Cystoid Macular Edema Following Cataract Surgery with Low-Energy Femtosecond Laser versus Conventional Phacoemulsification

Stefaan Van Nuffel,1,* Matthias F Claeys,1,* Marnix H Claeys2 1Department of Ophthalmology, University Hospital Ghent, Ghent, Belgium; 2Okulus Eye Clinic, Kortrijk, Belgium*These authors contributed equally to this workCorrespondence: Stefaan Van Nuffel Email stefaan.vannuffel@hotmail.comPurpose: To...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Van Nuffel S, Claeys MF, Claeys MH
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2020
Materias:	cystoid macular edema low-energy femtosecond laser femtosecond laser assisted cataract surgery phacoemulsification cataract surgery Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/7e7d8b6645b540d380e6fb578bc14b91
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:7e7d8b6645b540d380e6fb578bc14b91
record_format	dspace
spelling	oai:doaj.org-article:7e7d8b6645b540d380e6fb578bc14b912021-12-02T11:27:31ZCystoid Macular Edema Following Cataract Surgery with Low-Energy Femtosecond Laser versus Conventional Phacoemulsification1177-5483https://doaj.org/article/7e7d8b6645b540d380e6fb578bc14b912020-09-01T00:00:00Zhttps://www.dovepress.com/cystoid-macular-edema-following-cataract-surgery-with-low-energy-femto-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Stefaan Van Nuffel,1,* Matthias F Claeys,1,* Marnix H Claeys2 1Department of Ophthalmology, University Hospital Ghent, Ghent, Belgium; 2Okulus Eye Clinic, Kortrijk, Belgium*These authors contributed equally to this workCorrespondence: Stefaan Van Nuffel Email stefaan.vannuffel@hotmail.comPurpose: To compare postoperative changes in central subfield macular thickness (CSMT) and prevalence of cystoid macular edema (CME) in patients undergoing cataract surgery with low-energy femtosecond laser versus standard phacoemulsification.Design: This was a retrospective comparative real-world study.Methods: Postoperative data of 252 eyes of 165 patients were collected: 138 eyes received low-energy femtosecond laser-assisted cataract surgery (FLACS) and 114 eyes underwent conventional phacoemulsification cataract surgery (CPCS). Postoperative changes in CSMT and prevalence of CME were compared between the two groups.Results: There was a significant increase in mean CSMT from preoperative to postoperative values at 2.5 months in both the FLACS and CPCS group (p< 0.001). Mean change (preoperation to 2.5 months postoperation) in CSMT was 6.2± 11.5 μm in the FLACS group and 7.3± 26.6 μm in the CPCS group, which was statistically significant but clinically not relevant. Comparison of mean changes in CSMT (preoperation to 2.5 months postoperation) between the FLACS and CPCS groups revealed no significant differences. The rate of pseudophakic CME (PCME) development was lower in the FLACS group (1.4%) than the CPCS group (4.4%; p=0.247). When using PREMED criteria to define clinically significant PCME, only 0.7% patients in the FLACS group and 1.8% in the CPCS group showed development of clinically significant PCME (p=0.586).Conclusion: The mean change in CSMT and occurrence of postoperative CME was lower in the low-energy FLACS group than the standard-phacoemulsification group; however, the difference was not statistically significant.Keywords: cystoid macular edema, low-energy femtosecond laser, femtosecond laser-assisted cataract surgery, phacoemulsification cataract surgeryVan Nuffel SClaeys MFClaeys MHDove Medical Pressarticlecystoid macular edemalow-energy femtosecond laserfemtosecond laser assisted cataract surgeryphacoemulsification cataract surgeryOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 14, Pp 2873-2878 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	cystoid macular edema low-energy femtosecond laser femtosecond laser assisted cataract surgery phacoemulsification cataract surgery Ophthalmology RE1-994
