Foveal Changes after Uneventful Phacoemulsification Surgery for Senile Nuclear Cataract

Authors

  • Haytham Ibrahim Salti The Eye Institute Cleveland Clinic Abu Dhabi, UAE. Author
  • Aniruddha Agarwal The Eye Institute Cleveland Clinic Abu Dhabi, UAE Author
  • Aniruddha Agarwal The Eye Institute Cleveland Clinic Abu Dhabi, UAE Author
  • Randa Sobhi Haddad Department of Ophthalmology American University of Beirut Medical Center, UAE Author
  • Elza Rachid Department of Ophthalmology, University of Miami, FL, USA Author
  • Wajiha Jurdi Kheir Department of Ophthalmology American University of Beirut Medical Center, UAE Author
  • Carl Jo Mehanna Department of Ophthalmology, Creteil Intercommunal Hospital, Creteil, France, Bascom Palmer Eye Institute Palm Beach Gardens, USA Author
  • Maamoon Abdul Fattah Department of Ophthalmology and Vision Sciences University of Toronto, Canada Author
  • Hani Tamim College of Medicine, Al Faisal University, Riyadh, Saudi Arabia Author
  • Nicola George Ghazi Department of Ophthalmology, LAU Medical Center Rizk Hospital, UAE Author

DOI:

https://doi.org/10.47363/JORRR/2024(5)173

Keywords:

Foveal Changes, Phacoemulsification, Nuclear Cataract

Abstract

Objective: To describe foveal thickness and foveal anatomical changes after uneventful phacoemulsification surgery.

Design: Interventional case control study.

Participants: Both eyes of healthy phakic patients presenting to the American University of Beirut Medical Center Eye clinic for phaco emulsification surgery in one eye (the study eye). The fellow eye served as control.

Methods: OCT images of the macula were taken pre-operatively, then on a weekly basis for 12 weeks post-operatively.

Outcomes: post op foveal thickness and morphological changes.

Results: From the originally recruited 66 patients, 52 patients (104 eyes) completed the study. A transient increase in foveal thickness was observed in 36/52 (69%) eyes mostly between weeks 4 and7 post operatively. Twenty-seven eyes developed anatomic changes including: microcysts in 15 eyes (55%), regular cysts in 6 eyes (22%), and epiretinal membranes in 6 eyes (11.5%). Changes appeared as early as 1 week post operatively, and lasted on the average 4 weeks.

Conclusion: Uncomplicated cataract surgery can lead to transient thickening of the macula as well as morphological changes.

Author Biographies

  • Haytham Ibrahim Salti, The Eye Institute Cleveland Clinic Abu Dhabi, UAE.

    Haytham Ibrahim Salti, The Eye Institute Cleveland Clinic Abu Dhabi, UAE.

  • Aniruddha Agarwal, The Eye Institute Cleveland Clinic Abu Dhabi, UAE

    Aniruddha Agarwal, The Eye Institute Cleveland Clinic Abu Dhabi, UAE

  • Aniruddha Agarwal, The Eye Institute Cleveland Clinic Abu Dhabi, UAE

    Aniruddha Agarwal, The Eye Institute Cleveland Clinic Abu Dhabi, UAE

  • Randa Sobhi Haddad, Department of Ophthalmology American University of Beirut Medical Center, UAE

    Randa Sobhi Haddad, Department of Ophthalmology American University of Beirut Medical Center, UAE

  • Elza Rachid, Department of Ophthalmology, University of Miami, FL, USA

    Elza Rachid, Department of Ophthalmology, University of Miami, FL, USA 

  • Wajiha Jurdi Kheir, Department of Ophthalmology American University of Beirut Medical Center, UAE

    Wajiha Jurdi Kheir, Department of Ophthalmology American University of Beirut Medical Center, UAE

  • Carl Jo Mehanna, Department of Ophthalmology, Creteil Intercommunal Hospital, Creteil, France, Bascom Palmer Eye Institute Palm Beach Gardens, USA

    Carl Jo Mehanna, Department of Ophthalmology, Creteil Intercommunal Hospital, Creteil, France, Bascom Palmer Eye Institute Palm Beach Gardens, USA

  • Maamoon Abdul Fattah, Department of Ophthalmology and Vision Sciences University of Toronto, Canada

    Maamoon Abdul Fattah, Department of Ophthalmology and Vision Sciences University of Toronto, canada

  • Hani Tamim, College of Medicine, Al Faisal University, Riyadh, Saudi Arabia

    Hani Tamim , College of Medicine, Al Faisal University, Riyadh, Saudi Arabia

  • Nicola George Ghazi, Department of Ophthalmology, LAU Medical Center Rizk Hospital, UAE

    Nicola George Ghazi, Department of Ophthalmology, LAU Medical Center Rizk Hospital, UAE

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Published

2024-05-15

Issue

Vol. 5 No. 5 (2024): Volume 5 Issue 5

Section

Articles