Dr. Himali Kapania, K17403, Dr. Mathew Kurian, Dr. Chaitra Jayadev, Dr. Rohit Shetty
PURPOSE:To evaluate the role of pre-operative macular spectral-domain optical coherence tomography (SD-OCT) in patients undergoing cataract surgery
METHOD:2884 eyes of immature senile cataract scheduled for cataract surgery in the last 6 months were included. All the patients underwent routine pre-operative investigations followed by macular SD-OCT
RESULT:Macular pathologies were found in 23.68% of eyes, but detected clinically only in 13.89%. Most common were age-related macular degeneration (34.65%) followed by epi-retinal membranes (31.65%) and vitreo-macular traction (10.97%). A significant change in treatment plan was required in 11.39% of eyes.
CONCLUSION:Routine use of pre-operative macular SD-OCT revealed up to 11% of outcome altering macular pathologies which can otherwise go undetected with routine clinical examinations. This can help in averting significant post-operative surprises and should hence be a routine screening tool especially in a busy high-volume cataract set-up
Leave a Comment