%0 Journal Article
%T Phacoemulsification Surgery in Eyes with Neovascular Age-Related Macular Degeneration
%A Andre Grixti
%A Evangelia Papavasileiou
%A Dominic Cortis
%A Balakrishna Vineeth Kumar
%A Som Prasad
%J ISRN Ophthalmology
%D 2014
%R 10.1155/2014/417603
%X Purpose. To evaluate the visual outcomes and effect of phacoemulsification surgery on the progression of neovascular age-related macular degeneration (AMD). Methods. Retrospective, noncomparative, and interventional case series. Thirty eyes from 29 subjects with neovascular AMD treated with intravitreal antivascular endothelial growth factor (VEGF) injections who underwent phacoemulsification and had a postsurgery follow-up of 6 months were included. LogMAR best corrected visual acuity (BCVA) was assessed preoperatively; 1 month, 3 months, and 6 months postoperatively; and finally at the last visit. The frequency of anti-VEGF therapy, calculated as the number of intravitreal injections per month, and central macular thickness (CMT) before and after cataract surgery were determined. Results. Median (range) logMAR BCVA was 0.69 (0.16 to 1.32) preoperatively; 0.55 (£¿0.04 to 1.32) at 1 month, 0.52 (£¿0.1 to 1.32) at 3 months, and 0.50 (0.0 to 1.32) at 6 months postoperatively; and 0.6 (0.0 to 1.4) at final visit ( ). There was no difference in the frequency of anti-VEGF injections between the immediate 6 months before and after phacoemulsification, which was equal to 0.1667 injections per month ( ). Median CMT measured 203£¿¦Ìm preoperatively, which temporarily increased to 238£¿¦Ìm at 1 month after surgery ( ) and then spontaneously returned to baseline, measuring 212.5£¿¦Ìm at 3 months postoperatively ( ). Conclusion. Phacoemulsification surgery significantly improved vision in patients with neovascular AMD, with no increased need for anti-VEGF injections to keep the macula dry postoperatively. 1. Introduction Age-related macular degeneration (AMD) and cataract are common ocular disorders in the elderly which often develop concurrently and their prevalence is likely to increase with increasing longevity worldwide. Visually significant cataract may further compromise the vision in patients with AMD. In addition, the formation of cataract may have an impact on the possibility to evaluate the effect of treatment and performing investigations such as optical coherence tomography (OCT) or fundus fluorescein angiography. This impairs monitoring of disease progression. The possibility of a relationship between cataract surgery and progression of AMD has generated considerable debate among ophthalmologists. Several reports have been published which either support [1¨C8] or reject [9¨C17] a link between cataract surgery and deterioration of AMD. The strongest evidence supporting development of advanced AMD in the postoperative period was provided by large population-based
%U http://www.hindawi.com/journals/isrn.ophthalmology/2014/417603/