ArticlePrevalence of macular abnormalities identified only by optical coherence tomography in Brazilian patients with cataractPinto, Wanessa P. MD1; Rabello, Laura P. MD1,2; Ventura, Marcelo C. MD, PhD1,2; Rocha, Camilla S. BS1; Ventura, Bruna V. MD, PhD1,2,* Author Information 1Altino Ventura Foundation, Recife, Pernambuco, Brazil 2HOPE Eye Hospital, Recife, Pernambuco, Brazil *Corresponding author: Bruna V. Ventura, MD, PhD, Altino Ventura Foundation, Rua do Progresso, 71, Boa Vista, Recife (PE), 50070-020, Brazil. E-mail: [email protected] Submitted November 29, 2018; revised and accepted January 17, 2019. Presented at the ASCRS•ASOA Annual Meeting, Washington DC, USA, April 2018.Figure: No Caption available.First author: Wanessa P. Pinto, MD Journal of Cataract & Refractive Surgery 45(7):p 915-918, July 2019. | DOI: 10.1016/j.jcrs.2019.01.022 Buy Metrics Abstract Purpose To assess the prevalence of macular abnormalities not suspected by the biomicroscopic fundus examination and identified only by macular optical coherence tomography (OCT) in the preoperative evaluation for cataract surgery in a large series of Brazilian patients. Setting Private practice, Recife, Brazil. Design Retrospective case series. Methods All eyes that had cataract surgery by the same physician between August 2014 and July 2016 were eligible. Excluded were eyes with a previous diagnosis of macular abnormalities, with a suspicious biomicroscopic fundus examination, and without OCT results. Based on the preoperative macular OCT, patients were divided into the following 2 groups: those with a normal OCT and those with an abnormal OCT. Results Nine hundred fifty-two eyes (614 patients) were included in the study. Macular OCT identified abnormalities in 47 eyes (4.9%) of 44 patients (7.2%). Thirty-one eyes (3.3%) had epiretinal membrane, 7 (0.7%) had age-related macular degeneration, 4 (0.4%) had intraretinal cysts, 4 (0.4%) had a lamellar hole, and 1 (0.1%) had a macular hole. Patients with an abnormal OCT had a statistically significant higher mean age (P = .004). Conclusion In the preoperative evaluation for cataract surgery in Brazilian patients, 7.2% of those with a normal biomicroscopic fundus examination had macular abnormalities that were identified only by OCT. © 2019 by Lippincott Williams & Wilkins, Inc.
