2M.D. Beyhekim State Hospital, Eye Clinic Konya/TURKEY
3M.D. Associate Professor, Haseki Training and Research Hospital, Eye Clinic Istanbul/TURKEY Purpose: Macular edema is sight-threatening complication of cataract surgery, therefore a prompt diagnosis should be made with appropriate technique. Evaluation of ME can be done with optical coherence tomography (OCT).In this study, the effect of uncomplicated phacoemulsification surgery in macula evaluated with OCT.
Materials and Methods: 35 eyes of 34 cases with uncomplicated phacoemulsification surgery evaluated. Standard phacoemulsification surgeries were made by different surgeons. Spectral domain OCT measurements of the central macular region were taken preoperatively and post-operative fist day and three months.
Results: The preoperative best corrected visual acuity (BCVA) with log MAR was measured 2 at the lowest, 0.2 at the highest (mean 0.7). At the third month, BCVA was found between 0.2 and 0. BCVA was increased significantly at the post-operative third month (p =0.009). When preoperative OCT measurements compared with the third month OCT measurements there was 30.22 µm increase in mean OCT and this alteration was found statistically significant (p=0.00).
Conclusion: OCT is a sensitive method to detect ME and it can show macular thickness increment from early periods of follow-up. Due to significant improvement in BCVA of the patients, every increase in central macular thickness detected with OCT may not need urgent treatment.
Keywords : Cataract, phacoemulsification, macular edema, optical coherence tomography