Evaluation of post phacoemulsification inflammation in eyes with and without pseudoexfoliation syndrome according to phaco parameters via laser flare photometry
Photodiagnosis and Photodynamic Therapy, cilt.38, 2022 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 38
- Basım Tarihi: 2022
- Doi Numarası: 10.1016/j.pdpdt.2022.102805
- Dergi Adı: Photodiagnosis and Photodynamic Therapy
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, EMBASE, MEDLINE
- Anahtar Kelimeler: Anterior chamber flare, Laser flare meter, Phacoemulsification, Phaco parameters, Pseudoexfoliation syndrome
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Background: To compare the changes in anterior chamber laser flare after phacoemulsification and intraocular lens implantation according to phaco parameters in eyes with and without pseudoexfoliation syndrome. Methods: Patients (39 without pseudoexfoliation (PEX), 28 with pseudoexfoliation) who underwent the surgery with the same device (Centurion System, Alcon Laboratories, USA) and same experienced surgeon were divided according to the presence of PEX. Anterior chamber laser flare was assessed using a laser flare meter (Kowa-FM700, Kowa Company, Japan) by the same blinded researcher. Results: Total CDE, total U/S time, total torsional amplitude on time, average longitudinal power, average longitudinal power (FP3), equivalent average ultrasonic power (FP3) were higher in eyes with pseudoexfoliation (p<0.05 for each). The linear regression model suggested that presence of pseudoexfoliation and total CDE had a positive-correlation with the difference between postoperative day 1 and preoperative anterior chamber laser flare. There were significant differences in preoperative anterior chamber laser flare and those measured on postoperative days 1 and 30 between two groups (p<0.05). Conclusions: Early-postoperative anterior chamber laser flare is affected by the phaco parameters and there is a positive correlation between intraoperative phaco parameters and anterior chamber laser flare. Anterior chamber laser flare was significantly higher in eyes with pseudoexfoliation both pre- and postoperatively. Patients with pseudoexfoliation especially with high intraoperative total CDE should be followed carefully for early postoperative inflammation.