Application of different Scheimpflug-based lens densitometry methods in phacodynamics prediction

Fernando Faria-Correia,1–5 Bernardo T Lopes,5,6 Isaac C Ramos,5,6 Tiago Monteiro,1,2 Nuno Franqueira,1 Renato Ambrósio Jr5–8 1Ophthalmology Department, Hospital de Braga, Braga, Portugal; 2Life and Health Sciences Research Institute (ICVS), School of Health Sciences,...

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Autores principales: Faria-Correia F, Lopes BT, Ramos IC, Monteiro T, Franqueira N, Ambrósio R Jr
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Publicado: Dove Medical Press 2016
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spelling oai:doaj.org-article:bbb8d9385ae44432928540f86c5e1b8f2021-12-02T07:15:54ZApplication of different Scheimpflug-based lens densitometry methods in phacodynamics prediction1177-5483https://doaj.org/article/bbb8d9385ae44432928540f86c5e1b8f2016-04-01T00:00:00Zhttps://www.dovepress.com/application-of-different-scheimpflug-based-lens-densitometry-methods-i-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Fernando Faria-Correia,1–5 Bernardo T Lopes,5,6 Isaac C Ramos,5,6 Tiago Monteiro,1,2 Nuno Franqueira,1 Renato Ambrósio Jr5–8 1Ophthalmology Department, Hospital de Braga, Braga, Portugal; 2Life and Health Sciences Research Institute (ICVS), School of Health Sciences, University of Minho, Braga, Portugal; 3ICVS/3B’s - PT Government Associate Laboratory, Braga, Portugal; 4ICVS/3B’s - PT Government Associate Laboratory, Guimarães, Portugal; 5Rio de Janeiro Corneal Tomography and Biomechanics Study Group, Rio de Janeiro, Brazil; 6Instituto de Olhos Renato Ambrósio, Rio de Janeiro, Brazil; 7VisareRio, Rio de Janeiro, Brazil; 8Department of Ophthalmology and Visual Sciences, Federal University of São Paulo, São Paulo, Brazil Purpose: To evaluate the correlations between preoperative Scheimpflug-based lens densitometry metrics and phacodynamics. Methods: The Lens Opacities Classification System III (LOCS III) was used to grade nuclear opalescence (NO), along with different methods of lens densitometry evaluation (absolute scale from 0% to 100%): three-dimensional (3D), linear, and region of interest (ROI) modes. Cumulative dissipated energy (CDE) and total ultrasound (US) time were recorded and correlated with the different methods of cataract grading. Significant correlations were evaluated using Pearson or Spearman correlation coefficients according to data normality. Results: A positive correlation was detected between the NO score and the average density and the maximum density derived from the 3D mode (r=0.624, P<0.001; r=0.619, P<0.001, respectively) and the ROI mode (r=0.600, P<0.001; r=0.642, P<0.001, respectively). Regarding the linear mode, only the average density parameter presented a significant relationship with the NO score (r=0.569, P<0.001). The 3D-derived average density and maximum density were positively correlated with CDE (rho =0.682, P<0.001; rho =0.683, P<0.001, respectively) and total US time (rho =0.631 and rho =0.668, respectively). There was a linear relationship between the average density and maximum density of the ROI mode and CDE (rho =0.686, P<0.001; rho =0.598, P<0.001, respectively) and total US time (rho =0.642 and rho =0.644, respectively). The average density was the only parameter derived from the linear mode that showed a significant correlation with CDE (rho =0.522, P<0.001) and total US time (rho =0.450, P<0.001). Conclusion: Specific Scheimpflug-derived densitometric parameters of the nucleus correlated with phacoemulsification parameters. The use of the appropriate densitometry approach can predict more efficiently the phacodynamics. Keywords: cataract, phacoemulsification, scheimpflug, densitometryFaria-Correia FLopes BTRamos ICMonteiro TFranqueira NAmbrósio R JrDove Medical Pressarticle- Cataract - Phacoemulsification - Scheimpflug - Lens densityOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2016, Iss Issue 1, Pp 609-615 (2016)
institution DOAJ
collection DOAJ
language EN
