Preprint Article Version 1 This version is not peer-reviewed

Examination of Vitreolenticular Interface in Relation to Different Parameters of Phacoemulsification in the Early and Late Postoperative Period

Version 1 : Received: 17 July 2024 / Approved: 18 July 2024 / Online: 18 July 2024 (10:19:06 CEST)

How to cite: Elekes, Á.; Vámosi, P. Examination of Vitreolenticular Interface in Relation to Different Parameters of Phacoemulsification in the Early and Late Postoperative Period. Preprints 2024, 2024071485. https://doi.org/10.20944/preprints202407.1485.v1 Elekes, Á.; Vámosi, P. Examination of Vitreolenticular Interface in Relation to Different Parameters of Phacoemulsification in the Early and Late Postoperative Period. Preprints 2024, 2024071485. https://doi.org/10.20944/preprints202407.1485.v1

Abstract

Background: Surgical parameters of phacoemulsification can have a significant impact on behavior of anterior hyaloid membrane (AHM). Methods: In a prospective study using anterior segment optical coherence tomograph the attachment or detachment of AHM of 82 eyes were examined after uneventful phacoemulsification preoperatively and postoperatively over a 1-year period. The impact of capsulorhexis size, number of hydrodissections, difficulty of nucleus rotation, nuclear sclerosis grade, cumulative dissipated energy (CDE), ultrasonic time, total surgical time, difficulty of irrigation/aspiration, intensity of capsular polish, weakness of zonular fibers, presence of lens materials in Berger's space (LM-BS), and fluid usage were investigated related to the behavior of AHM. Results: In presence of zonular weakness and high CDE, a significant linear trend was observed regarding anterior vitreous detachment (AVD) at all postoperative times. Similarly, AVD is observed at 1-month, 3-month, and 1-year follow-up in cases of high nuclear sclerosis grade and high fluid usage. A significant linear trend was observed in the case of zonular weakness, hard nucleus and extensive capsular polish with LM-BS, while CDE, total surgical time, and fluid usage were significantly higher in these cases. Conclusions: Zonular weakness, high CDE, hard nucleus and high fluid usage are risk factors of postoperative AVD.

Keywords

phacoemulsification; anterior segment optical coherence tomography; anterior vitreous detachment

Subject

Medicine and Pharmacology, Ophthalmology

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