FP608 : Preoperative macular screening of cataractous patients with spectral domain OCT.

Dr.Mamidipudi Ramakrishna Praveen, M09444

Purpose: To establish the advantage of spectral domain optical coherence tomography (SD-OCT) to identify macular disease preoperatively in patients scheduled for cataract surgery. Methods: Preoperative SD-OCT scans were performed for the presence of macular abnormalities. Patients with clinically detectable retinal pathologies were excluded. Results: Of the 963 eligible patients, 928 were included in the study. Macular pathology was noted in 112 patients (11.6%). The most commonly identified conditions were idiopathic epiretinal membrane (n =45), vitreomacular interface abnormalities (n =33), age-related macular degeneration (n =14), cystoid macular edema (n=10), and ellipsoid zone abnormalities (n =10) eyes. Conclusion: Asymptomatic macular anomalies were detected on OCT in a significant population of patients. Optical coherence tomography should be routinely performed for cataract patients as an adjunct to dilated fundus examination for macular evaluation.