رسالة جامعية
Κυστεοειδές οίδημα της ωχράς μετά από φακοθρυψία ΔΙ' υπερήχων: ο ρόλος της εκλυόμενης ενέργειας και της υαλοειδοαμφιβληστροειδικής συνάφειας ; Macular edema after uncomplicated cataract surgery: a role for phacoemulsification energy and vitreoretinal interface status
| العنوان: | Κυστεοειδές οίδημα της ωχράς μετά από φακοθρυψία ΔΙ' υπερήχων: ο ρόλος της εκλυόμενης ενέργειας και της υαλοειδοαμφιβληστροειδικής συνάφειας ; Macular edema after uncomplicated cataract surgery: a role for phacoemulsification energy and vitreoretinal interface status |
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| المؤلفون: | Anastasilakis, Konstantinos, Αναστασιλάκης, Κωνσταντίνος |
| بيانات النشر: | Aristotle University Of Thessaloniki (AUTH) Αριστοτέλειο Πανεπιστήμιο Θεσσαλονίκης (ΑΠΘ) |
| سنة النشر: | 2015 |
| المجموعة: | National Archive of PhD Theses (National Documentation Centre Greece) |
| مصطلحات موضوعية: | Κυστεοειδές οίδημα ωχράς, Υαλοειδοαμφιβληστροειδική επιφάνεια, Φακοθρυψία, Macular edema, Vitreoretinal interface, Phacoemulcification energy, Ιατρική και Επιστήμες Υγείας, Επιστήμες Υγείας, Medical and Health Sciences, Health Sciences |
| الوصف: | Purpose: To study postoperative macular thickness fluctuations measured by spectral-domain optical coherence tomography (SD-OCT) and to investigate a potential correlation among macular edema (ME) incidence, cumulative dissipated energy (CDE) released during phacoemulsification, and vitreoretinal interface status.Methods: This is a prospective, cross-sectional study of 106 cataract patients with no macular disorder who underwent phacoemulsification. Best-corrected visual acuity measurement, slit-lamp examination, OCT scans were performed preoperatively and 30 and 90 days postoperatively. The intraoperative parameters measured were CDE and total phacoemulsification time. The SD-OCT parameters assessed were central subfield thickness (CST), cube average thickness (CAT), cube macular volume, vitreoretinal interface status, and presence of cystoid or diffuse ME.Results: Four patients (3.8%) developed subclinical ME. Regarding ME, there was no significant difference between patients with presence or absence of posterior vitreous detachment (chi-square, p = 0.57), although 75%of ME cases were observed in patients with attached posterior vitreous. With regard to comparison between eyes with and without subclinical CME incidence, CDE (p = 0.05), phacoemulsification time (p = 0.001), CST at month 1 (p = 0.002), cube macular volume at month 1 (p = 0.039), and CAT at month 1 (p = 0.050) were significantly higher in the subclinical CME group.Conclusions: This study provides evidence that OCT macular thickness parameters increase significantly at first and third month postoperatively and that the incidence of pseudophakic ME can be affected by CDE. ; Σκοπός: Να μελετηθούν οι μετεγχειρητικές διακυμάνσεις του πάχους ωχράς με τη βοήθεια τομογραφίας οπτικής συνοχής φασματικού πεδίου (SD-OCT) και να διερευνηθούν πιθανοί συσχετισμοί ανάμεσα στην επίπτωση εμφάνισης μετεγχειρητικού οιδήματος ωχράς (ME), την αθροιστική εκλυόμενη κατά την φακοθρυψία ενέργεια (CDE) και την κατάσταση της υαλοειδοαμφιβληστροειδικής επιφάνειας.Μέθοδοι: ... |
| نوع الوثيقة: | doctoral or postdoctoral thesis |
| اللغة: | Greek, Modern (1453-) |
| العلاقة: | http://hdl.handle.net/10442/hedi/35306Test |
| DOI: | 10.12681/eadd/35306 |
| الإتاحة: | https://doi.org/10.12681/eadd/35306Test http://hdl.handle.net/10442/hedi/35306Test |
| رقم الانضمام: | edsbas.E38D2BC8 |
| قاعدة البيانات: | BASE |
| DOI: | 10.12681/eadd/35306 |
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