학술논문

Anterior Segment Changes and Refractive Outcomes after Cataract Surgery Combined with Gonioscopy-Assisted Transluminal Trabeculotomy in Open-Angle Glaucoma
Document Type
Academic Journal
Source
Turkish Journal of Ophthalmology. Nov-Dec, 2023, Vol. 53 Issue 6, p369, 8 p.
Subject
Canada
Language
English
ISSN
1300-0659
Abstract
Objectives: To compare the accuracy of intraocular lens (IOL) calculation formulas in patients undergoing phacoemulsification combined with gonioscopy-assisted transluminal trabeculotomy (phaco-GATT) and to determine the predictive factors for refractive errors. Materials and Methods: Fifty-three eyes of 53 patients undergoing phaco-GATT were retrospectively reviewed. The preoperative and postoperative 3-month anterior segment (AS) parameters were measured by Scheimpflug camera. The mean prediction error (PE), mean absolute error (MAE) in the Sanders-Retzlaff-Kraft/theoretical (SRK/T), Barrett-Universal II, Hill-radial basis function (Hill-RBF) and Kane formulas were compared. The influence of biometric parameters on PE were analyzed by correlation analysis. Results: Postoperatively, there was a statistically significant decrease in axial length (AL) and significant enlargement in anterior chamber depth (ACD), anterior chamber angle (ACA), and anterior chamber volume (p Conclusion: The Kane formula may provide higher predictability of the IOL power calculation than the SRK/T and Barrett-Universal II formulas in phaco-GATT surgery, which can cause significant changes in the AS and AL. Keywords: Gonioscopy-assisted transluminal trabeculotomy, intraocular lens formula, phacoemulsification, refractive error
Introduction Combining glaucoma surgery with cataract surgery is widely accepted as an appropriate procedure for the management of coexisting cataract and glaucoma. (1,2) Despite advances in surgical techniques, ocular biometry, [...]