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Optic nerve head microvascular changes after phacoemulsification surgery
Background To determine optic nerve head (ONH) microvascular changes detected by optical coherence tomography angiography (OCTA) and intraocular pressure changes (IOPs) after uncomplicated phacoemulsification surgery. Methods The study was designed as a prospective observational study. Twenty-four e...
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Published in: | Graefe's archive for clinical and experimental ophthalmology 2019-12, Vol.257 (12), p.2729-2733 |
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creator | Karabulut, Müjdat Karabulut, Sinem Sül, Sabahattin Karalezli, Aylin |
description | Background
To determine optic nerve head (ONH) microvascular changes detected by optical coherence tomography angiography (OCTA) and intraocular pressure changes (IOPs) after uncomplicated phacoemulsification surgery.
Methods
The study was designed as a prospective observational study. Twenty-four eyes were included. Eyes with retinal vascular pathology, any type of age-related macular degeneration, IOP more than 21 mmHg, axial length less than 20 mm and more than 24 mm, corneal edema and cataracts that can disrupt images, and history of ocular surgery were excluded. Patients underwent OCTA imaging and IOP measurement preoperatively (baseline) and postoperatively (weeks 1 and 4). Vessel density % (VD) in the total disc, peripapillary, and inside disc were measured. IOP was measured with the applanation tonometer. Comparison of VD and IOP and correlation between VD and İOP change were determined.
Results
VD was significantly increased in all quadrants in week 4 compared to those in week 1. In terms of VD and IOP, although there was no significant difference between week 1 and baseline, week 4 results were significantly different from baseline (
p
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doi_str_mv | 10.1007/s00417-019-04473-1 |
format | article |
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To determine optic nerve head (ONH) microvascular changes detected by optical coherence tomography angiography (OCTA) and intraocular pressure changes (IOPs) after uncomplicated phacoemulsification surgery.
Methods
The study was designed as a prospective observational study. Twenty-four eyes were included. Eyes with retinal vascular pathology, any type of age-related macular degeneration, IOP more than 21 mmHg, axial length less than 20 mm and more than 24 mm, corneal edema and cataracts that can disrupt images, and history of ocular surgery were excluded. Patients underwent OCTA imaging and IOP measurement preoperatively (baseline) and postoperatively (weeks 1 and 4). Vessel density % (VD) in the total disc, peripapillary, and inside disc were measured. IOP was measured with the applanation tonometer. Comparison of VD and IOP and correlation between VD and İOP change were determined.
Results
VD was significantly increased in all quadrants in week 4 compared to those in week 1. In terms of VD and IOP, although there was no significant difference between week 1 and baseline, week 4 results were significantly different from baseline (
p
< 0.05 and
p
< 0.001, respectively). The IOP was significantly lower in week 4 (14.8 mmHg) than in week 1 (16.0 mmHg) (
p
< 0.001). There was a significant negative correlation between the inside disc and total VD and IOP at weeks 1 and 4.
Conclusion
Phacoemulsification surgery can result in a decrease in IOP and an increase in VD of the ONH.</description><identifier>ISSN: 0721-832X</identifier><identifier>EISSN: 1435-702X</identifier><identifier>DOI: 10.1007/s00417-019-04473-1</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Age ; Angiography ; Cataracts ; Cornea ; Edema ; Glaucoma ; Macular degeneration ; Medicine ; Medicine & Public Health ; Microvasculature ; Ophthalmology ; Optic nerve ; Retina ; Surgery</subject><ispartof>Graefe's archive for clinical and experimental ophthalmology, 2019-12, Vol.257 (12), p.2729-2733</ispartof><rights>Springer-Verlag GmbH Germany, part of Springer Nature 2019</rights><rights>Graefe's Archive for Clinical and Experimental Ophthalmology is a copyright of Springer, (2019). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c352t-c31ef0373c2ee0d00b9f461e7c7f7ec63ecb4f6b864199118b97ac38483d38863</citedby><cites>FETCH-LOGICAL-c352t-c31ef0373c2ee0d00b9f461e7c7f7ec63ecb4f6b864199118b97ac38483d38863</cites><orcidid>0000-0002-7844-5638</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids></links><search><creatorcontrib>Karabulut, Müjdat</creatorcontrib><creatorcontrib>Karabulut, Sinem</creatorcontrib><creatorcontrib>Sül, Sabahattin</creatorcontrib><creatorcontrib>Karalezli, Aylin</creatorcontrib><title>Optic nerve head microvascular changes after phacoemulsification surgery</title><title>Graefe's archive for clinical and experimental ophthalmology</title><addtitle>Graefes Arch Clin Exp Ophthalmol</addtitle><description>Background
To determine optic nerve head (ONH) microvascular changes detected by optical coherence tomography angiography (OCTA) and intraocular pressure changes (IOPs) after uncomplicated phacoemulsification surgery.
Methods
The study was designed as a prospective observational study. Twenty-four eyes were included. Eyes with retinal vascular pathology, any type of age-related macular degeneration, IOP more than 21 mmHg, axial length less than 20 mm and more than 24 mm, corneal edema and cataracts that can disrupt images, and history of ocular surgery were excluded. Patients underwent OCTA imaging and IOP measurement preoperatively (baseline) and postoperatively (weeks 1 and 4). Vessel density % (VD) in the total disc, peripapillary, and inside disc were measured. IOP was measured with the applanation tonometer. Comparison of VD and IOP and correlation between VD and İOP change were determined.
