Joon Jeon Young, Kim Jae Hui, Kim Jong Woo, Kim Chul Gu
Department of Ophthalmology, Kim's Eye Hospital, Konyang University College of Medicine, Seoul, Republic of Korea.
J Ophthalmol. 2021 Jun 24;2021:9952050. doi: 10.1155/2021/9952050. eCollection 2021.
This study aimed to evaluate the short-term outcomes of cataract surgery in patients with a history of idiopathic central serous chorioretinopathy (CSC).
This retrospective study included 26 patients with a history of CSC who underwent uncomplicated phacoemulsification and intraocular lens implantation. The best-corrected visual acuity (BCVA) and central foveal thickness (CFT) measured before the surgery were compared with those obtained at mean 3.6 months after the surgery. BCVA outcome was also analyzed in eyes with and without subretinal fluid (SRF).
The mean logarithm of the minimal angle of resolution BCVA significantly improved from 0.52 ± 0.40 before the surgery to 0.21 ± 0.30 one month after the surgery and 0.20 ± 0.31 at 3.6 months after the surgery ( < 0.001). The mean CFT was 281.2 ± 84.2 m before the surgery, 301.5 ± 90.7 m one month after the surgery, and 279.9 ± 83.6 m at 3.6 months after the surgery. The CFT before surgery was not different from those measured at 3 months (=0.253). Significant improvement in BCVA at 3.6 months was noted in the SRF group ( = 12, =0.003) and the non-SRF group ( = 14, =0.001). CSC recurrence was noted in 2 patients in the non-SRF group.
Significant improvement in visual acuity was noted after cataract surgery in patients with a history of idiopathic CSC, without a risk of aggravation of CSC in most patients.
本研究旨在评估有特发性中心性浆液性脉络膜视网膜病变(CSC)病史的患者白内障手术的短期疗效。
这项回顾性研究纳入了26例有CSC病史且接受了无并发症的超声乳化白内障吸除术和人工晶状体植入术的患者。将手术前测量的最佳矫正视力(BCVA)和中心凹厚度(CFT)与术后平均3.6个月时测得的结果进行比较。还对有无视网膜下液(SRF)的眼睛的BCVA结果进行了分析。
最小分辨角对数BCVA平均值从手术前的0.52±0.40显著提高到术后1个月的0.21±0.30以及术后3.6个月的0.20±0.31(P<0.001)。术前平均CFT为281.2±84.2μm,术后1个月为301.5±90.7μm,术后3.6个月为279.9±83.6μm。术前CFT与术后3个月测得的结果无差异(P=0.253)。SRF组(n=12,P=0.003)和非SRF组(n=14,P=0.001)在术后3.6个月时BCVA均有显著改善。非SRF组有2例患者出现CSC复发。
有特发性CSC病史的患者白内障手术后视力有显著改善,大多数患者无CSC加重风险。