Effect of cataract surgery on subfoveal choroidal and ganglion cell complex thicknesses measured by enhanced depth imaging optical coherence tomography

Erkan Celik, Burcin Cakir, Elif Betul Turkoglu, Emine Doğan, Gursoy Alagoz Sakarya University Medical Education and Research Hospital, Sakarya, Turkey Purpose: We aimed to evaluate the effect of cataract surgery on subfoveal choroidal thickness (CT) and ganglion cell complex (GCC) thickness, as me...

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Autores principales: Celik E, Cakir B, Turkoglu EB, Doğan E, Alagoz G
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Publicado: Dove Medical Press 2016
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spelling oai:doaj.org-article:df582dd3a4fd40cd893bea84392d80222021-12-02T00:21:39ZEffect of cataract surgery on subfoveal choroidal and ganglion cell complex thicknesses measured by enhanced depth imaging optical coherence tomography1177-5483https://doaj.org/article/df582dd3a4fd40cd893bea84392d80222016-11-01T00:00:00Zhttps://www.dovepress.com/effect-of-cataract-surgery-on-subfoveal-choroidal-and-ganglion-cell-co-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Erkan Celik, Burcin Cakir, Elif Betul Turkoglu, Emine Doğan, Gursoy Alagoz Sakarya University Medical Education and Research Hospital, Sakarya, Turkey Purpose: We aimed to evaluate the effect of cataract surgery on subfoveal choroidal thickness (CT) and ganglion cell complex (GCC) thickness, as measured by enhanced depth imaging-optical coherence tomography (OCT). Methods: This prospective study included 30 eyes of 30 patients who had undergone uneventful phacoemulsification surgery for senile cataract but had no previous ocular surgery or other ocular abnormality. Best-corrected visual acuity, slit-lamp biomicroscopy, intraocular pressure, axial length, and central corneal thickness were measured preoperatively. The operative times (OTs) and effective phaco times were also recorded in each case. OCT measurements were performed at the preoperative visit and 1 month after cataract surgery. Study of CT and GCC thickness changes was the primary objective, but central macular thickness (CMT) and peripapillary retinal nerve fiber layer (RNFL) thicknesses were also obtained by OCT. Results: The mean subfoveal CT was 294.4±39.2 µm preoperatively and 301.4±39.9 µm postoperatively (P<0.001). The mean GCC thickness was 85.0±4.4 µm preoperatively and 89.2±5.3 µm postoperatively (P<0.001). The mean CMT was 247.9±17.6 µm preoperatively and 249.0±17.8 µm postoperatively (P=0.029). The mean RNFL thickness was 97.4±5.4 µm preoperatively and 101.7±5.6 µm postoperatively (P<0.001). Regression analysis showed that age, sex, axial length, central corneal thickness, operative time, and effective phaco time were not associated with CT changes (P=0.834, P=0.129, P=0.203, P=0.343, P=0.547, and P=0.147, respectively) and GCC thickness changes (P=0.645, P=0.542, P=0.152, P=0.664, P=0.448, and P=0.268, respectively) after cataract surgery. Conclusion: Our results indicate that all subfoveal CT, CMT, as well as RNFL and GCC thicknesses are slightly affected after uneventful phacoemulsification surgery. After cataract surgery, the examiners should consider obtaining new baseline measurements. Keywords: cataract, choroidal thickness, ganglion cell complexCelik ECakir BTurkoglu EBDoğan EAlagoz GDove Medical Pressarticlechoroidal thicknesscataract surgeryganglion cellOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 10, Pp 2171-2177 (2016)
institution DOAJ
collection DOAJ
language EN
topic choroidal thickness
cataract surgery
ganglion cell
Ophthalmology
RE1-994
spellingShingle choroidal thickness
cataract surgery
ganglion cell
Ophthalmology
RE1-994
Celik E
Cakir B
Turkoglu EB
Doğan E
Alagoz G
Effect of cataract surgery on subfoveal choroidal and ganglion cell complex thicknesses measured by enhanced depth imaging optical coherence tomography
description Erkan Celik, Burcin Cakir, Elif Betul Turkoglu, Emine Doğan, Gursoy Alagoz Sakarya University Medical Education and Research Hospital, Sakarya, Turkey Purpose: We aimed to evaluate the effect of cataract surgery on subfoveal choroidal thickness (CT) and ganglion cell complex (GCC) thickness, as measured by enhanced depth imaging-optical coherence tomography (OCT). Methods: This prospective study included 30 eyes of 30 patients who had undergone uneventful phacoemulsification surgery for senile cataract but had no previous ocular surgery or other ocular abnormality. Best-corrected visual acuity, slit-lamp biomicroscopy, intraocular pressure, axial length, and central corneal thickness were measured preoperatively. The operative times (OTs) and effective phaco times were also recorded in each case. OCT measurements were performed at the preoperative visit and 1 month after cataract surgery. Study of CT and GCC thickness changes was the primary objective, but central macular thickness (CMT) and peripapillary retinal nerve fiber layer (RNFL) thicknesses were also obtained by OCT. Results: The mean subfoveal CT was 294.4±39.2 µm preoperatively and 301.4±39.9 µm postoperatively (P<0.001). The mean GCC thickness was 85.0±4.4 µm preoperatively and 89.2±5.3 µm postoperatively (P<0.001). The mean CMT was 247.9±17.6 µm preoperatively and 249.0±17.8 µm postoperatively (P=0.029). The mean RNFL thickness was 97.4±5.4 µm preoperatively and 101.7±5.6 µm postoperatively (P<0.001). Regression analysis showed that age, sex, axial length, central corneal thickness, operative time, and effective phaco time were not associated with CT changes (P=0.834, P=0.129, P=0.203, P=0.343, P=0.547, and P=0.147, respectively) and GCC thickness changes (P=0.645, P=0.542, P=0.152, P=0.664, P=0.448, and P=0.268, respectively) after cataract surgery. Conclusion: Our results indicate that all subfoveal CT, CMT, as well as RNFL and GCC thicknesses are slightly affected after uneventful phacoemulsification surgery. After cataract surgery, the examiners should consider obtaining new baseline measurements. Keywords: cataract, choroidal thickness, ganglion cell complex
format article
author Celik E
Cakir B
Turkoglu EB
Doğan E
Alagoz G
author_facet Celik E
Cakir B
Turkoglu EB
Doğan E
Alagoz G
author_sort Celik E
title Effect of cataract surgery on subfoveal choroidal and ganglion cell complex thicknesses measured by enhanced depth imaging optical coherence tomography
title_short Effect of cataract surgery on subfoveal choroidal and ganglion cell complex thicknesses measured by enhanced depth imaging optical coherence tomography
title_full Effect of cataract surgery on subfoveal choroidal and ganglion cell complex thicknesses measured by enhanced depth imaging optical coherence tomography
title_fullStr Effect of cataract surgery on subfoveal choroidal and ganglion cell complex thicknesses measured by enhanced depth imaging optical coherence tomography
title_full_unstemmed Effect of cataract surgery on subfoveal choroidal and ganglion cell complex thicknesses measured by enhanced depth imaging optical coherence tomography
title_sort effect of cataract surgery on subfoveal choroidal and ganglion cell complex thicknesses measured by enhanced depth imaging optical coherence tomography
publisher Dove Medical Press
publishDate 2016
url https://doaj.org/article/df582dd3a4fd40cd893bea84392d8022
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