JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY) ›› 2017, Vol. 31 ›› Issue (4): 5-8.doi: 10.6040/j.issn.1673-3770.1.2017.024

Previous Articles     Next Articles

Effects of mydriasis on anterior chamber parameters measured by a Pentacam before and after cataract surgery.

YANG Yuhuan1, ZHANG Jie1, ZHANG Jinpeng1, YAN Hong1,2   

  1. 1. Department of Ophthalmonogy, Tangdu Hospital, the Fourth Military Medical University, Xian 710038, Shaanxi, China;2. The First Affiliated Hospital of Chongqing Medical University, Chongqing Key Laboratory of Ophthalmology, Chongqing Eye Institute, Chongqing 400016, China
  • Received:2017-07-07 Online:2017-08-16 Published:2017-08-16

PDF (PC)

614

Abstract: Objective To observe the effect of mydriasis on center anterior chamber depth, anterior chamber volume, corneal surface keratometry and astigmatism before and after cataract surgery. Methods This study included 25 eyes of 22 patients diagnosed with cataract and indicated for phacoemulsification with intraocular lens(IOL)implantation at Tangdu Hospital, the Fourth Military Medical University.For each patient, anterior segment parameters were measured 1-2 days before and after surgery, respectively, using a Pentacam HR system under conditions of normal pupils and dilated pupils. Results The mean preoperative central anterior chamber depths were(2.71±0.56)mm and(2.79±0.53)mm before and after mydriasis, respectively(t=-4.246; P<0.001). The mean postoperative central anterior chamber depths were(3.60±0.98)mm and(4.45±0.35)mm before and after mydriasis, respectively(t=-4.473;P<0.001). The mean postoperative anterior chamber volumes were(146.9±37.1)mm3 and(163.3±33.9)mm3 before and after mydriasis, respectively(t=-3.633;P= 0.001). Conclusions The central anterior chamber depths before and after cataract surgery and the anterior chamber volumes after cataract surgery increase after mydriasis, which may lead to errors in IOL calculation. In patients with cataracts, the central anterior chamber depths and anterior chamber volumes should be measured before mydriasis.

Key words: Pentacam, Cataract, Mydriasis, Tropicamide phenylephrine eye drops, Anterior segment parameters

CLC Number: 

