Evaluation of ocular comorbidities among cataract surgery through medical imaging method

Abstract

Author(s): Afshan Sharghi, Habib Ojaghi*, Telma Zahirian Moghadam, Arezoo Ranjbar and Mehdi Ranjbar

Introduction and Objective: Imaging plays an indispensable role in clinical care in ophthalmology, ranging from diagnostics to risk stratification and treatment monitoring. Imaging biomarkers were identified in many diseases such as diabetic retinopathy, age-related macular degeneration and glaucoma. Cataract is the most common cause of blindness in the world and it is estimated that about one hundred thousand cases of cataract surgery are performed in Iran annually. One of the factors affecting cataract is ocular comorbidities. Due to the rarity of studies in this field, this study aimed to evaluate the ocular complications of comorbidities in patients undergoing cataract surgery at Noor Surgery Centre in Ardabil, Iran.

Materials and Methods: This descriptive cross-sectional study was performed on 780 patients referred to Noor Ophthalmology Clinic in Ardabil city with cataract diagnosis. Data were collected by a researcher using a checklist. Data analysis was performed by SPSS 25 software using descriptive statistics

Results: Of the 1018 eyes studied, 590 (58%) were female and 428 (42%) were male. Mean age of patients was 65.88 ± 11.43 years. The mean intensities of PSC, Nuclear, and cortical cataracts were 4.56 ± 0.62, 4.79 ± 0.89, and 4.21 ± 0.48, respectively. Our findings revealed a significant association of cataract type in diabetic patients with normal retina (p=0.034), pseudoexfoliation syndrome (p=0.001), hyperopia (p=0.008), corneal opacity (p=0.036) and nasolacrimal duct obstruction (p=0.032) in compare with other patients. There was no significant difference in other comorbidities in terms of cataract types.

Conclusions: Since age, sex and comorbidity factors can affect cataract, periodic medical examinations and training in healthy lifestyle can be an effective step in preventing or decreasing cataracts formation, as well as improvement of prognosis of cataract surgery through OCT angiography.

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Editors List

  • Osamu Tanaka

    Osamu Tanaka
    Assistant Professor,
    Department of Radiation Oncology
    Asahi University Hospital
    Gifu city, Gifu, Japan

  • Maher Abdel Fattah Al-Shayeb

    Department of Surgical Sciences, Ajman University, UAE

  • Andrzej Zdziennicki

    Institute of Gynecology and Obstetrics, Medical University of Lodz, I Clinic of Gynecology and Gynecological Oncology (Lodz, Poland)

  • Krzysztof Urbanski

    Head of the Oncology Gynecology Clinic, Oncology Center - Instytut im. Maria Sklodowska Curie, Department in Krakow (Krakow, Poland)

  • Andrzej Szawlowski

    Klinika Nowotworow Gornego Odcinka Uklad Digestii, Oncology Center - Institute (Warsaw, Poland)