인공수정체 광학부 포획 환자에서 술 후 굴절치의 변화

Postoperative Refractive Changes after Optic Capturing

Purpose: To present postoperative refractive changes in patients with optic capturing. Methods: This retrospective review was comprised of 81 eyes of 69 presenile and senile cataract patients who had undergone cataract surgeries, and 20 eyes of 11 pediatric cataract patients who had undergone irrigation and aspiration of the cataract, posterior continuous curvilinear capsulorhexis (PCCC) and optic capturing. Presenile and senile cataract patients were divided into three groups: Group Ⅰ: Phacoemulsification with posterior chamber lens implantation (Phaco with PCL), 37 eyes; Group Ⅱ: Phaco with PCL and PCCC, 22 eyes; Group Ⅲ: Phaco with PCL, PCCC and optic capturing, 22 eyes. Preoperative target refractive error and postoperative refractive errors were compared postoperatively. Results: Hyperopic shiftings were noticed in Groups Ⅰ and Ⅱ, but were not statistically significanct. However, statistically significant hyperopic shifting was found in Group Ⅲ. In pediatric populations, we found no statistically significant refractive changes. Conclusions: PCCC alone does not cause refractive change postoperatively. When performing optic capturing, postoperative hyperopic shifting must be considered.