Research Article


DOI :10.26650/IUITFD.2019.0091   IUP :10.26650/IUITFD.2019.0091    Full Text (PDF)

EFFECT OF AXIAL LENGTH ON ANTERIOR CHAMBER PARAMETERS AND INTRAOCULAR PRESSURE CHANGES AFTER PHACOEMULSIFICATION SURGERY

Kemal Turgay ÖzbilenEmre Altınkurt

Objective: To investigate the changes in anterior chamber (AC) parameters, central corneal thickness (CCT) and intraocular pressure (IOP) after phacoemulsification and intraocular lens (IOL) implantation, and the effect of axial length (AL) on these parameters. Material and Method: In the study, 106 eyes of 89 patients who underwent phacoemulsification surgery were evaluated retrospectively. Patients were divided into two groups with AL measurements of 21<AL≤23 mm (57 eyes) and 23<AL≤26 mm (49 eyes). AL measurements were made with IOLMaster 500. All patients were assesed preoperatively and postoperatively on the 3rd month. Pentacam HR was used to measure the depth of AC (ACD), volume of AC (ACV), angle of AC (ACA) and CCT. IOP measurements were performed with a Goldman applanation tonometer. T-test and one-way analysis of variance were used for data analysis. p≤0.05 was considered significant. Results: ACD, ACA, ACV and IOP changes were significant in the postoperative 3rd month (p<0.001 in all). The increase in CCT was not significant (p=0.24). ACD (p=0.044) and ACA (p=0.006) increased significantly in the group with 21<AU≤23 mm compared to the other group. There was no significant difference between the groups in terms of ACV (p=0.16), CCT (p=0.87) and IOP (p=0.89) changes. Conclusion: Phacoemulsification and IOL implantation in normotensive eyes significantly increase ACD, ACV and ACA, and decrease IOP. In eyes with AU≤ 23 mm, ACD and ACA increased significantly after surgery.

DOI :10.26650/IUITFD.2019.0091   IUP :10.26650/IUITFD.2019.0091    Full Text (PDF)

AKSİYEL UZUNLUĞUN FAKOEMÜLSİFİKASYON CERRAHİSİ SONRASI ÖN KAMARA PARAMETRELERİ VE GÖZ İÇİ BASINCI DEĞİŞİMLERİNE ETKİSİ

Kemal Turgay ÖzbilenEmre Altınkurt

Amaç: Fakoemülsifikasyon ve göz içi lensi (GİL) implantasyonu sonrası ön kamara(ÖK) parametreleri, santral kornea kalınlığı (SKK) ve göz içi basıncı (GİB) değişimlerini ve aksiyel uzunluğun (AU) bu parametrelerdeki değişimlere etkisini incelemektir. Gereç ve Yöntem: Çalışmada fakoemülsifikasyon cerrahisi geçiren 89 hastanın 106 gözü retrospektif olarak değerlendirildi. Olgular; AU ölçümleri 21<AU≤23 mm (57 göz) ve 23<AU≤26 mm (49 göz) olan iki gruba ayrıldı. AU ölçümleri IOLMaster 500 ile yapıldı. Tüm olgulara fakoemülsifikasyon cerrahisi öncesi ve postoperatif 3. ayda; Pentacam HR ile ÖK derinliği (ÖKD), ÖK hacmi (ÖKH), ÖK açısı (ÖKA) ve SKK ölçüldü. Goldman aplanasyon tonometresiyle GİB ölçümleri yapıldı. Verilerin analizinde T-test ve tek-yönlü varyans analizi kullanıldı. p≤0,05 anlamlı kabul edildi. Bulgular: Grupların postoperatif 3. aydaki ÖKD, ÖKA, ÖKH, GİB değişimlerinin anlamlı olduğu görüldü (p<0,001 hepsinde). SKK artışı anlamlı bulunmadı (p=0,24). ÖKD (p=0,044) ve ÖKA (p=0,006)’nın 21<AU≤23 mm olduğu grupta anlamlı bir şekilde diğer gruba göre daha fazla arttığı; ÖKH (p=0,16), SKK (p=0,87) ve GİB (p=0,89) değişimleri açısından gruplar arasında anlamlı farklılık olmadığı saptandı. Sonuç: Fakoemülsifikasyon ve GİL implantasyonu normotansif gözlerde anlamlı olarak ÖKD, ÖKH ve ÖKA’da artmaya, GİB’de azalmaya neden olur. AU≤ 23 mm olan gözlerde cerrahi sonrası ÖKD ve ÖKA daha fazla artmaktadır.


