Observation on myopia shift in idiopathic macularhole combined with cataract patients after combined surgeries

LIN Xiaoli; YAN Shaobiao; LIU Weixian

doi:10.7619/jcmp.20213515

Journal of Clinical Medicine in Practice > 2022 > 26(7): 62-66. > DOI: 10.7619/jcmp.20213515

LIN Xiaoli, YAN Shaobiao, LIU Weixian. Observation on myopia shift in idiopathic macularhole combined with cataract patients after combined surgeries[J]. Journal of Clinical Medicine in Practice, 2022, 26(7): 62-66. DOI: 10.7619/jcmp.20213515

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Observation on myopia shift in idiopathic macularhole combined with cataract patients after combined surgeries

1.
Department of Ophthalmology, Sanya People's Hospital of Hainan Province, Hainan, Sanya, 572000
2.
Department of Ophthalmology, the First Affiliated Hospital of Hainan Medical College, Haikou, Hainan, 570100

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Received Date: August 30, 2021
Available Online: April 14, 2022
Published Date: April 14, 2022

Graphical Abstract

Abstract

Abstract

Objective To observe myopia shift in idiopathic macular hole(IMH) combined with cataract(CAT) patients after combined surgical treatment (vitrectomy combined with phacoemulsification and intraocular lens implantation), and to analyze its related factors.
Methods A total of 75 patients with IMH combined with CAT were retrospective selected as observation group(given combined surgeries), and 75 patients with CAT alone underwent phacoemulsification combined with intraocular lens implantation were selected as control group. The improvement of refractive indexes before and after treatment and occurrence of myopia shift between the two groups were compared, the factors related to the occurrence of myopia shift in the observation group were analyzed.
Results After surgery, logarithm of the minimum angle of resolution of best-corrected visual acuity (LogMAR BCVA) in both groups was higher, and anterior chamber depth (ACD) was higher than those before surgery, the differences were statistically significant (P < 0.05). After surgery, the mean refractive prediction error (ME) of the observation group was (-0.28±0.16) D drift, and (0.08±0.65) D drift in the control group, the difference was statistically significant (P < 0.05). The incidence of myopia drift in the observation group was 66.7% (50/75), which was higher than 28.0% (21/75) in the control group, and the difference was statistically significant (χ²=22.491, P < 0.05). Logistics analysis was used to analyze the influencing factors of myopia shift, and the results showed that there were no related factors for myopic drift in CAT patients with IMH after combined surgeries.
Conclusion IMH patients with CAT have higher probability to present myopia drift after combined surgeries, but there are no significant correlated factors, which may be related to intraoperative changes in vitreous refractive indexes. It is recommended to reserve appropriate hyperopia 0.3 to 0.5 D for preoperative lens estimation to reduce the occurrence of postoperative myopia drift.
- idiopathic macular hole,
- cataract,
- myopia shift,
- refractive changes,
- combined surgery

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References (20)

References

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Observation on myopia shift in idiopathic macularhole combined with cataract patients after combined surgeries

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