Lens densitometry for assessment and prediction of cataract progression after pars plana vitrectomy with C3F8-gas for retinal detachment.

<h4>Purpose</h4>Lens opacification is a common complication after pars plana vitrectomy (PPV) and knowing its progression would facilitate consulting patients. The purpose of this study was to evaluate a quantitative model for lens-status-monitoring after PPV with C3F8 gas. Our model was...

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Autores principales: Philipp Schindler, Luca Mautone, Eileen Bigdon, Vasyl Druchkiv, Martin Stefan Spitzer, Christos Skevas
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Publicado: Public Library of Science (PLoS) 2021
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spelling oai:doaj.org-article:fd919faf6c20416b9d189804eda5d9012021-12-02T20:09:17ZLens densitometry for assessment and prediction of cataract progression after pars plana vitrectomy with C3F8-gas for retinal detachment.1932-620310.1371/journal.pone.0254370https://doaj.org/article/fd919faf6c20416b9d189804eda5d9012021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0254370https://doaj.org/toc/1932-6203<h4>Purpose</h4>Lens opacification is a common complication after pars plana vitrectomy (PPV) and knowing its progression would facilitate consulting patients. The purpose of this study was to evaluate a quantitative model for lens-status-monitoring after PPV with C3F8 gas. Our model was evaluated in rhegmatogenous retinal detachment (RRD) patients of various age and lens densitometry (LD).<h4>Methods</h4>Data between March 2018 and March 2020 were evaluated retrospectively. LD measurements of the PentacamHR® Nucleus Staging mode (PNS) were used to quantify lens opacification over time. A mixed-effect regression model was designed, to enable LD predictions at any time postoperatively. Calculations were based on patient's age and baseline LD as dependent variables. Six patients were randomly excluded during model development, to be used for testing its power afterwards.<h4>Results</h4>34 patients (male 19 [55.9%], female 15 [44.1%]) matched the inclusion criteria. Average age was 58.5 years (32-77;±4.3) and average follow-up was 7.2 months (3,4-23.1;±1,8). Mean baseline LD of the treated and fellow eye before surgery were 10.9% (8.7%-14.8%;±0.8) and 10.7% (8.5%-14.1%;±0.6), respectively. Using our prediction model, LD values for the six pre-selected patients closely match the observed data with an average deviation of 1.07%.<h4>Conclusions</h4>Evaluation of age and baseline LD using a mixed-effect regression model might predict cataract progression in RRD patients treated with PPV and C3F8-gas. Such a tool could be considered during cataract surgery consultation in these patients.Philipp SchindlerLuca MautoneEileen BigdonVasyl DruchkivMartin Stefan SpitzerChristos SkevasPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 7, p e0254370 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Philipp Schindler
Luca Mautone
Eileen Bigdon
Vasyl Druchkiv
Martin Stefan Spitzer
Christos Skevas
Lens densitometry for assessment and prediction of cataract progression after pars plana vitrectomy with C3F8-gas for retinal detachment.
description <h4>Purpose</h4>Lens opacification is a common complication after pars plana vitrectomy (PPV) and knowing its progression would facilitate consulting patients. The purpose of this study was to evaluate a quantitative model for lens-status-monitoring after PPV with C3F8 gas. Our model was evaluated in rhegmatogenous retinal detachment (RRD) patients of various age and lens densitometry (LD).<h4>Methods</h4>Data between March 2018 and March 2020 were evaluated retrospectively. LD measurements of the PentacamHR® Nucleus Staging mode (PNS) were used to quantify lens opacification over time. A mixed-effect regression model was designed, to enable LD predictions at any time postoperatively. Calculations were based on patient's age and baseline LD as dependent variables. Six patients were randomly excluded during model development, to be used for testing its power afterwards.<h4>Results</h4>34 patients (male 19 [55.9%], female 15 [44.1%]) matched the inclusion criteria. Average age was 58.5 years (32-77;±4.3) and average follow-up was 7.2 months (3,4-23.1;±1,8). Mean baseline LD of the treated and fellow eye before surgery were 10.9% (8.7%-14.8%;±0.8) and 10.7% (8.5%-14.1%;±0.6), respectively. Using our prediction model, LD values for the six pre-selected patients closely match the observed data with an average deviation of 1.07%.<h4>Conclusions</h4>Evaluation of age and baseline LD using a mixed-effect regression model might predict cataract progression in RRD patients treated with PPV and C3F8-gas. Such a tool could be considered during cataract surgery consultation in these patients.
format article
author Philipp Schindler
Luca Mautone
Eileen Bigdon
Vasyl Druchkiv
Martin Stefan Spitzer
Christos Skevas
author_facet Philipp Schindler
Luca Mautone
Eileen Bigdon
Vasyl Druchkiv
Martin Stefan Spitzer
Christos Skevas
author_sort Philipp Schindler
title Lens densitometry for assessment and prediction of cataract progression after pars plana vitrectomy with C3F8-gas for retinal detachment.
title_short Lens densitometry for assessment and prediction of cataract progression after pars plana vitrectomy with C3F8-gas for retinal detachment.
title_full Lens densitometry for assessment and prediction of cataract progression after pars plana vitrectomy with C3F8-gas for retinal detachment.
title_fullStr Lens densitometry for assessment and prediction of cataract progression after pars plana vitrectomy with C3F8-gas for retinal detachment.
title_full_unstemmed Lens densitometry for assessment and prediction of cataract progression after pars plana vitrectomy with C3F8-gas for retinal detachment.
title_sort lens densitometry for assessment and prediction of cataract progression after pars plana vitrectomy with c3f8-gas for retinal detachment.
publisher Public Library of Science (PLoS)
publishDate 2021
url https://doaj.org/article/fd919faf6c20416b9d189804eda5d901
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