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Prevalence of macular abnormalities identified only by optical coherence tomography in Brazilian patients with cataract.
- Source :
-
Journal of cataract and refractive surgery [J Cataract Refract Surg] 2019 Jul; Vol. 45 (7), pp. 915-918. Date of Electronic Publication: 2019 Jun 04. - Publication Year :
- 2019
-
Abstract
- Purpose: To assess the prevalence of macular abnormalities not suspected by the biomicroscopic fundus examination and identified only by macular optical coherence tomography (OCT) in the preoperative evaluation for cataract surgery in a large series of Brazilian patients.<br />Setting: Private practice, Recife, Brazil.<br />Design: Retrospective case series.<br />Methods: All eyes that had cataract surgery by the same physician between August 2014 and July 2016 were eligible. Excluded were eyes with a previous diagnosis of macular abnormalities, with a suspicious biomicroscopic fundus examination, and without OCT results. Based on the preoperative macular OCT, patients were divided into the following 2 groups: those with a normal OCT and those with an abnormal OCT.<br />Results: Nine hundred fifty-two eyes (614 patients) were included in the study. Macular OCT identified abnormalities in 47 eyes (4.9%) of 44 patients (7.2%). Thirty-one eyes (3.3%) had epiretinal membrane, 7 (0.7%) had age-related macular degeneration, 4 (0.4%) had intraretinal cysts, 4 (0.4%) had a lamellar hole, and 1 (0.1%) had a macular hole. Patients with an abnormal OCT had a statistically significant higher mean age (P = .004).<br />Conclusion: In the preoperative evaluation for cataract surgery in Brazilian patients, 7.2% of those with a normal biomicroscopic fundus examination had macular abnormalities that were identified only by OCT.<br /> (Copyright © 2019 ASCRS and ESCRS. Published by Elsevier Inc. All rights reserved.)
- Subjects :
- Adult
Aged
Aged, 80 and over
Brazil epidemiology
Cataract Extraction
Female
Humans
Male
Middle Aged
Preoperative Period
Prevalence
Retinal Diseases etiology
Retrospective Studies
Slit Lamp Microscopy
Visual Acuity
Young Adult
Cataract complications
Macula Lutea pathology
Retinal Diseases epidemiology
Tomography, Optical Coherence methods
Subjects
Details
- Language :
- English
- ISSN :
- 1873-4502
- Volume :
- 45
- Issue :
- 7
- Database :
- MEDLINE
- Journal :
- Journal of cataract and refractive surgery
- Publication Type :
- Academic Journal
- Accession number :
- 31174986
- Full Text :
- https://doi.org/10.1016/j.jcrs.2019.01.022