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Factors Associated with Refractive Prediction Error after Phacotrabeculectomy.


ABSTRACT:

Purpose

To compare refractive prediction errors between phacotrabeculectomy and phacoemulsification.

Methods

Refractive prediction error was defined as the difference in spherical equivalent between the predicted value using the Barrett Universal II formula and the actual value obtained at postoperative one month. Forty-eight eyes that had undergone phacotrabeculectomy (19 eyes, open-angle glaucoma; 29 eyes, angle-closure glaucoma) were matched with 48 eyes that had undergone phacoemulsification by age, average keratometry value and axial length (AL), and their prediction errors were compared. The factors associated with prediction errors were analyzed by multivariable regression analyses.

Results

The phacotrabeculectomy group showed a larger absolute prediction error than the phacoemulsification group (0.51 ± 0.37 Diopters vs. 0.38 ± 0.22 Diopters, p = 0.033). Larger absolute prediction error was associated with longer AL (p = 0.010) and higher intraocular pressure (IOP) difference (p = 0.012). Hyperopic shift (prediction error > 0) was associated with shallower preoperative anterior chamber depth (ACD) (p = 0.024) and larger IOP difference (p = 0.031). In the phacotrabeculectomy group, the prediction error was inversely correlated with AL: long eyes showed myopic shift and short eyes hyperopic shift (p = 0.002).

Conclusions

Surgeons should be aware of the possibility of worse refractive outcomes when planning phacotrabeculectomy, especially in eyes with high preoperative IOP, shallow ACD, and/or extreme AL.

SUBMITTER: Shin JH 

PROVIDER: S-EPMC10488334 | biostudies-literature | 2023 Sep

REPOSITORIES: biostudies-literature

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Publications

Factors Associated with Refractive Prediction Error after Phacotrabeculectomy.

Shin Jung Hye JH   Kim Seok Hwan SH   Oh Sohee S   Lee Kyoung Min KM  

Journal of clinical medicine 20230901 17


<h4>Purpose</h4>To compare refractive prediction errors between phacotrabeculectomy and phacoemulsification.<h4>Methods</h4>Refractive prediction error was defined as the difference in spherical equivalent between the predicted value using the Barrett Universal II formula and the actual value obtained at postoperative one month. Forty-eight eyes that had undergone phacotrabeculectomy (19 eyes, open-angle glaucoma; 29 eyes, angle-closure glaucoma) were matched with 48 eyes that had undergone phac  ...[more]

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