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Prevalence of macular abnormalities identified only by optical coherence tomography in Brazilian patients with cataract.

Authors :
Pinto WP
Rabello LP
Ventura MC
Rocha CS
Ventura BV
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.)

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