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Evaluation of choroidal thickness changes after phacoemulsification surgery

Authors Bayhan SA, Bayhan HA, Muhafiz E, Kırboğa K, Gurdal C

Received 10 August 2015

Accepted for publication 2 April 2016

Published 26 May 2016 Volume 2016:10 Pages 961—967

DOI https://doi.org/10.2147/OPTH.S94096

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Pelin Ozyol

Peer reviewer comments 4

Editor who approved publication: Dr Scott Fraser


Seray Aslan Bayhan, Hasan Ali Bayhan, Ersin Muhafiz, Kadir Kırboğa, Canan Gürdal

Department of Ophthalmology, Faculty of Medicine, Bozok University, Yozgat, Turkey

Purpose: The aim of the study was to analyze the effects of uneventful phacoemulsification surgery on choroidal thickness (CT) using spectral domain optical coherence tomography (SD-OCT).
Methods: In this prospective study, 38 eyes of 38 patients having phacoemulsification surgery were included. All patients underwent detailed ophthalmologic examination, including preo­perative axial length (AXL) measurement with optical biometry and intraocular pressure (IOP) measurement preoperatively and 1 month postoperatively. The CT was measured perpendicularly at the fovea and 1.5 mm temporal, 3.0 mm temporal, 1.5 mm nasal, and 3.0 mm nasal using SD-OCT preoperatively and 1 month postoperatively. Changes in the CT after surgery and correlation of this change with age, AXL, preoperative IOP, and IOP change were evaluated.
Results: There was a statistically significant increase in the CT at all regions evaluated. This increment was more prominent in the nasal and subfoveal regions. The IOP decreased significantly 1 month after surgery (16.14±4.94 mmHg vs 13.91±4.86 mmHg; P<0.001). The change in IOP was correlated with the CT changes at all regions, whereas age, AXL, and preoperative IOP had no significant correlations with the changes in CT.
Conclusion: Phacoemulsification surgery may cause significant increase in CT, which is correlated with surgery-induced IOP change in the short term. Long-term follow-up of eyes having phacoemulsification surgery may provide further insight into the effects of cataract surgery on the choroid.

Keywords: phacoemulsification, choroidal thickness, optical coherence tomography

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