The Effect of Staying at Home or in a Container on Early Postoperative Findings After Cataract Surgery

Year 2024, Volume: 5 Issue: 3, 111 - 116, 30.09.2024

Aydin Toprak , Mine Koru Toprak , Medine Güneş Çelebi , Gamze Tanindi Duman , Hakan Koç

https://doi.org/10.47482/acmr.1497990

Abstract

Purpose: Investigating the effect of staying in a container or at home on postoperative findings after cataract surgery

Materials and Methods: Patients who underwent cataract surgery between May 2023 and May 2024 were retrospectively analyzed. The patients were divided into two groups based on whether they stayed at home or in a container. The best-corrected visual acuity (BCVA), corneal edema, central corneal thickness (CCT) assessed by pachymetry, and intraocular pressure (IOP) were recorded and preoperatively, early findings at the 1st week and 1st month postoperatively compared between the two groups.

Results: The postoperative BCVA values at week 1 and month 1 in both group were significantly improved compared to the preoperative values (p<0.05). In both group, corneal edema and CCT values were significantly higher at week 1 (1.1) compared to preoperative values. The IOP values at postoperative week 1 and month 1 were significantly lower than the preoperative values (p<0.05). When comparing the groups that stayed at home and those that stayed in the container after cataract surgery, no significant differences were observed in BCVA, corneal edema, CCT, and IOP at the 1st week and 1st month. When evaluating other postoperative complications, no cases of endophthalmitis, cystoid macular edema, retinal detachment, or corneal decompensation were reported in either group.

Conclusion: Recent studies conducted in earthquake-affected regions of Turkey have shown that hazardous materials such as asbestos, lead, and other toxic substances were released into the environment during the earthquake. Exposure to toxic pollutants in the air, water, and soil can vary depending on whether one stays at home or in a container. In our study, this situation did not affect the outcomes after cataract surgery. We observed that postoperative care at home or in a container had no significant impact on surgical and visual early outcomes after cataract surgery. The limitations of the study included its retrospective nature and small sample size. There is a need for prospective studies with larger sample sizes.

Keywords

Cataract Surgery, Earthquake, Container, Phacoemulsification

Katarakt Cerrahisi Sonrası Ev veya Konteynırda Kalmanın Postoperatif Erken Dönemdeki Bulgular Üzerine Etkisi

Abstract

Amaç: Katarakt cerrahisi sonrası konteynırda veya evde kalmanın postoperatif bulgular üzerindeki etkisini araştırmak.

Gereç ve Yöntemler: Mayıs 2023 ile Mayıs 2024 arasında katarakt ameliyatı geçiren hastalar retrospektif olarak analiz edildi. Hastalar evde veya konteynırda kalmalarına göre iki gruba ayrıldı. En iyi düzeltilmiş görme keskinliği (EİDGK), kornea ödemi, pakimetri ile değerlendirilen santral kornea kalınlığı (SKK) ve göz içi basıncı (GİB) kaydedildi ve preoperatif, postoperatif 1. hafta ve 1. ay erken bulgular iki grup arasında karşılaştırıldı.

Bulgular: Her iki grupta da postoperatif 1. hafta ve 1. aydaki EİDGK değerleri preoperatif değerlere kıyasla anlamlı derecede artış gösterdi (p<0.05). Her iki grupta da kornea ödemi ve SKK değerleri 1. haftada preoperatif değerlere kıyasla anlamlı derecede yüksekti (p<0.05). Postoperatif 1. hafta ve 1. aydaki GİB değerleri preoperatif değerlere kıyasla anlamlı derecede düşüktü (p<0.05). Katarakt cerrahisi sonrası evde kalan ve konteynırda kalan gruplar karşılaştırıldığında, 1. hafta ve 1. ayda EİDGK, kornea ödemi, SKK ve GİB açısından anlamlı farklar gözlenmedi. Diğer postoperatif komplikasyonlar değerlendirildiğinde, her iki grupta da endoftalmi, kistoid maküler ödem, retina dekolmanı veya kornea dekompensasyonu vakası bildirilmedi.

Sonuç: Türkiye'nin depremden etkilenen bölgelerinde yapılan son çalışmalar, deprem sırasında asbest, kurşun ve diğer toksik maddeler gibi tehlikeli maddelerin çevreye salındığını göstermiştir. Havadaki, sudaki ve topraktaki toksik kirleticilere maruz kalma, evde veya konteynırda kalınmasına bağlı olarak değişebilir. Çalışmamızda bu durumun katarakt cerrahisi sonrası sonuçları etkilemediği görüldü. Katarakt cerrahisi sonrası evde veya konteynırda yapılan postoperatif bakımın cerrahi ve görsel erken sonuçlar üzerinde anlamlı bir etkisi olmadığı gözlemlendi. Çalışmanın kısıtlılıkları arasında retrospektif doğası ve küçük örneklem büyüklüğü bulunmaktadır. Daha büyük örneklem büyüklüğüne sahip prospektif çalışmalara ihtiyaç vardır.