Results
VD was significantly increased in all quadrants in week 4 compared to those in week 1. In terms of VD and IOP, although there was no significant difference between week 1 and baseline, week 4 results were significantly different from baseline (
p
< 0.05 and
p
< 0.001, respectively). The IOP was significantly lower in week 4 (14.8 mmHg) than in week 1 (16.0 mmHg) (
p
< 0.001). There was a significant negative correlation between the inside disc and total VD and IOP at weeks 1 and 4.
Conclusion
Phacoemulsification surgery can result in a decrease in IOP and an increase in VD of the ONH.</description><subject>Age</subject><subject>Angiography</subject><subject>Cataracts</subject><subject>Cornea</subject><subject>Edema</subject><subject>Glaucoma</subject><subject>Macular degeneration</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Microvasculature</subject><subject>Ophthalmology</subject><subject>Optic nerve</subject><subject>Retina</subject><subject>Surgery</subject><issn>0721-832X</issn><issn>1435-702X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><recordid>eNp9kE1Lw0AQhhdRsFb_gKeAFy_Rmd1tNjlKUSsUelHobdlsJ21KvtxNCv33bo0gePAyc3nel5mHsVuEBwRQjx5AoooBsxikVCLGMzZBKWaxAr4-ZxNQHONU8PUlu_J-D4EXM5ywxarrSxs15A4U7chsorq0rj0Yb4fKuMjuTLMlH5miJxd1O2NbqofKl0VpTV-2TeQHtyV3vGYXhak83fzsKft4eX6fL-Ll6vVt_rSMrZjxPkykAoQSlhPBBiDPCpkgKasKRTYRZHNZJHmaSMwyxDTPlLEilanYiDRNxJTdj72daz8H8r2uS2-pqkxD7eA155kACL-lAb37g-7bwTXhuhOFiIlKZKD4SIW3vXdU6M6VtXFHjaBPcvUoVwe5-luuxhASY8gHOAhyv9X_pL4Aax18lA</recordid><startdate>20191201</startdate><enddate>20191201</enddate><creator>Karabulut, Müjdat</creator><creator>Karabulut, Sinem</creator><creator>Sül, Sabahattin</creator><creator>Karalezli, Aylin</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-7844-5638</orcidid></search><sort><creationdate>20191201</creationdate><title>Optic nerve head microvascular changes after phacoemulsification surgery</title><author>Karabulut, Müjdat ; Karabulut, Sinem ; Sül, Sabahattin ; Karalezli, Aylin</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c352t-c31ef0373c2ee0d00b9f461e7c7f7ec63ecb4f6b864199118b97ac38483d38863</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Age</topic><topic>Angiography</topic><topic>Cataracts</topic><topic>Cornea</topic><topic>Edema</topic><topic>Glaucoma</topic><topic>Macular degeneration</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Microvasculature</topic><topic>Ophthalmology</topic><topic>Optic nerve</topic><topic>Retina</topic><topic>Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Karabulut, Müjdat</creatorcontrib><creatorcontrib>Karabulut, Sinem</creatorcontrib><creatorcontrib>Sül, Sabahattin</creatorcontrib><creatorcontrib>Karalezli, Aylin</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Neurosciences Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Graefe's archive for clinical and experimental ophthalmology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Karabulut, Müjdat</au><au>Karabulut, Sinem</au><au>Sül, Sabahattin</au><au>Karalezli, Aylin</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Optic nerve head microvascular changes after phacoemulsification surgery</atitle><jtitle>Graefe's archive for clinical and experimental ophthalmology</jtitle><stitle>Graefes Arch Clin Exp Ophthalmol</stitle><date>2019-12-01</date><risdate>2019</risdate><volume>257</volume><issue>12</issue><spage>2729</spage><epage>2733</epage><pages>2729-2733</pages><issn>0721-832X</issn><eissn>1435-702X</eissn><abstract>Background
To determine optic nerve head (ONH) microvascular changes detected by optical coherence tomography angiography (OCTA) and intraocular pressure changes (IOPs) after uncomplicated phacoemulsification surgery.
Methods
The study was designed as a prospective observational study. Twenty-four eyes were included. Eyes with retinal vascular pathology, any type of age-related macular degeneration, IOP more than 21 mmHg, axial length less than 20 mm and more than 24 mm, corneal edema and cataracts that can disrupt images, and history of ocular surgery were excluded. Patients underwent OCTA imaging and IOP measurement preoperatively (baseline) and postoperatively (weeks 1 and 4). Vessel density % (VD) in the total disc, peripapillary, and inside disc were measured. IOP was measured with the applanation tonometer. Comparison of VD and IOP and correlation between VD and İOP change were determined.
Results
VD was significantly increased in all quadrants in week 4 compared to those in week 1. In terms of VD and IOP, although there was no significant difference between week 1 and baseline, week 4 results were significantly different from baseline (
p
< 0.05 and
p
< 0.001, respectively). The IOP was significantly lower in week 4 (14.8 mmHg) than in week 1 (16.0 mmHg) (
p
< 0.001). There was a significant negative correlation between the inside disc and total VD and IOP at weeks 1 and 4.
Conclusion
Phacoemulsification surgery can result in a decrease in IOP and an increase in VD of the ONH.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><doi>10.1007/s00417-019-04473-1</doi><tpages>5</tpages><orcidid>https://orcid.org/0000-0002-7844-5638</orcidid></addata></record> |
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subjects | Age Angiography Cataracts Cornea Edema Glaucoma Macular degeneration Medicine Medicine & Public Health Microvasculature Ophthalmology Optic nerve Retina Surgery |
title | Optic nerve head microvascular changes after phacoemulsification surgery |
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