  • R776.1
[1] Zhang J, Zhang SS, Yu Q, et al. Comparison of anterior chamber depths measured using the Pentacam, the IOL Master, and ultrasound pachymetry[J]. Int Eye Sci, 2015, 15(8):1313-1318.
[2] 周琳,张健. Pentacam 在白内障手术中的应用[J]. 国际眼科杂志, 2015, 15(8): 1358-1362. ZHOU Lin, ZHANG Jian. Application of pentacam in the cataract surgery[J]. Int Eye Sci, 2015, 15(8):1358-1362.
[3] Koeppl C, Findl O, Kriechbaum K, et al. Postoperative change in effective lens position of a 3-piece acrylic intraocular lens[J]. J Cataract Refract Surg, 2003, 29(10):1974-1979.
[4] 肖宏. Pentacam眼前节检查的护理配合[J]. 国际眼科杂志, 2011,11(8):1492-1494. XIAO Hong.Nursing care coordination of Pentacam examination in eyeanterior segment[J]. Int J Ophthalmol, 2011, 11(8):1492-1494.
[5] 宋超,孟觉天. IOL Master 与 Pentacam 对角膜曲率及前房深度测量的比较[J]. 临床眼科杂志, 2012, 20(1): 5-7. SONG Chao, MENG Juetian. Comparison of keratometry and anterior chamber depth measurements taken with the IOL Master and Pentacam[J]. J Clin Ophthalmol, 2012, 20(1): 5-7.
[6] Olsen T. Prediction of the effective postoperative(intraocular lens)anterior chamber depth[J]. J Cataract Refract Surg, 2006, 32(3):419-424.
[7] 郭琳,马波. IOL Master、角膜地形图及Pentacam测量年龄相关性白内障患者角膜散光的比较[J]. 眼科新进展, 2014, 34(9): 868-871. GUO Lin, MA Bo. Comparison of corneal astigmatisms measured by IOL Master, corneal topography and Pentacam of age-related cataract[J]. Rec Adv Ophthalmol, 2014, 34(9):868-871.
[8] Zhang J, Lian JC, Zhang SS, et al. Comparison of the biometric measurements obtained using the Lenstar, Pentacam and ultrasound pachymetry methods in cataract patients[J]. Int Eye Sci, 2016, 16(4): 594-599.
[9] Buehl W, Stojanac D, Sacu S, et al. Comparison of three Methods of measuring corneal thickness and anterior chamber depth[J]. Am J Ophthalmol, 2006, 141(1): 7-12.
[10] 金海鹰,郭海科,Auffarth GU,等. Pentacam与IOL Master对角膜曲率与前房深度测量结果的比较[J]. 眼科新进展,2010, 30(4): 349-351. JIN Haiying, GUO Haike, Auffarth GU, et al. Comparison of Pentacam and IOLMaster in measuring corneal curvature and anterior chamber depth[J]. Rec Adv Ophthalmol, 2010, 30(4):349-351.
[11] 李嘉文,刘玺,李付亮,等. 多种角膜曲率测量方法对 Toric 人工晶体植入术后角膜散光矫正的影响[J]. 重庆医学,2014, 43(1): 55 -57.
[12] 王红星,徐庆. 白内障患者散瞳前后眼部生物测量比较及人工晶状体屈光度的精确选择分析[J]. 国际眼科杂志, 2009, 9(11): 2160-2161. WANG Hongxing, XU Qing. Comparison of ocular biomeasurement before and after mydriasis in cataract patients and analysis of precise selection of intraocular lens diopter[J]. Int J Ophthalmol, 2009, 9(11): 2160-2161.
[13] 罗书科,叶祖科,尹小芳,等. 散瞳对Lenstar和A超测量白内障患者眼生物学参数的影响[J]. 眼科新进展, 2016, 36(2):151-153. LUO Shuke, YE Zuke, YIN Xiaofang, et al. Effects of pupil dilation on ocular biometric parameters measured by Lenstar and A-scan in cataract patients[J]. Rec Adv Ophthalmol 2016, 36(2):151-153.
[14] 陆斌. 睫状肌麻痹对白内障眼生物物理测量的影响[J]. 眼视光学杂志, 2000, 2(4): 228-229. LU Bin. Effect of ciliary muscles paralysis on biophysical examination in the eyes with cataract[J]. Chin J Optom Ophthalmol, 2000, 2(4):228-229.
[15] Arriola-Villalobos P, Diaz-Valle D, Garzon N, et al. Effect of pharmacologic pupil dilation on OLCR optical biometry measurements for IOL predictions[J]. Eur J Ophthalmol, 2014, 24(1): 53-57.
[16] Erkayhan GE, Adigüzel U. Effect of pupillary dilation on intraocular lens power calculation[J]. Int Eye Sci 2016, 16(8): 1419-1424.
[17] Arimura S, Takamura Y, Takihara Y, et al. Determinants of anterior chamber angle narrowing after mydriasis in the patients with cataract[J]. Graefes Arch Clin Exp Ophthalmol, 2015, 253:307-312.
[18] 葛坚. 眼科学[M]. 北京: 人民卫生出版社,2010: 57-60.
[19] 张桂丽,张兴儒,黄建军,等. 两种滴眼液用于白内障超声乳化术前散瞳效果比较[J]. 上海护理, 2008, 8(2): 18-20. ZHANG Guili, ZHANG Xingru, HUANG Jianjun, et al. A study of the effect of mydrin-p eye drop for mydriasis in phacoemulsification and intraocular lens implant[J]. Shanghai Nursing, 2008, 8(2): 18-20.
[20] 唐仕波,唐细兰. 眼科药物治疗学[M].北京: 人民卫生出版社, 2010: 84.
[21] 罗启惠,汪辉,任茜,等. 托吡卡胺眼液治疗LASIK术后屈光回退的疗效观察[J]. 重庆医学, 2010, 39(1): 105-107.
[22] 王薇,尹奕. 比较白内障患者散瞳前后使用光学生物测量仪计算人工晶状体屈光度的差异[J]. 临床眼科杂志, 2015, 23(1): 46-48. WANG Wei, YIN Yi.The difference in the intraocular lens implant power of cataract patients measured before and after mydriasis[J]. J Clin Ophthalmol, 2015, 23(1): 46-48.
