J Korean Ophthalmol Soc > Volume 50(11); 2009 > Article
Journal of the Korean Ophthalmological Society 2009;50(11):1669-1673.
DOI: https://doi.org/10.3341/jkos.2009.50.11.1669    Published online November 15, 2009.
The Refractive Change After Cataract Surgery in Patients With Acute Primary Angle Closure.
Jong Eul Kim, Sang Woo Park
Department of Ophthalmology, Chonnam National University Medical School, Gwangju, Korea. exo70@jnu.ac.kr
급성원발폐쇄각발작의 과거력을 갖는 백내장 수술 시 술 후 굴절력의 변화
김종을ㆍ박상우
Department of Ophthalmology, Chonnam National University Medical School, Gwangju, Korea
Abstract
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.
Key Words: Acute primary angle closure;Cataract;Refraction


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