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Graefe's Archive for Clinical and Experimental Ophthalmology

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01-07-2015 | Cataract

Postoperative refractive error after phacovitrectomy for epiretinal membrane with and without macular oedema

Authors: Andreas Frings, Simon Dulz, Christos Skevas, Birthe Stemplewitz, Stephan J. Linke, Gisbert Richard, Lars Wagenfeld

Published in: Graefe's Archive for Clinical and Experimental Ophthalmology | Issue 7/2015

Abstract

Purpose

This study was initiated to investigate whether the presence of macular oedema influenced intraocular lens (IOL) power calculation in eyes with epiretinal membrane.

Methods

The files of patients undergoing combined phacoemulsification were retrospectively reviewed. Two groups were defined according to presence of macular oedema. The main outcome measure was the IOL power prediction error (PE). Secondary outcome measures were the correlation between preoperative macular thickness, absolute change of macular thickness and dioptric shift. The mean postoperative PE achieved with the Haigis formula was compared with the PE that would have been obtained had the SRKII and HofferQ formulas been used.

Results

We investigated 47 eyes of 47 consecutive patients. Regardless of the IOL formula used, the PE was on average higher in eyes without macula oedema (group 1). The myopic dioptric shift was dependent on preoperative macular thickness and absolute change of macular thickness. This association was more markedly pronounced in group 1.

Conclusions

Increased retinal thickness is the main cause for underestimation of the cornea-photoreceptor layer distance, and therefore could contribute to inaccuracy in IOL power calculations. The current results show that a myopic shift tends to be less pronounced in cases where a macula oedema is present. Eyes with pure traction have less predictable refractive results in terms of higher PE and dioptric shift.

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Title: Postoperative refractive error after phacovitrectomy for epiretinal membrane with and without macular oedema
Authors: Andreas Frings
Simon Dulz
Christos Skevas
Birthe Stemplewitz
Stephan J. Linke
Gisbert Richard
Lars Wagenfeld
Publication date: 01-07-2015
Publisher: Springer Berlin Heidelberg
Published in: Graefe's Archive for Clinical and Experimental Ophthalmology / Issue 7/2015
Print ISSN: 0721-832X
Electronic ISSN: 1435-702X
DOI: https://doi.org/10.1007/s00417-015-2948-8

At a glance: The STEP trials

Springer Medicine

Postoperative refractive error after phacovitrectomy for epiretinal membrane with and without macular oedema

Abstract

Purpose

Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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