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Ultrasonographic assessment of vitreoretinal pathologies in white mature cataract

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Original Article

Author Details : Komal Jaiswal, Amisha Jain, Rishabh Rathi*, Sonam Verma, SCL Chandravanshi, Nitin Nema, Rajendra Prakash Maurya

Volume : 9, Issue : 3, Year : 2023

Article Page : 294-301

https://doi.org/10.18231/j.ijceo.2023.056

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Abstract

Background: To evaluate the incidence of significant posterior segment abnormalities in eyes with white mature cataract and to assess association of vitreoretinal pathologies with different ocular and systemic disorders.
Materials and Methods: This cross-sectional study was conducted on 100 patients with white mature cataract presenting for cataract surgery. Detailed relevant history was noted. