J Korean Ophthalmol Soc > Volume 54(7); 2013 > Article
Journal of the Korean Ophthalmological Society 2013;54(7):1032-1037.
DOI: https://doi.org/10.3341/jkos.2013.54.7.1032    Published online July 15, 2013.
The Changes of Anterior Chamber Depth, Axial Length, Refractive Errors after Combined Vitrectomy.
Sam Seo, Min Cheol Seong, Han Woong Lim, Min Ho Kang, Hee Yoon Cho
Department of Ophthalmology, Hanyang University College of Medicine, Seoul, Korea. goddns76@hanmail.net
유리체절제술과 백내장병합수술 후 앞방 깊이와 안구 길이 및 굴절력의 변화 측정
서 샘⋅성민철⋅임한웅⋅강민호⋅조희윤
Department of Ophthalmology, Hanyang University College of Medicine, Seoul, Korea
Abstract
PURPOSE
To evaluate the changes of anterior chamber depth (ACD), Axial length (AXL) after combined vitrectomy and cataract surgery and to analyze the association with refractive errors. METHODS: In 22 eyes who underwent combined vitrectomy and cataract surgery (PPV-Phaco group), 20 eyes who underwent vitrectomy-only (PPV-only group) and 28 eyes who underwent uncomplicated cataract surgery (Phaco-only group), ACD and AXL were measured with IOL master (Carl Zeiss Jena, Germany) preoperatively and 3 months postoperatively. We compared the preoperative desired refraction and postoperative 3 months refraction. RESULTS: ACD were increased in PPV-Phaco group and Phaco-only group (all, p < 0.001) and this change was more prominent in PPV-Phaco group (p = 0.030). In PPV only group, ACD was decreased (p < 0.001). The AXL after surgery was not significant different from the preoperative AXL in PPV-Phaco and PPV only groups (p = 0.612, p = 0.090). But the AXL was decreased in Phaco-only group (p = 0.022). Hyperopic shifting were noticed in PPV-Phaco and phaco-only groups, but myopic shifting was noticed in PPV-only group. However, these changes were not statistically significant (p = 0.292, p = 0.251, p = 0.068). CONCLUSIONS: ACD was increased after combined vitrectomy and cataract surgery. AXL was not changed. The hyperopic shifting was noticed after combined vitrectomy and cataract surgery, but was not statistically significant.
Key Words: Anterior chamber depth;Axial length;Combined vitrectomy;Refraction


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