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Background: Phacoemulsification can induce changes in anterior segment parameters. Anterior segment optical coherence tomography (AS-OCT) is a disconnected probe device that can detect these changes in anterior segment parameters. Objective: Was to investigate the change of the anterior chamber angle morphology and intraocular pressure (IOP) after phaco-emulsification cataract surgery and IOL implantation with comparing two groups of patients by two brands of IOL (hydrophobic one-piece IOL) and (hydrophilic one-piece IOL) in patients with senile cataract using anterior segment optical coherence tomography (AS-OCT). Patients and methods: Our study was a prospective randomized study including 30 eyes with visually significant cataract, as the only cause of visual impairment selected from those attending Al-Azhar University Hospital (Damietta branch) Ophthalmic outpatient Clinic and was randomized into two groups. Group A (15 eyes) was implanted with (hydrophobic IOL) and Group B (15 eyes) was implanted with (hydrophilic IOL). Results: the results revealed that there was a significant increase in the anterior chamber angle in both groups, except for the anterior chamber depth in group A, but there was no significant difference between the groups. Conclusion: Phacoemulsification with IOL implantation results in widening of the ACA, marked increase in BCVA and reduction of IOP, if using (Sensar 1 hydrophobic one-piece IOL) or (Eyecryl hydrophilic one-piece IOL) but we can not generalize the results due to the small sample size.

international journal of medical arts

Anterior Chamber Configuration Changes after Phacoemulsification and Intraocular Lens Implantation Measured by Anterior Segment Optical Coherence Tomography