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KMID : 0360220090500111669
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Journal of the Korean Ophthalmological Society
2009 Volume.50 No. 11 p.1669 ~ p.1673
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The Refractive Change After Cataract Surgery in Patients With Acute Primary Angle Closure
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Kim Jong-Eul
Park Sang-Woo
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Abstract
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Purpose: To evaluate the change of postoperative refraction after cataract surgery in patients with a history of acute primary angle closure.
Methods: A survey was conducted on 40 eyes of 40 patients who underwent cataract surgery with a history of acute primary angle closure, and 40 eyes of 40 patients who underwent cataract surgery only during the follow-up period of six months. We reviewed changes in the postoperative refraction and compared the difference between the postoperative spherical equivalent and target refraction in both groups.
Results: In the group with a history of acute primary angle closure, target refraction was -0.20±0.27D and the six months postoperative spherical equivalent was -0.76±1.12D. In the group with cataract only, target refraction was -0.30±0.20D and the six months postoperative spherical equivalent was -0.22±0.57D. In the group with the history of acute primary angle closure, the postoperative refraction shifted to myopic refractive power significantly.
Conclusions: In cataract patients with a history of acute primary angle closure, there was a myopic shift in postoperative refraction after cataract surgery. Therefore, this finding should be considered during cataract surgery.
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KEYWORD
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Acute primary angle closure, Cataract, Refraction
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