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文章基本信息

  • 标题:Postoperative Refractive Errors after Posterior Capsulectomy during Combined Vitrectomy and Cataract Surgery
  • 本地全文:下载
  • 作者:Kim, Jung Hoon ; Han, Sang Beom ; Lee, Seung Jun
  • 期刊名称:Journal of the Korean Ophthalmological Society
  • 印刷版ISSN:0378-6471
  • 出版年度:2015
  • 卷号:56
  • 期号:5
  • 页码:709-714
  • DOI:10.3341/jkos.2015.56.5.709
  • 语种:Korean
  • 出版社:The Korean Ophthalmological Society
  • 摘要:Purpose

    To evaluate the difference between the predicted and actual postoperative refractions after combined vitrectomy and cataract surgeries with a posterior capsulectomy.

    Methods

    We performed a retrospective study of 33 eyes of 33 patients who underwent combined vitrectomy and cataract surgeries in our hospital between March 2013 and May 2014. The patients were divided into 2 groups: those who underwent a posterior capsulectomy (group A) and those who underwent combined vitrectomy and cataract surgeries (group B). The actual refractive errors were analyzed 3 months after surgery using spherical equivalent. We compared the results between the predicted and actual refractive errors in the two groups.

    Results

    Group A consisted of 25 eyes of 25 patients and group B of 8 eyes of 8 patients. In group A, the average difference between predicted and actual postoperative refractive errors was -0.16 ± 0.38 D ( p = 0.083). The predicted refraction was -0.33 ± 0.46 D and actual refraction was -0.49 ± 0.55 D in group A. There was no statistically significant difference between the predicted refraction and actual refractive errors in group A ( p = 0.083). In group B, the average difference between predicted and actual postoperative refractive errors was 0.27 ± 0.29 D ( p = 0.078). Additionally, the predicted refraction was -0.49 ± 0.77 D and actual refraction was -0.22 ± 0.59 D. The difference between the predicted refraction and actual refractive errors in group B was not statistically significant ( p = 0.078).

    Conclusions

    When a posterior capsulectomy is performed during combined vitrectomy and cataract surgery, no significant difference in refractive errors between the predicted refraction and actual refractive errors was observed 3 months after surgery. Compared with combined vitrectomy and cataract surgeries only, a small amount of myopic refractive change tended to occur 3 months after surgery.

  • 关键词:Cataract surgery; Intraocular lens; Posterior capsulectomy; Refraction; Vitrectomy
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