부산대학교 도서관

Purpose: To determine the effect of phacoemulsification on macular volume and thickness using spectral domain optical coherence tomography examinations. Methods: Twenty-seven eyes of 27 subjects who underwent phacoemulsification were studied. All nine areas of the macula were examined by spectral domain optical coherence tomography preoperatively and 2 months postoperatively. Effective phacoemulsification time and absolute phacoemulsification time were also recorded. Results: There were statistically significant differences in macular thickness between preoperative and postoperative spectral domain optical coherence tomography examinations in nine areas including macular volume. In the paracentral macular area, the thickness of three quadrants significantly increased (superior P = 0.015; temporal P = 0.001; and nasal P = 0.023). Peripheral macular thickness also increased significantly in the superior (P = 0.05) and temporal macular areas (P0.05), but a significant correlation (P = 0.011) was found between absolute phacoemulsification time and change in macular volume. Conclusion: Macular thickness changes in the nasal, superior, and temporal quadrants of the paracentral area and the superior and temporal quadrants of the peripheral area, as well as macu lar volume, may be used as detailed biomarkers to measure the effects of intraocular pressure fluctuations and maneuvers in phacoemulsification intraocular surgeries. Keywords: phacoemulsification, effective phaco time, absolute phaco time, SD-OCT, macula
Introduction Phacoemulsification (phaco) is one of the most widely used cataract surgery techniques nowadays. Various factors involved in phaco can influence the tissue structures of the eyeball. Unlike other maneuvers, [...]