topic - Cataract - Phacoemulsification - Scheimpflug - Lens density
Ophthalmology
RE1-994
spellingShingle - Cataract - Phacoemulsification - Scheimpflug - Lens density
Ophthalmology
RE1-994
Faria-Correia F
Lopes BT
Ramos IC
Monteiro T
Franqueira N
Ambrósio R Jr
Application of different Scheimpflug-based lens densitometry methods in phacodynamics prediction
description Fernando Faria-Correia,1–5 Bernardo T Lopes,5,6 Isaac C Ramos,5,6 Tiago Monteiro,1,2 Nuno Franqueira,1 Renato Ambrósio Jr5–8 1Ophthalmology Department, Hospital de Braga, Braga, Portugal; 2Life and Health Sciences Research Institute (ICVS), School of Health Sciences, University of Minho, Braga, Portugal; 3ICVS/3B’s - PT Government Associate Laboratory, Braga, Portugal; 4ICVS/3B’s - PT Government Associate Laboratory, Guimarães, Portugal; 5Rio de Janeiro Corneal Tomography and Biomechanics Study Group, Rio de Janeiro, Brazil; 6Instituto de Olhos Renato Ambrósio, Rio de Janeiro, Brazil; 7VisareRio, Rio de Janeiro, Brazil; 8Department of Ophthalmology and Visual Sciences, Federal University of São Paulo, São Paulo, Brazil Purpose: To evaluate the correlations between preoperative Scheimpflug-based lens densitometry metrics and phacodynamics. Methods: The Lens Opacities Classification System III (LOCS III) was used to grade nuclear opalescence (NO), along with different methods of lens densitometry evaluation (absolute scale from 0% to 100%): three-dimensional (3D), linear, and region of interest (ROI) modes. Cumulative dissipated energy (CDE) and total ultrasound (US) time were recorded and correlated with the different methods of cataract grading. Significant correlations were evaluated using Pearson or Spearman correlation coefficients according to data normality. Results: A positive correlation was detected between the NO score and the average density and the maximum density derived from the 3D mode (r=0.624, P<0.001; r=0.619, P<0.001, respectively) and the ROI mode (r=0.600, P<0.001; r=0.642, P<0.001, respectively). Regarding the linear mode, only the average density parameter presented a significant relationship with the NO score (r=0.569, P<0.001). The 3D-derived average density and maximum density were positively correlated with CDE (rho =0.682, P<0.001; rho =0.683, P<0.001, respectively) and total US time (rho =0.631 and rho =0.668, respectively). There was a linear relationship between the average density and maximum density of the ROI mode and CDE (rho =0.686, P<0.001; rho =0.598, P<0.001, respectively) and total US time (rho =0.642 and rho =0.644, respectively). The average density was the only parameter derived from the linear mode that showed a significant correlation with CDE (rho =0.522, P<0.001) and total US time (rho =0.450, P<0.001). Conclusion: Specific Scheimpflug-derived densitometric parameters of the nucleus correlated with phacoemulsification parameters. The use of the appropriate densitometry approach can predict more efficiently the phacodynamics. Keywords: cataract, phacoemulsification, scheimpflug, densitometry
format article
author Faria-Correia F
Lopes BT
Ramos IC
Monteiro T
Franqueira N
Ambrósio R Jr
author_facet Faria-Correia F
Lopes BT
Ramos IC
Monteiro T
Franqueira N
Ambrósio R Jr
author_sort Faria-Correia F
title Application of different Scheimpflug-based lens densitometry methods in phacodynamics prediction
title_short Application of different Scheimpflug-based lens densitometry methods in phacodynamics prediction
title_full Application of different Scheimpflug-based lens densitometry methods in phacodynamics prediction
title_fullStr Application of different Scheimpflug-based lens densitometry methods in phacodynamics prediction
title_full_unstemmed Application of different Scheimpflug-based lens densitometry methods in phacodynamics prediction
title_sort application of different scheimpflug-based lens densitometry methods in phacodynamics prediction
publisher Dove Medical Press
publishDate 2016
url https://doaj.org/article/bbb8d9385ae44432928540f86c5e1b8f
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