ESCRS - PP04.12 - Macular Optical Coherence Tomography For Screening Of Pathology Prior To Cataract Surgery: An Approach Based On Tele-Evaluation.

Macular Optical Coherence Tomography For Screening Of Pathology Prior To Cataract Surgery: An Approach Based On Tele-Evaluation.

Published 2022 - 40th Congress of the ESCRS

Reference: PP04.12 | Type: Free paper | DOI: 10.82333/763b-5551

Authors: Alejandra Herranz-Cabarcos* 1 , Miguel Castilla-Martí 2 , Vladimir Poposki 2 , Rosa Pifarré-Benítez 3 , Ana Rosa Martínez-Palmer 2

1Ophthalmology,Hospital de Sant Joan Despí Moisès Broggi,Barcelona,Spain, 2Ophthalmology,Parc de Salut Mar,Barcelona,Spain, 3Surgical Area,Parc de Salut Mar,Barcelona,Spain

Purpose

To assess the benefit of  macular spectral-domain optical coherence tomography (SD-OCT) as a part of the routinary preoperative study of patients undergoing cataract surgery.

Setting

Hospital de l'Esperança - Parc de Salut Mar, Barcelona. Spain.

Methods

A prospective unicentric study was performed. Consecutive patients with normal biomicroscopic funduscopy, moderate cataract and no history of ophthalmological pathologies were enrolled. All patients underwent macular SD-OCT. Obtained images were analysed by a general ophthalmologist and two retina specialists. Incidence of macular pathology and its relation to age and comorbidities were assessed.

Results

836 eyes of  419 patients were enrolled in the study. All images were analyzed telematically by a general ophthalmologist. 49 eyes  were excluded due to low quality of obtained images. Abnormal images were observed in 156 eyes(18.6%), including age-related macular degeneration in 68 (8.2%), epiretinal membrane (ERM) in 67 (8.0%), cystoid macular edema in 3 eyes (0.4%), among others. Diagnostics with severe impact on patient visual prognosis were observed in 16 eyes(3.82%)  from 12 patients . The relationship between incidence of macular pathologies and age or comorbidities was not statistically significant. Images were subsequently analyzed by two independent retinologists. The kappa index of concordance was 0.80 and 0.85.

Conclusions

Implementing a systematic macular SD-OCT as a preoperative test prior to cataract surgery would improve quality of postoperative visual prognosis information. A general ophthalmologist would be suitable to screen for pathology through macular OCT images.