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References

  • 1. Ucakhan OO, Ozkan M, Kanpolat A. Anterior chamber parameters measured by the Pentacam CES after uneventful phacoemulsification in normotensive eyes. Acta Ophthalmol 2009;87(5):544-8. google scholar
  • 2. Kurimoto Y, Park M, Sakaue H, Kondo T. Changes in the anterior chamber configuration after small-incision cataract surgery with posterior chamber intraocular lens implantation. Am J Ophthalmol 1997;124(6):775-80. google scholar
  • 3. Altan C, Bayraktar S, Altan T, Eren H, Yilmaz OF. Anterior chamber depth, iridocorneal angle width,and intraocular pressure changes after uneventful phacoemulsification in eyes without glaucoma and with open iridocorneal angles. J Cataract Refract Surg 2004;30:832-8. google scholar
  • 4. Doganay S, Firat PB, Emre S and Yologlu S. Evaluation of anterior segment parameter changes using the Pentacam after uneventful phacoemulsification. Acta Ophthalmol 2010:88:601-6. google scholar
  • 5. Shingleton BJ, Gamell LS, O’Donoghue MW, Baylus SL & King R. Longterm changes in intraocular pressure after clearcorneal phacoemulsification: normal patients versus glaucoma suspect and glaucoma patients. J Cataract Refract Surg 1999;25:885-90. google scholar
  • 6. Engren A-L, Behndig A. Anterior chamber depth, intraocular lens position, and refractive outcomes after cataract surgery. J Cataract Refract Surg 2013;39:572-7. google scholar
  • 7. Holladay JT. Standardizing constants for ultrasonic biometry, keratometry, andintraocular lens power calculations. J Cataract Refract Surg 1997;23:1356-70. google scholar
  • 8. Hoffer KJ, Savini G. Anterior chamber depth studies. J Cataract Refract Surg 2015;41:1898-904. google scholar
  • 9. Chylack LT, Wolfe JK, Singer DM, Leske MC, Bullimore MA, Bailey IL, Friend J, McCarthy D, Wu SY. The Lens Opacities Classification System III. The Longitudinal Study of Cataract Study Group. Arch Ophthalmol 1993;111(6):8316. google scholar
  • 10. Rabsilber TM, Khoramnia R & Auffarth GU. Anterior chamber measurements using Pentacam rotating Scheimpflug camera. J Cataract Refract Surg 2006;32:456-9. google scholar
  • 11. Dooley I, Charalampidou S, Malik A, Loughman J, Molloy L and Beatty S. Changes in intraocular pressure and anterior segment morphometry after uneventful phacoemulsification cataract surgery. Eye 2010;24:519-27. google scholar
  • 12. Elgin U, Sen E, Simsek T, Tekin K, Yılmazbas P. Early Postoperative Effects of Cataract Surgery on Anterior Segment Parameters in Primary Open-Angle Glaucoma and Pseudoexfoliation Glaucoma. Turk J Ophthalmol 2016;46:95-8. google scholar
  • 13. Kashigawi K, Kashigawi F, Tsukahara S. Effects of SmallIncision Phacoemulsification and Intraocular Lens Implantation on Anterior Chamber Depth and Intraocular Pressure. J Glaucoma 2006;15:103-9. google scholar
