in postoperative 1st month (K1: flat keratometry, K2: steep keratometry, Km: mean keratometry, Kmax: maximal keratometry), central corneal thickness, anterior chamber depth, anterior chamber volume and anterior chamber angle values were recorded and compared statistically. Results: Anterior chamber depth, anterior chamber volume and anterior chamber angle exhibited a statistically significant increase in postoperative 1st month (p<0.001). It was determined that level of increase was higher in cases having deeper anterior chamber depth and in cases having narrower anterior chamber angle (p<0.001). The change in central corneal thickness was not found to be statistically significant (p=0.237). In terms of keratometric changes, K2 change was interpreted as borderline significant (p=0.05) and Km change was interpreted as significant (p=0.003). Conclusion: A significant increase occurs in anterior chamber depth, anterior chamber volume and anterior chamber angle in postoperative 1st month after cataract surgery. It was determined that preoperative anterior chamber depth and anterior chamber angle were effective in this increase. Pentecam seems to be advantageous in determination of developed changes due to its easy, rapid, contact-free and automated measurements.

Özet

Amaç: Fakoemülsifikasyon ve arka kamara göz içi lens implantasyonu yapılan hastalarda operasyon sonrası ön segment parametrelerideki değişimlerin Pentacam Scheimpflug sistemi ile değerlendirilmesi.Gereç ve Yöntem: Sorunsuz fakoemülsifikasyon cerrahisi geçiren 69 hastanın (33 kadın, 36 erkek) 73 gözü çalışmaya dahil edildi. Hasta la rın preoperatif ve postoperatif 1. ay keratometrik değerleri (K1: düz keratometri, K2: dik keratometri, Km: ortalama keratometri, Kmax: enyüksek keratometri), santral korneal kalınlığı, ön kamara derinliği, ön kamara hacmi, ön kamara açısı değerleri kaydedilerek istatistiksel olarak karşılaştırıldı. Bulgular: Ön kamara derinliği, ön kamara hacmi ve ön kamara açısı postoperatif 1. ayda isatistiksel olarak anlamlı düzeyde artış gösterdi (p<0,001). Artış düzeyinin ön kamara derinliği daha fazla olan olgularda, ön kamara açısı daha dar olan olgularda istatistiksel olarak daha fazla olduğu saptandı (p<0,001) santral korneal kalınlığındaki değişim ise istatistiksel olarak anlamlı bulunmadı (p=0,237). Keratometrikdeğişimler yönünden ise K2 değişimi sınırda anlamlı (p=0,05), Km değişimi anlamlı (p=0,003) olarak yorumlandı.Sonuç: Katarakt cerrahisini takiben 1. ayda ön kamara derinliği, ön kamara hacmi ve ön kamara açısında anlamlı düzeyde artış olmaktadır. Bu artışta operasyon öncesi ön kamara derinliğinin ve ön kamara açısının etkili olduğu belirlendi. Ortaya çıkan değişiklikleri belirlemede Pentacam kolay, hızlı, temassız ve otomatik ölçümleri nedeniyle kullanımı avantajlı görülmektedir

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Cite This Article

YUVACI, İ., SIRAKAYA, E., AĞADAYI, A., PANGAL, E., BAYRAM, N. (2016). Anterior Segment Changes after Uncomplicated Phacoemulsification Surgery;A Pentacam Image Study. MN Oftalmoloji, Cilt: 23 - Sayı: 4, 219–223. https://ajindex.com/articles/295591

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