Skip to main content Skip to main navigation menu Skip to site footer

Factors influence bullous keratopathy post cataract surgery at National Eye Center of Cicendo Eye Hospital (PMN RSMC), West Java, Indonesia

  • Siska Siska ,
  • Feti Karfiati Memed ,
  • Ine Renata Musa ,

Abstract

Background: Bullous keratopathy is one of the leading causes of vision loss following cataract surgery. Several factors have been elucidated regarding the influence of bulosa keratopathy post cataract surgery. This study aims to evaluate pre-, intra-, and postoperative predisposition factors for bullous keratopathy following cataract surgery.

Methods: A retrospective descriptive study was done using data extracted from medical records. Patients diagnosed with bullous keratopathy after cataract surgery who underwent further examination procedures for at least 3 months were included. Patients with a history of glaucoma, Fuch's dystrophy, or other intraocular procedures were excluded. Data were analyzed by SPSS version 20 for Windows.

Results: Fourteen cases were included in this study. Most cases were female (78.57%) aged ≥60 years old (64.29%). There were postoperative changes in visual acuity and corneal status in most patients without any change in intraocular pressure. The majority of patients underwent manual small incision cataract surgery with posterior chamber intraocular lens implantation. Intraoperative complications were vitreous prolapse and Descemet membrane stripping, while postoperative complications were uveitis and lens adhesion.

Conclusion: Bullous keratopathy after cataract surgery was more common in elderly females. There were notable changes in visual acuity and corneal status postoperatively. Further large-scale analytic study is warranted to confirm the predictive factors and causality.

References

  1. Cohen EJ, Brady SE, Leavitt K, et al. Pseudophakic bullous keratopathy. Am J Ophthalmol. 1988;106(3):264-269.
  2. Mac Rae SM, Edelhauser HF. Postoperative corneal edema. Am J Ophthalmol. 1983;95(4):552-554.
  3. Pricopie S, Istrate S, Voinea L, Leasu C, Paun V, Radu C. Pseudophakic bullous keratopathy. Rom J Ophthalmol. 2017;61(2):90-94.
  4. Berkowitz P, Orton RB, Boyaner D, Brownstein S. Pseudophakic bullous keratopathy. A clinical-pathologic analysis. Can J Ophthalmol. 1979;14(1):3-9.
  5. Yi DH, Dana MR. Corneal edema after cataract surgery: incidence and etiology. Semin Ophthalmol. 2002;17(3-4):110-114.
  6. Al-Aqaba M, Alomar T, Lowe J, Dua HS. Corneal nerve aberrations in bullous keratopathy. Am J Ophthalmol. 2011;151(5):840-849.e1.
  7. American Academy of Ophthalmology. External disease and cornea: Fundamentals and principles of ophthalmology. San Fransisco: American Academy of Ophthalmology. 2011-2012. pp. 337-383.
  8. Davis G. The Evolution of Cataract Surgery. Mo Med. 2016;113(1):58-62.
  9. Stein JD. Serious adverse events after cataract surgery. Curr Opin Ophthalmol. 2012;23(3):219-225.
  10. Pricopie S, Istrate S, Voinea L, Leasu C, Paun V, Radu C. Pseudophakic bullous keratopathy. Rom J Ophthalmol. 2017;61(2):90-94.
  11. Inomata T, Mashaghi A, Hong J, Nakao T, Dana R. Scaling and maintenance of corneal thickness during aging. PLoS One. 2017;12(10):e0185694.
  12. Tananuvat N, Khumchoo N. Corneal thickness and endothelial morphology in Normal Thai eyes. BMC Ophthalmol. 2020;20(1):167.
  13. Islam QU, Saeed MK, Mehboob MA. Age related changes in corneal morphological characteristics of healthy Pakistani eyes. Saudi J Ophthalmol. 2017;31(2):86-90.
  14. Galgauskas S, NorvydaitÄ— D, KrasauskaitÄ— D, Stech S, AÅ¡oklis RS. Age-related changes in corneal thickness and endothelial characteristics. Clin Interv Aging. 2013;8:1445-1450.
  15. Keay L, Lindsley K, Tielsch J, Katz J, Schein O. Routine preoperative medical testing for cataract surgery. Cochrane Database Syst Rev. 2019;1(1):CD007293.
  16. Yamazoe K, Yamaguchi T, Hotta K, Satake Y, Konomi K, Den S, Shimazaki J. Outcomes of cataract surgery in eyes with a low corneal endothelial cell density. J Cataract Refract Surg. 2011;37(12):2130-6.
  17. Ye Z, He SZ, Li ZH. Efficacy comparison between manual small incision cataract surgery and phacoemulsification in cataract patients: a meta-analysis. Int J Clin Exp Med. 2015;8(6):8848-8853.
  18. Higashide T, Sugiyama K. Use of viscoelastic substance in ophthalmic surgery - focus on sodium hyaluronate. Clin Ophthalmol. 2008;2(1):21-30.
  19. Vasavada V, Vasavada V, Dixit NV, Raj SM, Vasavada AR. Comparison between Ringer's lactate and balanced salt solution on postoperative outcomes after phacoemulsfication: a randomized clinical trial. Indian J Ophthalmol. 2009;57(3):191-195.
  20. Benjamin L. Fluidics and rheology in phaco surgery: what matters and what is the hype?. Eye (Lond). 2018;32(2):204-209.
  21. Shaaban YM, Badran TAF. Three-Year Effect of Phakic Intraocular Lenses on the Corneal Endothelial Cell Density. Clin Ophthalmol. 2020;14:149-155.
  22. Sharma N, Singhal D, Nair SP, Sahay P, Sreeshankar SS, Maharana PK. Corneal edema after phacoemulsification. Indian J Ophthalmol. 2017;65(12):1381-1389.

How to Cite

Siska, S., Memed, F. K., & Musa, I. R. (2020). Factors influence bullous keratopathy post cataract surgery at National Eye Center of Cicendo Eye Hospital (PMN RSMC), West Java, Indonesia. Bali Medical Journal, 9(3), 840–843. https://doi.org/10.15562/bmj.v9i3.2002

HTML
1

Total
22

Share

Search Panel