  • 14. Liu X-Q, Zhu H-Y, Su J, Hao X-J. Effects of phacoemulsification on intraocular pressure and anterior chamber depth. Exp Ther Med 2013;5:507-10. google scholar
  • 15. Şimşek A, Bilgin B, Çapkın M, Bilak S, Güler M, Reyhan AH. Evaluation of Anterior Segment Parameter Changes Using the Sirius after Uneventful Phacoemulsification. Korean J Ophthalmol 2016;30(4):251-7. google scholar
  • 16. Yagcı R, Guler E, Uzun F, Güragac BF, Acer S, Hepsen IF. Assessment of Anterior Chamber Parameters After Cataract Surgery by Galilei Dual Scheimpflug Analyzer. Eye & Contact Lens 2015;41:40-3. google scholar
  • 17. Yang HS, Lee J, Choi S. Ocular Biometric Parameters Associated With Intraocular Pressure Reduction After Cataract Surgery in Normal Eyes. Am J Ophthalmol 2013;156:89-94. google scholar
  • 18. Zhao Q, Li N-Y, Zhong X-W. Determination of anterior segment changes with Pentacam after phacoemulsification in eyes with primary angle-closure glaucoma. Clin Exp Ophthalmol 2012;40(8):786-91. google scholar
  • 19. Issa SA, Pacheco J, Mahmood U, Nolan J, Beatty S. A novel index for predicting intraocular pressure reduction following cataract surgery. Br J Ophthalmol 2005;89(5):5436. google scholar
  • 20. Meyer MA, Savitt ML, Kopitas E. The effect of phacoemulsification on aqueous outflow facility. Ophthalmology 1997;104:1221-7. google scholar
  • 21. Fraser SG, Wormald RP. Hospital episode statistics and changing trends in glaucoma surgery. Eye 2008;22(1):3-7. google scholar
  • 22. Cekic O, Batman C, Totan Y, et al. Changes in anterior chamber depth and intraocular pressure after phacoemulsification and posterior chamber intraocular lens implantation. Ophthalmic Surg Lasers 1998;29:639-42. google scholar
  • 23. Cho YK. Early intraocular pressure and anterior chamber depth changes after phacoemulsification and intraocular lens implantation in nonglaucomatous eyes. J Cataract Refract Surg 2008;34:1104-9. google scholar
  • 24. Reuschel A, Bogatsch H, Barth T, Wiedemann R. Comparison of endothelial changes and power settings between torsional and longitudinal phacoemulsification. J Cataract Refract Surg 2010;36(11):1855-61. google scholar
  • 25. Gungor SG, Akman A, Asena L, Aksoy M, Sezenöz AS. Changes in Anterior Chamber Depth after Phacoemulsification in Pseudoexfoliative Eyes and their Effect on Accuracy of Intraocular Lens Power Calculation. Turk J Ophthalmol 2016;46:255-8. google scholar
  • 26. Kucumen RB, Yenerel NM, Gorgun E, Kulacoglu DN, Dinc UA, Alimgil ML. Anterior segment optical coherence tomography measurement of anterior chamber depth and angle changes after phacoemulsification and intraocular lens implantation. J Cataract Refract Surg 2008;34:1694-8. google scholar
  • 27. Muzyka-Wozniack M and Ogar A. Anterior chamber depth and iris and les position before and after phacoemulsfication in eyes with long or short axial length J. Cataract Refract Surg 2016;42:563-8. google scholar

