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- Title
Posterior vitreous detachment after cataract surgery in eyes with high myopia: an optical coherence tomography study.
- Authors
Hayashi, Ken; Yoshida, Motoaki; Hayashi, Shunsuke; Hirata, Akira
- Abstract
Purpose: To compare the progression of posterior vitreous detachment (PVD) after cataract surgery in eyes with high myopia with that in eyes without high myopia. Study design: Prospective observational study. Methods: Eighty eyes of 80 patients with high myopia and 160 eyes of 160 patients without high myopia scheduled for phacoemulsification were recruited. PVD status was examined using swept-source optical coherence tomography at 2 days postoperatively (baseline) and at 3, 6, and 12 months postbaseline and classified into 5 stages: 0 (no PVD), 1 (paramacular PVD), 2 (perifoveal PVD), 3 (peripapillary PVD), and 4 (complete PVD). The PVD stage and incidence of progression to complete PVD of the 2 groups were compared. Results: The mean PVD stage did not differ significantly between the groups at baseline or at 3 months postbaseline but was significantly more progressed in the high myopia group than in the nonhigh myopia group at 6 months and 12 months postbaseline (P ≤ 0.0201). The Kaplan–Meier survival rate for complete PVD was significantly lower in the high myopia group (P = 0.0129). After adjusting for age, sex, and baseline PVD stage, the hazard ratio for complete PVD was 1.68-fold higher in the high myopia group than in the nonhigh myopia group (P = 0.0326, 95% CI 1.04–2.70). Conclusion: After cataract surgery, PVD progressed significantly faster in eyes with high myopia than in eyes without high myopia, and the relative risk for complete PVD was 1.68-fold higher in eyes with high myopia, suggesting that highly myopic eyes are at considerably high risk for retinal disease postoperatively.
- Subjects
OPTICAL coherence tomography; CATARACT surgery; MYOPIA; OPHTHALMIC surgery; RETINAL surgery; RETINAL diseases
- Publication
Japanese Journal of Ophthalmology, 2022, Vol 66, Issue 2, p167
- ISSN
0021-5155
- Publication type
Article
- DOI
10.1007/s10384-022-00903-6