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Nepp, J; Krepler, K; Jandrasits, K; Hauff, W; Hanselmayer, G; Velikay-Parel, M; Ossoinig, KC; Wedrich, A.
Biometry and refractive outcome of eyes filled with silicone oil by standardized echography and partial coherence interferometry.
GRAEF ARCH CLIN EXP OPHTHAL 2005 243: 967-972. Doi: 10.1007/s00417-004-1117-2
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Co-authors Med Uni Graz
Velikay-Parel Michaela
Wedrich Andreas
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Abstract:
BACKGROUND: We evaluated the validity of calculations for refractive outcome in cataract surgery in silicone oil-filled eyes. The retrosilicone space (RSS) was included in these calculations. METHODS: In a prospective study the axial length (AL) of silicone oil-filled eyes was measured. with standardized A-scan echography (SAE) and partial coherence interferometry (PCI). Meldrum's formula was used to transform the velocity of ultrasound within the vitreous cavity. To investigate whether refractive outcome can be calculated accurately, we assessed the difference between precalculated and final refractive outcome. Furthermore, we determined the advantages and disadvantages of SAE and PCI. A minor aim was to assess whether the AL of the two eyes differed significantly. RESULTS: In 85% of 117 eyes the difference between precalculated and postsurgical refraction was smaller than 1 diopter spherical and statistically not significant (p>0.2). The mean AL was 24.1 mm (range 20.0-31.4 mm). The difference in outcome between the two methods was without statistical significance: the AL difference was 0.4 (+/-2.6) mm on measurement with SAE and 0.04 (+/-0.46) mm with PCI. PCI has the advantage that it can be performed more easily, without contact, while echography is advantageous in the presence of advanced cataracts. In supine position an oil-free fluid space behind the silicone oil was detected with echography. The mean dimension of this space was 1.9 (+/-0.67) mm and it was taken into consideration for IOL calculation. The mean AL difference between the two eyes was 0.4 mm, but the difference was greater than 1 mm in 26% of the patients. CONCLUSION: The AL of eyes filled with silicone oil can be measured reliably with SAE and PCI. In supine position the RSS has to be considered to obtain more accurate IOL calculations.
Find related publications in this database (using NLM MeSH Indexing)
Adolescent -
Adult -
Aged -
Aged, 80 and over -
Biometry - methods
Child - methods
Comparative Study - methods
Eye - ultrasonography
Female - ultrasonography
Follow-Up Studies - ultrasonography
Humans - ultrasonography
Injections - ultrasonography
Interferometry - methods
Lens Implantation, Intraocular - methods
Male - methods
Middle Aged - methods
Phacoemulsification - methods
Prospective Studies - methods
Refraction, Ocular - physiology
Silicone Oils - administration and dosage
Treatment Outcome - administration and dosage
Vitreous Body - administration and dosage

Find related publications in this database (Keywords)
intravitreal silicone oil
biometry
standardized echography
partial coherence interferometry
retrosilicone space
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