Corrêa Everton Paroschi, Oliveira Luciana Freitas Lemos de, Serracarbassa Pedro Durães, Oshima Akyioshi, Sousa e Castro Emerson Fernandes de
Arq Bras Oftalmol. 2013 Nov-Dec;76(6):357-62. doi: 10.1590/s0004-27492013000600008.
To evaluate macular edema after uncomplicated phacoemulsification with implantation of intraocular lens by spectral domain optical coherence tomography (OCT).
Prospective study was conducted in 62 eyes of patients underwent phacoemulsification with implantation of intraocular lens. Patients were evaluated before surgery and after surgery at day 1, week 1, week 2 and week 4. Visual acuity (VA), anterior chamber cells and 200 x 200 macular cube optical coherence tomography were measured.
After phacoemulsification there was an improvement in visual acuity, decreasing inflammation, and increased macular thickness and macular volume. There was one case of cystoid macular edema. There was a weak inverse correlation between visual acuity and central macular thickness, and between visual acuity and macular volume. We observed a week direct correlation between inflammation and macular volume.
Subclinical macular edema develops even after uncomplicated cataract surgery in patients not predisposed. The spectral domain optical coherence tomography was able to detect small increases in macular thickness in the study period.
通过频域光学相干断层扫描（OCT）评估单纯白内障超声乳化吸除联合人工晶状体植入术后黄斑水肿情况。
对62例行白内障超声乳化吸除联合人工晶状体植入术的患者进行前瞻性研究。于术前及术后第1天、第1周、第2周和第4周对患者进行评估。测量视力（VA）、前房细胞及200×200黄斑区光学相干断层扫描。
白内障超声乳化吸除术后视力提高，炎症减轻，黄斑厚度及黄斑容积增加。有1例发生囊样黄斑水肿。视力与中心黄斑厚度、视力与黄斑容积之间呈弱负相关。我们观察到炎症与黄斑容积之间呈正相关。
即使在无并发症的白内障手术患者中，非易患性患者术后也会出现亚临床黄斑水肿。在研究期间，频域光学相干断层扫描能够检测到黄斑厚度的微小增加。
