Refractive Outcomes in Fuchs’ Endothelial Corneal Dystrophy: Conventional and Femtosecond Laser-Assisted Cataract Surgery

Refractive Outcomes in Fuchs’ Endothelial Corneal Dystrophy: Conventional and Femtosecond Laser-Assisted Cataract Surgery

Ellen H Koo, Vikram Paranjpe, William J Feuer, Patrice J Persad, Kendall E Donaldson Bascom Palmer Eye Institute, Department of Ophthalmology, Miller School of Medicine at the University of Miami, Miami, FL, USACorrespondence: Ellen H KooBascom Palmer Eye Institute, Department of Ophthalmology, Mill...

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Autores principales: Koo EH, Paranjpe V, Feuer WJ, Persad PJ, Donaldson KE
Formato: article
Lenguaje:EN
Publicado: Dove Medical Press 2021
Materias:
femtosecond laser assisted cataract surgery
fuchs’ dystrophy
fuchs’ endothelial corneal dystrophy
refractive error
refractive outcome
Ophthalmology
RE1-994
Acceso en línea:https://doaj.org/article/31a0daff7af14477865148357a2ec742
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spelling oai:doaj.org-article:31a0daff7af14477865148357a2ec7422021-12-02T18:50:07ZRefractive Outcomes in Fuchs’ Endothelial Corneal Dystrophy: Conventional and Femtosecond Laser-Assisted Cataract Surgery1177-5483https://doaj.org/article/31a0daff7af14477865148357a2ec7422021-08-01T00:00:00Zhttps://www.dovepress.com/refractive-outcomes-in-fuchs-endothelial-corneal-dystrophy-conventiona-peer-reviewed-fulltext-article-OPTHhttps://doaj.org/toc/1177-5483Ellen H Koo, Vikram Paranjpe, William J Feuer, Patrice J Persad, Kendall E Donaldson Bascom Palmer Eye Institute, Department of Ophthalmology, Miller School of Medicine at the University of Miami, Miami, FL, USACorrespondence: Ellen H KooBascom Palmer Eye Institute, Department of Ophthalmology, Miller School of Medicine at the University of Miami, Miami, FL, USATel + 1 561-515-1544Email exk126@med.miami.eduPurpose: To investigate the refractive outcomes of eyes with Fuchs’ endothelial corneal dystrophy (FECD) following phacoemulsification.Methods: This is a retrospective chart review of patients with FECD who underwent phacoemulsification. Manifest refraction at the early postoperative period (1– 6 weeks) and late postoperative period (3– 12 months) was collected. The spherical equivalent (SE) and variance of SE from target in diopters (D) were analyzed.Results: A total of 219 eyes from 175 FECD patients (73 FLACS, 146 conventional phacoemulsification) were included. In the early postoperative period, when comparing variance from intended target, 62% (n=126) had a SE variance of ≤ 0.5 D, 22% (n=44) > 0.5 D and ≤ 1 D, and 17% (n=34) > 1 D. In the late postoperative period, 62% (n=85) had a SE variance of ≤ 0.5 D, 19% (n=26) > 0.5 D and ≤ 1 D, and 20% (n=27) > 1 D. There was no difference in the variance of SE comparing FLACS versus conventional phacoemulsification in either the early postoperative period (p=0.78) or the late postoperative period (p=0.29).Conclusion: Patients with mild-to-moderate FECD had favorable refractive outcomes with phacoemulsification. There was no difference in refractive outcomes in eyes with FECD between the group that underwent FLACS versus the group that underwent conventional phacoemulsification.Keywords: femtosecond laser assisted cataract surgery, Fuchs’ dystrophy, Fuchs’ endothelial corneal dystrophy, refractive error, refractive outcomeKoo EHParanjpe VFeuer WJPersad PJDonaldson KEDove Medical Pressarticlefemtosecond laser assisted cataract surgeryfuchs’ dystrophyfuchs’ endothelial corneal dystrophyrefractive errorrefractive outcomeOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 15, Pp 3419-3429 (2021)
institution DOAJ
collection DOAJ
language EN
topic femtosecond laser assisted cataract surgery
fuchs’ dystrophy
fuchs’ endothelial corneal dystrophy
refractive error
refractive outcome
Ophthalmology
RE1-994
spellingShingle femtosecond laser assisted cataract surgery
fuchs’ dystrophy
fuchs’ endothelial corneal dystrophy
refractive error
refractive outcome
Ophthalmology
RE1-994
Koo EH
Paranjpe V
Feuer WJ
Persad PJ
Donaldson KE
Refractive Outcomes in Fuchs’ Endothelial Corneal Dystrophy: Conventional and Femtosecond Laser-Assisted Cataract Surgery
description Ellen H Koo, Vikram Paranjpe, William J Feuer, Patrice J Persad, Kendall E Donaldson Bascom Palmer Eye Institute, Department of Ophthalmology, Miller School of Medicine at the University of Miami, Miami, FL, USACorrespondence: Ellen H KooBascom Palmer Eye Institute, Department of Ophthalmology, Miller School of Medicine at the University of Miami, Miami, FL, USATel + 1 561-515-1544Email exk126@med.miami.eduPurpose: To investigate the refractive outcomes of eyes with Fuchs’ endothelial corneal dystrophy (FECD) following phacoemulsification.Methods: This is a retrospective chart review of patients with FECD who underwent phacoemulsification. Manifest refraction at the early postoperative period (1– 6 weeks) and late postoperative period (3– 12 months) was collected. The spherical equivalent (SE) and variance of SE from target in diopters (D) were analyzed.Results: A total of 219 eyes from 175 FECD patients (73 FLACS, 146 conventional phacoemulsification) were included. In the early postoperative period, when comparing variance from intended target, 62% (n=126) had a SE variance of ≤ 0.5 D, 22% (n=44) > 0.5 D and ≤ 1 D, and 17% (n=34) > 1 D. In the late postoperative period, 62% (n=85) had a SE variance of ≤ 0.5 D, 19% (n=26) > 0.5 D and ≤ 1 D, and 20% (n=27) > 1 D. There was no difference in the variance of SE comparing FLACS versus conventional phacoemulsification in either the early postoperative period (p=0.78) or the late postoperative period (p=0.29).Conclusion: Patients with mild-to-moderate FECD had favorable refractive outcomes with phacoemulsification. There was no difference in refractive outcomes in eyes with FECD between the group that underwent FLACS versus the group that underwent conventional phacoemulsification.Keywords: femtosecond laser assisted cataract surgery, Fuchs’ dystrophy, Fuchs’ endothelial corneal dystrophy, refractive error, refractive outcome
format article
author Koo EH
Paranjpe V
Feuer WJ
Persad PJ
Donaldson KE
author_facet Koo EH
Paranjpe V
Feuer WJ
Persad PJ
Donaldson KE
author_sort Koo EH
title Refractive Outcomes in Fuchs’ Endothelial Corneal Dystrophy: Conventional and Femtosecond Laser-Assisted Cataract Surgery
title_short Refractive Outcomes in Fuchs’ Endothelial Corneal Dystrophy: Conventional and Femtosecond Laser-Assisted Cataract Surgery
title_full Refractive Outcomes in Fuchs’ Endothelial Corneal Dystrophy: Conventional and Femtosecond Laser-Assisted Cataract Surgery
title_fullStr Refractive Outcomes in Fuchs’ Endothelial Corneal Dystrophy: Conventional and Femtosecond Laser-Assisted Cataract Surgery
title_full_unstemmed Refractive Outcomes in Fuchs’ Endothelial Corneal Dystrophy: Conventional and Femtosecond Laser-Assisted Cataract Surgery
title_sort refractive outcomes in fuchs’ endothelial corneal dystrophy: conventional and femtosecond laser-assisted cataract surgery
publisher Dove Medical Press
publishDate 2021
url https://doaj.org/article/31a0daff7af14477865148357a2ec742
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AT feuerwj refractiveoutcomesinfuchsrsquoendothelialcornealdystrophyconventionalandfemtosecondlaserassistedcataractsurgery
AT persadpj refractiveoutcomesinfuchsrsquoendothelialcornealdystrophyconventionalandfemtosecondlaserassistedcataractsurgery
AT donaldsonke refractiveoutcomesinfuchsrsquoendothelialcornealdystrophyconventionalandfemtosecondlaserassistedcataractsurgery
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