Refraction Outcome after Phacoemulsification in High Myopia with and without a Capsular Tension Ring

Authors

  • Vidyapati Mangunkusumo
  • Denny Agustiningsih
  • Suhardjo SU
  • Wasisdi Gunawan
  • Tjahjono D Gondhowiardjo
  • Wahyu Srigutomo

DOI:

https://doi.org/10.37506/ijphrd.v12i4.16575

Keywords:

Predictive Refractive Outcome (PRO),Capsular Tension Ring (CTR), Intraocular Lens (IOL), Spherical Equivalent (SE)

Abstract

Purpose: To compare the refraction outcomes after phacoemulsification in high myopia implanted with
and without a capsular tension ring. Material and methods: This retrospective study reviewed all patients
with an axial length of 26 mm or more and had phacoemulsification with an intraocular lens (IOL) between
January to December 2019. Pre-surgery biometric measurement and IOL power calculation were performed
by the Barret Universal II formula. The chosen IOL power to be implanted with the predictive refractive
outcome (PRO) was recorded. One month post-surgery, auto-refractive objective refraction in Spherical
Equivalent (SE) was measured and compared to the PRO. Results: Fifty four eyes from 38 patients had
a mean age of 57.15 + 9.73 (SD). In the non-CTR group, significant statistical difference between the pre
to post-surgery outcomes of objective refraction was observed (p = 0.007), while in the CTR group there
was no significant statistical difference (p = 0.830). The CTR achieved an accuracy of 0.01 D + 0.32 (p
= 0.010) against -0.36 D + 0.55 in the non-CTR group. The CTR group, also reached 88.5% PRO for far
vision compared to 53.6% in non-CTR group (p=0.005). Conclusion: Phacoemulsification with CTR in
high myopia resulted in better predictive outcomes.

Author Biographies

Vidyapati Mangunkusumo

Department of Ophthalmology, Faculty of Medicine Public Health and Nursing Universitas Gadjah Mada,
Yogyakarta, Indonesia, JEC Eye Hospitals & Clinics, Jakarta, Indonesia

Denny Agustiningsih

Department of Physiology, Faculty of Medicine Public Health and Nursing Universitas Gadjah Mada, Yogyakarta, Indonesia

Suhardjo SU

Department of Ophthalmology, Faculty of Medicine Public Health and Nursing Universitas Gadjah Mada,
Yogyakarta, Indonesia

Wasisdi Gunawan

Department of Ophthalmology, Faculty of Medicine Public Health and Nursing Universitas Gadjah Mada,
Yogyakarta, Indonesia

Tjahjono D Gondhowiardjo

JEC Eye Hospitals & Clinics, Jakarta, Indonesia

Wahyu Srigutomo

Physics Department,Faculty of Mathematics and Natural Sciences, Bandung Institute of Technology, Bandung, Indonesia

Published

2021-07-19

How to Cite

Vidyapati Mangunkusumo, Denny Agustiningsih, Suhardjo SU, Wasisdi Gunawan, Tjahjono D Gondhowiardjo, & Wahyu Srigutomo. (2021). Refraction Outcome after Phacoemulsification in High Myopia with and without a Capsular Tension Ring. Indian Journal of Public Health Research & Development, 12(4), 397-404. https://doi.org/10.37506/ijphrd.v12i4.16575

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