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Long-Term Change in Corneal Astigmatism After Sutureless Cataract Surgery

2011; Elsevier BV; Volume: 151; Issue: 5 Linguagem: Inglês

10.1016/j.ajo.2010.11.014

1879-1891

Ken Hayashi, Akira Hirata, Shin-ichi Manabe, Hideyuki Hayashi,

Ocular Surface and Contact Lens

Purpose To compare long-term change in corneal astigmatism with advancing age between eyes that underwent sutureless cataract surgery and those that did not undergo surgery. Design Case-control study. Methods A total of 153 eyes that underwent phacoemulsification with a horizontal incision more than 11 years ago (surgery group) and 153 age-matched control eyes that did not undergo surgery (nonsurgery group) were enrolled. The keratometric cylinder at baseline (at 1 year or more postoperatively in the surgery group) and at 5 and 10 years after baseline was examined. The corneal astigmatic change, as calculated using polar value analysis and vector decomposition analysis, between baseline and 5 years after baseline and between 5 and 10 years was compared between the groups. Results The mean corneal astigmatic change, specifically ΔKP (90) in the polar analysis and against-the-rule component in the vector analysis, between baseline and 5 years and between 5 and 10 years showed an against-the-rule change in both groups. Using multivariate analysis, no significant difference was found in the corneal astigmatic change between the 2 groups at either time interval ( P ≥ .126). Furthermore, the change between baseline and 5 years was similar to that between 5 and 10 years in both groups ( P ≥ .315). Conclusions Corneal astigmatism after sutureless cataract surgery shows a long-term against-the-rule change with advancing age, and this change is similar to that of normal cornea, suggesting that the against-the-rule change that occurs subsequently should be taken into consideration at the time of cataract surgery.