Author/Authors :
Hajizadeh, Fedra Noor Ophthalmology Research Center - Noor Eye Hospital, Tehran , Riazi Esfahani, Mohammad Eye Research Center - Farabi Eye Hospital -Tehran University of Medical Sciences , Faghihi, Hooshang Eye Research Center - Farabi Eye Hospital -Tehran University of Medical Sciences , Khanlari, Mehdi Department of Ophthalmology - Tehran University of Medical Sciences, Tehran
Abstract :
Purpose: To study optical coherence tomography (OCT) findings in high myopic patients with the
history of uncomplicated cataract surgery
Methods: The sample included 34 eyes of 24 highly myopic patients with an axial length (AL) of
26 mm or more and a spherical equivalent (SE) of 8.0 diopter (D) or more who had uncomplicated
phacoemulsification cataract surgery. OCTs were done in multiple sections around optic disc and
fovea.
Results: The mean age of the 24 patients was 58.9±12.9 years, and the mean SE was 14.5±5.8 D.
The mean time gap between cataract surgery and OCT studies was 15.6±18 months, and the
mean AL was 29.1±2.1 mm. The most common OCT findings were vascular microfolds (67.6%)
and paravascular retinal cysts (64.7%). Vascular microfolds were found significantly associated
with age. Internal limiting membrane (ILM) detachment was significantly associated with gender
(female group). Peripapillary choroidal cavitation had a significant direct association with
postoperative elapsed time in all ages.
Conclusion: Vascular microfolds and paravascular retinal cysts are the most common pathologies
in myopic (aphakic and pseudophakic) persons. ILM detachment is more common in females.
Peripapillay cavitation incidence is associated with postoperative elapsed time.