Keywords

Deprem, Konteynır, Katarakt Cerrahisi, Fakoemülsifikasyon

References

• Resnikoff S, Pascolini D, Etya’ale D, Oyewole J, Negrel AD,Pararajasegaram M, et al. Global data on visual impairment in 2002. Bull World Health Organ. 2004;82:844-51.
• Kohnen T. Treating inflammation after lens surgery [editorial]. J Cataract Refract Surg. 2015;41:2035.
• Schein OD, Steinberg EP, Javitt JC, Tielsch JM, Bass EB, et al. Variation in cataract surgery practice and clinical outcomes. Ophthalmology. 1994;101:1142-52.
• Saxena R, Srivastava S, Trivedi D, Anand E, Joshi S, et al. Impact of environmental pollution on the eye. Acta Ophthalmol. 2003;81:491-4.
• Franck C, Skov P. Evaluation of two different questionnaires used for diagnosing ocular manifestations in the sick building syndrome on the basis of an objective index. Indoor Air. 1991;1:5-11.
• Franck C, Boge I. Break-up time and lissamine green epithelial damage in office eye syndrome. Acta Ophthalmol. 1993;71:62-4.
• Steinberg EP, Tielsch JM, Schein OD, Javitt JC, Bass EB, et al. National study of cataract surgery outcomes: variation in 4-month post-operative outcomes as reflected in multiple outcome measures. Ophthalmology. 1994;101:1131-41.
• Ramya A, Usha BR. Impact of cataract surgery on intraocular pressure. Indian J Clin Exp Ophthalmol. 2023;9(1):75-8.
• Markić B, Mavija M, Smoljanovic-Skocic S, Burgic SS. Effects of cataract surgery on short-term intraocular pressure fluctuations in patients with primary angle-closure and primary angle-closure glaucoma. Medicinski Pregled. 2022;75(7-8):217-23.
• Gopang Z, Bhutto SA, Abassi FA, Katpar NA, Abbasi SA, Nagdev PR. Outcome of cataract surgery on intraocular pressure. Pak J Med Health Sci. 2022;16(8):345-5.
• Azam S, Talpur AH, Shaheen M, Bukhari S. Effect of cataract surgery on intraocular pressure in glaucoma patients. Pak J Ophthalmol. 2021;37(1).
• Ivanovska Adjiyevska B, Buckoska V. Corneal edema after cataract surgery: changes in corneal endothelium cell characteristics. MEDIS-Medical Science and Research. 2023;2(2):37-40.
• Choi JY, Han YK. Long-term (≥ 10 years) results of corneal endothelial cell loss after cataract surgery. Can J Ophthalmol. 2019;54(4):438-44.
• Kurt E, Mayali H. Early post-operative complications in cataract surgery. In: Cataract Surgery. IntechOpen; 2013.
• Chan E, Mahroo OA, Spalton DJ. Complications of cataract surgery. Clin Exp Optom. 2010;93(6):379-89.
• González N, Quintana JM, Bilbao A, Vidal S, Fernández de Larrea N, Díaz V, et al. Factors affecting cataract surgery complications and their effect on the postoperative outcome. Can J Ophthalmol. 2014;49(1):72-9.
• Schein OD, Steinberg EP, Cassard SD, Tielsch JM, Javitt JC, Sommer A. Predictors of outcome in patients who underwent cataract surgery. Ophthalmology. 1995;102(5):817-23.
• Riley AF, Malik TY, Grupcheva CN, Fisk MJ, Craig JP, McGhee CN. The Auckland cataract study: co-morbidity, surgical techniques, and clinical outcomes in a public hospital service. Br J Ophthalmol. 2002;86(2):185-90.
• Pham TQ, Cugati S, Rochtchina E, Mitchell P, Maloof A, Wang JJ. Age-related maculopathy and cataract surgery outcomes: visual acuity and health-related quality of life. Eye. 2007;21(3):324-30.
• Shubhrica D. Effect of environment on eyes: a review. Indian J Clin Pract. 2013;24:381-4.
• Okawada N, Mizoguchi ISA, Ishiguro T. Effects of photochemical air pollution on the human eye: concerning eye irritation, tear lysozyme, and tear pH. Nagoya J Med Sci. 1979;41(1-4):9-20.
• Heilenbach N, Hu G, Lamrani R, Prasad J, Ogunsola T, Iskander M, et al. Environmental influences on ophthalmic conditions: a scoping review. Clin Exp Ophthalmol. 2023;51(6):516-45.
• Gorgadze G, Giorgobiani M, Jikurashvili T, Phirtskhalaishvili M. Impact of harmful environmental factors on the visual system. Georgian Scientists. 2023;5(2):71-81.
• Zanoletti A, Bontempi E. The impacts of earthquakes on air pollution and strategies for mitigation: a case study of Turkey. Environ Sci Pollut Res. 2024;1-11.