Cataract Outcomes Following Scleral Buckle Surgery for Retinal Detachment

Figures & data

Table 1 Biometric Measurements of Study Eyes and Fellow Surgery-Naïve Eyes

	Mean ± SD		P value
	Study Eye	Fellow Eye
AL, mm	26.59 ± 1.87	25.92 ± 1.90	*<0.001
K1, mm	43.06 ± 1.74	42.63 ± 5.34	0.021
K2, mm	44.73 ± 1.92	44.31 ± 1.67	*<0.001
Average K, mm	43.87 ± 1.78	43.76 ± 1.64	0.034
ACD, mm	3.42 ± 0.33	3.60 ± 0.43	*<0.001
LT, mm	4.39 ± 0.41	4.16 ± 0.86	0.002
WTW, mm	12.26 ± 0.47	12.21 ± 0.46	0.075
ACD/AL Ratio	0.13 ± 0.01	0.14 ± 0.02	*<0.001

Note: *Statistical significance, p<0.05.

Abbreviations: AL, axial length; K1, flat keratometry; K2, steep keratometry; K, keratometry; ACD, anterior chamber depth; LT, lens thickness; WTW, white-to-white.

Table 2 Refractive Outcomes of Scleral Buckle Eyes with and without Vitrectomy Using Barrett Universal II, SRK/T, and Kane

	BU2			SRK/T			Kane			P values
	SB	SB + PPV	Overall	SB	SB + PPV	Overall	SB	SB+PPV	Overall	(Overall)
MPE ± SD	0.01 ± 0.71	−0.08 ± 0.68	−0.05 ± 0.68	0.04 ± 0.69	−0.06 ± 0.73	−0.02 ± 0.71	0.04 ± 0.50	−0.09 ± 0.65	−0.04 ± 0.60	0.845
MAE	0.51	0.48	0.49	0.51	0.53	0.52	0.43	0.47	0.45	0.424
medAE	0.43	0.32	0.41	0.53	0.42	0.47	0.51	0.29	0.34	0.769
% within 0.25 D	29%	38%	35%	43%	35%	38%	29%	42%	38%	1.000
% within 0.50 D	64%	65%	65%	43%	58%	53%	50%	62%	58%	0.547
% within 0.75 D	79%	81%	80%	71%	69%	70%	93%	77%	83%	0.392
% within 1.00 D	93%	88%	90%	93%	88%	90%	100%	88%	93%	1.000

Abbreviations: BU2, Barrett Universal II; MAE, mean absolute error; medAE, median absolute error; MPE, mean prediction error; PPV, pars plana vitrectomy; SB, scleral buckle.

Figure 1 Refractive outcomes after cataract extraction in eyes with history of scleral buckle.

Abbreviations: SB, scleral buckle, only; SB + PPV, scleral buckle and pars plana vitrectomy; D, diopters.

Figure 2 Proportion of eyes with an absolute prediction error between 0.25, 0.5, 0.75, and 1.0 D of predicted spherical equivalent (SE) refraction using (A) Barrett Universal II, (B) SRK/T, and (C) Kane formulas.

Abbreviations: SB, scleral buckle, only; SB + PPV, scleral buckle and pars plana vitrectomy; D, diopters.

Table 3 Postoperative Complications Presenting Within 1 Year Following Cataract Extraction

Complication Following Cataract Surgery	Incidence, N (%)	Mean Onset, Months
Posterior capsular opacification requiring YAG	34 (56.7)	3.1
Vision cloudy and wavy	4 (6.7)	1.0
Cystoid Macular Edema	3 (5.0)	2.0
Repeat YAG	2 (3.3)	5.0
Elevated IOP	2 (3.3)	5.0
Intermittent Itching	2 (3.3)	0.8
Trace IRF fluid on OCT	2 (3.3)	4.1
Recurrent RD	1 (1.7)	0.3
Intermittent sharp pain	1 (1.9)	2.1
Optic Nerve Cupping	1 (1.9)	2.1
Ozurdex Implantation	1 (1.7)	3.8
Burning and Tearing after gtt Insertion	1 (1.7)	1.5
Rebound Inflammation	1 (1.7)	1.5
Intermittent Sharp Pain	1 (1.7)	2.1
Increased Photophobia	1 (1.7)	0.7
HSV keratitis (primary episode)	1 (1.7)	1.0
HSV keratitis (flare)	1 (1.7)	5.6
Distortion	1 (1.7)	0.7
Corneal Ulcer	1 (1.7)	3.9

Abbreviations: ACD, anterior chamber depth; AL, axial length; YAG, yttrium aluminum garnet laser; IOP, intraocular pressure; IRF, intraretinal fluid; OCT, optical coherence tomography; RD, retinal detachment; gtt, eyedrop; HSV, herpes simplex virus.