Preoperative evaluation of white cataracts with the pentacam

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dc.authorid0000-0001-5454-3113
dc.authorid0000-0003-3669-4377
dc.authorid0000-0001-8363-2983
dc.contributor.authorToprak, Güvenç
dc.contributor.authorAlkan, Yunus
dc.contributor.authorBayrak, Abdullah
dc.date.accessioned2024-09-25T19:59:47Z
dc.date.available2024-09-25T19:59:47Z
dc.date.issued2024
dc.departmentBAİBÜ, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü en_US
dc.description.abstractPurpose: To evaluate the use of the Pentacam to analyse the presence or absence of fluid pockets under the anterior capsule and their significance in terms of surgical management and prevention of complications. Settings: Abant & Idot;zzet Baysal University Hospital, Bolu, Turkey DESIGN: Randomized, masked, prospective design METHODS: 60 patients with mature cataracts underwent standard phacoemulsification (Phaco) and intraocular lens (IOL) implantation. Patients were divided into 3 groups. Group 1 underwent Phaco+IOL implantation without imaging by Pentacam. Group 2 had fluid detected in Pentacam imaging before the operation and underwent Phaco+IOL implantation with Brazilian method. Group 3 had no fluid detected in Pentacam imaging before the operation and underwent standart Phaco+IOL implantation operation. Results: When the complication rates of 3 different groups were examined separately, they were found to be 15 % in group 1; 5 % in group 2 and 5 % in group 3, respectively. When compared in pairs as Group 1-2, 1-3, and 2-3, respectively (p < 0.01), (p < 0.01), (p > 0.05). The nuclear density of Group 2 and Group 3 was measured, resulting in 30.2 % and 29.6 %, respectively (P = 0.614). Lens thickness, patients with fluid (+) had a thickness of 5.35 mm, while patients with fluid (-) had a thickness of 3.96 mm (p < 0.05). Conclusion: Patients who are not imaged with pentacam before surgery experience more complications than other groups because the presence of fluid is unknown. Central lens thickness was higher in patients with fluid, and there was no significant difference in nuclear density between the groups with and without fluid. Pentacam can show the presence of supcapsular fluid and we recommend that imaging tools be more widely used in cataract surgery. We think that this will enable surgeons to make a more accurate surgical planning and reduce the risk of complications.en_US
dc.identifier.doi10.1016/j.pdpdt.2024.104043
dc.identifier.issn1572-1000
dc.identifier.issn1873-1597
dc.identifier.pmid38460655en_US
dc.identifier.scopus2-s2.0-85188104429en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.urihttps://doi.org/10.1016/j.pdpdt.2024.104043
dc.identifier.urihttps://hdl.handle.net/20.500.12491/13907
dc.identifier.volume46en_US
dc.identifier.wosWOS:001225046400001en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorToprak, Güvenç
dc.institutionauthorid0000-0001-8363-2983
dc.language.isoenen_US
dc.publisherElsevieren_US
dc.relation.ispartofPhotodiagnosis and Photodynamic Therapyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.snmzYK_20240925en_US
dc.subjectPentacamen_US
dc.subjectWhite Cataracten_US
dc.subjectPreoperative Evaluationen_US
dc.subjectSubcapsular Fluiden_US
dc.subjectCentral Lens
dc.subjectSurgical Planning
dc.titlePreoperative evaluation of white cataracts with the pentacamen_US
dc.typeReview articleen_US

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