Posters
Our experience in prognosis of cataract surgery in patient with age-related macular degeneration and diabetic maculopathy
Poster Details
First Author: B.Milojko Scepovic MONTENEGRO
Co Author(s): D. Djurovic Raonic
Abstract Details
Purpose:
cataract surgery is, of course, the most common eye surgery and most patients are expected to have good visual acuity as a result. Except, however, for the cataract patients with additional changes on retina, who apparently will not have good or better visual acuity post surgery.
Setting:
The aim of this case study is to analyze visual acuity post cataract surgery in patients with diabetic maculopathy and with AMD Age-Related Macular Degeneration and try to get better prognosis by using retinometer principle.
Methods:
We had 2 groups of patients with different types of cataract end with changes in macula lutea: first by diabetic maculopathy and second by AMD. All of them had undergone standard ophthalmological examinations including retinometer and OCT. The first, diabetic, group consisted of 12 patients , and the second, AMD group, consisted of 21 patients. 3 patients with AMD had a retinometer readings 20/150, 13 patient had 20/60, and 5 patient had -20/40. Patients with diabetic maculopathy, 8 of them had readings 20/150 , and only 4 had - 20/60.
Results:
in AMD group patients with expected VA around o,1 had same, and patients with 20/60 and 20/40 had better VA for 1-2 lines. In diabetic group: 3 patients 20/150 before operation VA after cataract surgery were 0,3. Five patients had same VA. Diabetic group with 20/60 had worse VA than we expected.
Conclusions:
: Retinometry gave excellent (100%) prognosis for patients with AMD , and VA better is in patients with results more than 20/40 by retinometer ,before cataract surgery. For patient with diabetic maculophaty prognosis is accurate in 66% of cases, especially in patients with retinometry 20 /150, and stability of diabetic retinopathy with pan retinal photocoagulation .
Financial Disclosure:
None
