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The effects of peripheral anterior synechiae on refractive outcomes after cataract surgery in eyes with primary angle-closure disease

Authors
Lee, Tae-EunYoo, ChungkwonKim, Yong Yeon
Issue Date
9-4월-2021
Publisher
LIPPINCOTT WILLIAMS & WILKINS
Keywords
cataract surgery; peripheral anterior synechiae; primary angle-closure; refractive error
Citation
MEDICINE, v.100, no.14, pp.e24673
Indexed
SCIE
SCOPUS
Journal Title
MEDICINE
Volume
100
Number
14
Start Page
e24673
URI
https://scholar.korea.ac.kr/handle/2021.sw.korea/128251
DOI
10.1097/MD.0000000000024673
ISSN
0025-7974
Abstract
Objective of the study was to investigate the effects of peripheral anterior synechiae (PAS) on refractive outcomes after cataract surgery in eyes with primary angle-closure disease (PACD). This is a retrospective, cross-sectional study. Seventy eyes of 70 PACD patients who underwent phacoemulsification and intraocular lens implantation. Patients were divided into 2 groups based on the presence of PAS on preoperative gonioscopy. The predictive power of the intraocular lens was calculated by the SRK/T, Hoffer Q, Haigis, and Holladay formulae. The mean absolute error (MAE) and predicted refractive errors were compared between PAS (+) and PAS (-) groups. We also evaluated the refractive errors with regards to the extent of PAS in the subanalyses. The mean MAE was greater in the PAS (+) group with all formulae (0.61-0.70 diopters [D] vs 0.33-0.45 D, all P < .05). The eyes with PAS tended towards myopia (-0.30 D to -0.51 D vs -0.05 D to +0.24 D, all P < .05). However, the MAEs or predicted refractive errors were not different, irrespective of the extent of PAS in the subanalyses (all, P > .05). The presence or absence of PAS may influence the postoperative refractive outcomes in PACD patients.
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