[23] 朱梦钧,瞿小妹. 非接触法观察两种散瞳剂对近视眼眼前节的影响[J]. 眼科研究, 2008, 26(3): 2222-2242. ZHU Mengjun, QU Xiaomei. Assessment of effect of two madriatics on anterior segment in myopic eyes with non-contact method[J]. Clin Ophthal Res, 2008, 26(3): 2222-2242.
[24] 范传峰,丛爱宁,范惠芝. 青少年应用复方托品酰胺散瞳前后电脑验光的结果分析[J]. 国际眼科杂志, 2006, 6(6): 1455-1456. FAN Chuanfeng, CONG Aining, FAN Huizhi. Autorefractometry results of compound tropicamide mydriasis in juvenile patients[J]. Int Eye Sci, 2006, 6(6):1455-1456.
[25] 李凤鸣. 眼科全书(下册)[M]. 北京: 人民卫生出版社,1996: 2622-2633.
[26] 王涛,刘磊,李志辉,等. 应用超声生物显微镜研究睫状肌麻痹剂对眼前节结构的影响[J]. 中华眼科杂志, 1998, 34(2): 137-140. WANG Tao, LIU Lei, LI Zhihui, et al. An ultrasound biomicroscopic study on changes of the structure of ocular anterior segment after topical application of cycloplegia[J]. Chin J Ophthalmol, 1998, 34(2): 137-140.
[1] ZHENG Wanqiu, WAN Wenjuan, LI Can. Application of anterior chamber maintainer in posterior capsular rupture in cataract surgery. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2017, 31(4): 9-12.
[2] WEI Chao, ZHANG Han. Multifocal intraocular lens: progress in clinical application. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2017, 31(4): 29-35.
[3] BI Hongsheng. Design of treatment protocol in refractive cataract surgery is important for postoperative visual outcomes. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2017, 31(4): 1-4.
[4] TIAN Jing, LIAO Xuan, LAN Changjun, TAN Qingqing, LIN Jia, WEN Baiwei. Comparison of high order aberrations in pseudophakia with spherical intraocular lens and aspheric intraocular lens implantation. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2017, 31(4): 13-17.
[5] JI Shuaifei, ZHANG Jie, YAN Hong. Selection of intraocular lens for patients with age-related macular degeneration. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2017, 31(4): 36-39.
[6] LIU Lu, LIANG Hao. Distribution of corneal astigmatism among middle aged and senior citizens with cataract. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2016, 30(6): 75-77.
[7] DENG Zhifeng. The clinical study on the improved phacoemulsification. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2016, 30(3): 85-88.
[8] LIN Li, YANG Xu. Analysis on efficacy of treatment of corneal epithelial dysfunction after cataract surgery. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2016, 30(2): 84-86.
[9] LIU Zhao, WU Changrui, GAO Ning. Evaluation of meibomian gland dysfunction after phacoemulsification surgery [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2015, 29(6): 68-70.
[10] LIU Zhi-gao, YAN Shi-long, HU Zun-xia, SUN Tong-xin, YANG Ming, WANG Yu. Prevalence investigation on rural cataract patients with diabetes and diabetes retinal fundus lesions in Jinan city of Shandong province [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2015, 29(1): 38-39.
[11] ZHU Zi-cheng, WEN Yue-chun, WU Zhang-you, KE Gen-jie. Effects of different intraocular lens on macula area of high myopia associated with cataract [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2015, 29(1): 40-43.
[12] SUN Hong-yi, ZHANG Han. Changes of macular thickness under optical coherent tomography in type 2 diabetic patients with cataract after phacoemulsification surgery and IOL implantation [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2014, 28(6): 72-76.
[13] YAN Shi-long, YANG Ming, HU Zun-xia, LIU Zhi-gao, LI Jing-hai. Clinical analysis of 7 patients with phacolytic glaucoma treated by phacoemulsification [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2014, 28(5): 79-81.
[14] ZHANG Ai-hui1， ZHU Ling1, ZHANG Jin-zhi1， ZHANG Wei2. Correlation between cataract phacoemulsification with intraocular lens implantation and age-related macular degeneration [J]. J Otolaryngol Ophthalmol Shandong Univ, 2013, 27(5): 77-83.
[15] SHI Shao-dan1, LIU Jing2, ZHANG Wei2, ZHANG Han2. Systematic review of surgical treatment for primary angle-closure glaucoma accompanied with Cataract [J]. J Otolaryngol Ophthalmol Shandong Univ, 2013, 27(5): 84-90.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
No Suggested Reading articles found!
Website Copyright: Editorial Office of Journal of Otolaryngology and Ophthalmology of Shandong University
Address: No.27 Shanda South Road, Jinan, Shandong, China. Post code: 250100 Tel: +86-0531-88366912 Email: ebhxb@sdu.edu.cn Supported by Beijing Magtech Co.Ltd