Affiliation:
1. Ophthalmology Unit, University Hospital of Parma, 43126 Parma, Italy
2. Vista Vision Surgical Centre, 37135 Verona, Italy
Abstract
Purpose: This retrospective case-control study was conducted to quantitatively and qualitatively assess the visual impairment in eyes with Epithelial Basement Membrane Dystrophy (EBMD) after regular cataract surgery. Methods: EBMD pseudophakic eyes were compared with matched pseudophakic eyes free from surface disorders. At least 3 weeks after surgery we evaluated uncorrected and best-corrected distance visual acuity (UDVA and CDVA), objective aberrometry, Point Spread Function (PSF), Modulation Transfer Function (MTF), and patient complaints. Results: Twenty-five EBMD eyes and 25 control eyes (13 patients per group) were included. Nine patients per group had a monofocal IOL, and four patients had a trifocal IOL. All the EBMD patients complained of postoperative blurred vision with ocular discomfort; intensive use of lubricants induced subjective improvement only in eyes with monofocal IOLs. Postoperative mean UDVA was 0.19 ± 0.16 LogMAR in the EBMD eyes and 0.11 ± 0.04 LogMAR in the control group (p = 0.016). Mean CDVA was 0.18 ± 0.15 LogMAR in the EBMD eyes and 0.06 ± 0.04 LogMAR in the control eyes (p = 0.001). The PSF curve width was significantly worse in the EBMD group (p < 0.001). The MTF cut-off value was lower in the EBMD group than in the control group (p < 0.001). Conclusion: After cataract removal, eyes with EBMD had significantly lower UDVA and CDVA than controls. All the aberrometric parameters were significantly worse in EBMD cases. EBMD patients complained about their postoperative visual outcome, while control patients did not.
Reference13 articles.
1. Recurrent corneal erosions and epithelial basement membrane dystrophy;Laibson;Eye Contact Lens.,2010
2. Edell, E., Bunya, V.Y., Woodward, M.A., and Bernfeld, E. (2022, September 12). Epithelial Basement Membrane Dystrophy. AAO Eyewiki. Available online: https://eyewiki.aao.org/Epithelial_Basement_Membrane_Dystrophy.
3. Recurrent corneal erosion: A comprehensive review;Miller;Clin. Ophthalmol.,2019
4. Corneal epithelial basement membrane dystrophy: An overlooked cause of painless visual disturbances;Reed;Ann. Ophthalmol.,1992
5. Evaluation of Optical Quality: Ocular Scattering and Aberrations in Eyes Implanted with Diffractive Multifocal or Monofocal Intraocular Lenses;Liao;Curr. Eye Res.,2018
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