Zeitschrift für klinische und experimentelle Ophthalmologie
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Abstrakt

Changes in the Postoperative Anterior Chamber Depth in Eyes Following Phacovitrectomy in Several Vitreoretinal Diseases

Takashi Saito, Masashi Sakamoto, Izumi Yoshida, Ryuya Hashimoto, Takahiro Sodeno, Kenichiro Aso, Hidetaka Masahara, Takatoshi Maeno

Aim: To investigate the difference in postoperative Anterior Chamber Depth (ACD) following phacovitrectomy depending on the type of the vitreoretinal diseases, measured using optical biometry.

Methods: We investigated 14 eyes of 14 patients (11 males, 3 females; mean age 59.4 ± 8.4 years) with Rhegmatogenous Retinal Detachment (RRD) without macular involvement who underwent phacovitrectomy (RRD group), 14 eyes of 14 patients (10 males, 4 females; mean age 68.4 ± 4.7 years) with a macular hole (MH) who underwent phacovitrectomy (MH group), 24 eyes of 24 patients (14 males, 10 females; mean age 66.5 ± 7.6 years) with Epi Retinal Membrane (ERM) who underwent phacovitrectomy (ERM group), and 42 eyes of 29 patients (15 males, 14 females; mean age 71.4 ± 11.8 years) without macular disease who underwent cataract surgery (cataract group). ACD was measured prior to surgery and one month after surgery using optical biometry and was compared between groups. Results: The mean difference in ACD (postoperative ACD minus preoperative ACD) was 0.68 ± 0.38 mm in the RRD group, 1.12 ± 0.32 mm in the MH group, 1.04 ± 0.56 mm in the ERM group, and 1.00 ± 0.47 mm in the cataract group. Postoperative ACD in the RRD group was shallower compared to the other groups.

Conclusion: Postoperative ACD in patients with RRD is shallower compared to other groups, including patients with MH, making it one of the suspected causes of myopic shift in patients with RRD.