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Evaluation of anterior‐segment inflammation and retinal thickness change following cataract surgery
Author(s) -
Stock Geraldine,
Ahlers Christian,
Dunavoelgyi Roman,
Kahraman Guenal,
Schauersberger Joerg,
SchmidtErfurth Ursula,
Amon Michael
Publication year - 2011
Publication title -
acta ophthalmologica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.534
H-Index - 87
eISSN - 1755-3768
pISSN - 1755-375X
DOI - 10.1111/j.1755-3768.2009.01704.x
Subject(s) - medicine , retinal , cataract surgery , optical coherence tomography , ophthalmology , surgery
. Purpose: To investigate the physiological retinal response to uneventful cataract surgery using conventional time‐domain (TD‐OCT) and current spectral‐domain optical coherence tomography (SD‐OCT) in combination with an assessment of the anterior chamber inflammatory reaction by laser flare/cell meter (LCFM). Methods: Thirty‐four patients scheduled for cataract surgery were included in this prospective pilot study. Retinal parameters were examined according to a standardized examination procedure using TD‐OCT (Stratus; Carl Zeiss Meditec, Dublin, California, USA) and SD‐OCT (Cirrus; Carl Zeiss Meditec) devices. The inflammatory reaction of the anterior chamber was measured by LFCM (Kowa FC‐1000, Kowa Co. Ltd, Tokyo, Japan). Examinations were carried out preoperatively and at day 2, week 1 and week 4 postoperatively. Results: A slight decrease of central retinal thickness values was identified at day 2 postoperatively followed by an increase of these parameters at week 4. LFCM showed peak values in all patients at day 2 postoperatively with a constant decrease at the following visits. No visible pathological retinal changes were seen after surgery. Conclusion: A biphasic retinal response after surgery could be shown with SD‐OCT and TD‐OCT technology. By using the advantages of rasterscanning mode, SD‐OCT technology is superior to TD‐OCT imaging in the investigation of the physiological retinal response to cataract surgery.