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APA

Özbilen, K.T., & Altınkurt, E. (2021). EFFECT OF AXIAL LENGTH ON ANTERIOR CHAMBER PARAMETERS AND INTRAOCULAR PRESSURE CHANGES AFTER PHACOEMULSIFICATION SURGERY. Journal of Istanbul Faculty of Medicine, 84(1), 92-97. https://doi.org/10.26650/IUITFD.2019.0091


AMA

Özbilen K T, Altınkurt E. EFFECT OF AXIAL LENGTH ON ANTERIOR CHAMBER PARAMETERS AND INTRAOCULAR PRESSURE CHANGES AFTER PHACOEMULSIFICATION SURGERY. Journal of Istanbul Faculty of Medicine. 2021;84(1):92-97. https://doi.org/10.26650/IUITFD.2019.0091


ABNT

Özbilen, K.T.; Altınkurt, E. EFFECT OF AXIAL LENGTH ON ANTERIOR CHAMBER PARAMETERS AND INTRAOCULAR PRESSURE CHANGES AFTER PHACOEMULSIFICATION SURGERY. Journal of Istanbul Faculty of Medicine, [Publisher Location], v. 84, n. 1, p. 92-97, 2021.


Chicago: Author-Date Style

Özbilen, Kemal Turgay, and Emre Altınkurt. 2021. “EFFECT OF AXIAL LENGTH ON ANTERIOR CHAMBER PARAMETERS AND INTRAOCULAR PRESSURE CHANGES AFTER PHACOEMULSIFICATION SURGERY.” Journal of Istanbul Faculty of Medicine 84, no. 1: 92-97. https://doi.org/10.26650/IUITFD.2019.0091


Chicago: Humanities Style

Özbilen, Kemal Turgay, and Emre Altınkurt. EFFECT OF AXIAL LENGTH ON ANTERIOR CHAMBER PARAMETERS AND INTRAOCULAR PRESSURE CHANGES AFTER PHACOEMULSIFICATION SURGERY.” Journal of Istanbul Faculty of Medicine 84, no. 1 (May. 2024): 92-97. https://doi.org/10.26650/IUITFD.2019.0091


Harvard: Australian Style

Özbilen, KT & Altınkurt, E 2021, 'EFFECT OF AXIAL LENGTH ON ANTERIOR CHAMBER PARAMETERS AND INTRAOCULAR PRESSURE CHANGES AFTER PHACOEMULSIFICATION SURGERY', Journal of Istanbul Faculty of Medicine, vol. 84, no. 1, pp. 92-97, viewed 13 May. 2024, https://doi.org/10.26650/IUITFD.2019.0091


Harvard: Author-Date Style

Özbilen, K.T. and Altınkurt, E. (2021) ‘EFFECT OF AXIAL LENGTH ON ANTERIOR CHAMBER PARAMETERS AND INTRAOCULAR PRESSURE CHANGES AFTER PHACOEMULSIFICATION SURGERY’, Journal of Istanbul Faculty of Medicine, 84(1), pp. 92-97. https://doi.org/10.26650/IUITFD.2019.0091 (13 May. 2024).


MLA

Özbilen, Kemal Turgay, and Emre Altınkurt. EFFECT OF AXIAL LENGTH ON ANTERIOR CHAMBER PARAMETERS AND INTRAOCULAR PRESSURE CHANGES AFTER PHACOEMULSIFICATION SURGERY.” Journal of Istanbul Faculty of Medicine, vol. 84, no. 1, 2021, pp. 92-97. [Database Container], https://doi.org/10.26650/IUITFD.2019.0091


Vancouver

Özbilen KT, Altınkurt E. EFFECT OF AXIAL LENGTH ON ANTERIOR CHAMBER PARAMETERS AND INTRAOCULAR PRESSURE CHANGES AFTER PHACOEMULSIFICATION SURGERY. Journal of Istanbul Faculty of Medicine [Internet]. 13 May. 2024 [cited 13 May. 2024];84(1):92-97. Available from: https://doi.org/10.26650/IUITFD.2019.0091 doi: 10.26650/IUITFD.2019.0091


ISNAD

Özbilen, KemalTurgay - Altınkurt, Emre. EFFECT OF AXIAL LENGTH ON ANTERIOR CHAMBER PARAMETERS AND INTRAOCULAR PRESSURE CHANGES AFTER PHACOEMULSIFICATION SURGERY”. Journal of Istanbul Faculty of Medicine 84/1 (May. 2024): 92-97. https://doi.org/10.26650/IUITFD.2019.0091



TIMELINE


Submitted11.11.2019
Accepted20.01.2020
Published Online28.05.2020

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