spellingShingle	cystoid macular edema low-energy femtosecond laser femtosecond laser assisted cataract surgery phacoemulsification cataract surgery Ophthalmology RE1-994 Van Nuffel S Claeys MF Claeys MH Cystoid Macular Edema Following Cataract Surgery with Low-Energy Femtosecond Laser versus Conventional Phacoemulsification
description	Stefaan Van Nuffel,1,* Matthias F Claeys,1,* Marnix H Claeys2 1Department of Ophthalmology, University Hospital Ghent, Ghent, Belgium; 2Okulus Eye Clinic, Kortrijk, Belgium*These authors contributed equally to this workCorrespondence: Stefaan Van Nuffel Email stefaan.vannuffel@hotmail.comPurpose: To compare postoperative changes in central subfield macular thickness (CSMT) and prevalence of cystoid macular edema (CME) in patients undergoing cataract surgery with low-energy femtosecond laser versus standard phacoemulsification.Design: This was a retrospective comparative real-world study.Methods: Postoperative data of 252 eyes of 165 patients were collected: 138 eyes received low-energy femtosecond laser-assisted cataract surgery (FLACS) and 114 eyes underwent conventional phacoemulsification cataract surgery (CPCS). Postoperative changes in CSMT and prevalence of CME were compared between the two groups.Results: There was a significant increase in mean CSMT from preoperative to postoperative values at 2.5 months in both the FLACS and CPCS group (p< 0.001). Mean change (preoperation to 2.5 months postoperation) in CSMT was 6.2± 11.5 μm in the FLACS group and 7.3± 26.6 μm in the CPCS group, which was statistically significant but clinically not relevant. Comparison of mean changes in CSMT (preoperation to 2.5 months postoperation) between the FLACS and CPCS groups revealed no significant differences. The rate of pseudophakic CME (PCME) development was lower in the FLACS group (1.4%) than the CPCS group (4.4%; p=0.247). When using PREMED criteria to define clinically significant PCME, only 0.7% patients in the FLACS group and 1.8% in the CPCS group showed development of clinically significant PCME (p=0.586).Conclusion: The mean change in CSMT and occurrence of postoperative CME was lower in the low-energy FLACS group than the standard-phacoemulsification group; however, the difference was not statistically significant.Keywords: cystoid macular edema, low-energy femtosecond laser, femtosecond laser-assisted cataract surgery, phacoemulsification cataract surgery
format	article
author	Van Nuffel S Claeys MF Claeys MH
author_facet	Van Nuffel S Claeys MF Claeys MH
author_sort	Van Nuffel S
title	Cystoid Macular Edema Following Cataract Surgery with Low-Energy Femtosecond Laser versus Conventional Phacoemulsification
title_short	Cystoid Macular Edema Following Cataract Surgery with Low-Energy Femtosecond Laser versus Conventional Phacoemulsification
title_full	Cystoid Macular Edema Following Cataract Surgery with Low-Energy Femtosecond Laser versus Conventional Phacoemulsification
title_fullStr	Cystoid Macular Edema Following Cataract Surgery with Low-Energy Femtosecond Laser versus Conventional Phacoemulsification
title_full_unstemmed	Cystoid Macular Edema Following Cataract Surgery with Low-Energy Femtosecond Laser versus Conventional Phacoemulsification
title_sort	cystoid macular edema following cataract surgery with low-energy femtosecond laser versus conventional phacoemulsification
publisher	Dove Medical Press
publishDate	2020
url	https://doaj.org/article/7e7d8b6645b540d380e6fb578bc14b91
work_keys_str_mv	AT vannuffels cystoidmacularedemafollowingcataractsurgerywithlowenergyfemtosecondlaserversusconventionalphacoemulsification AT claeysmf cystoidmacularedemafollowingcataractsurgerywithlowenergyfemtosecondlaserversusconventionalphacoemulsification AT claeysmh cystoidmacularedemafollowingcataractsurgerywithlowenergyfemtosecondlaserversusconventionalphacoemulsification
_version_	1718395887228551168

Cystoid Macular Edema Following Cataract Surgery with Low-Energy Femtosecond Laser versus Conventional Phacoemulsification

Ejemplares similares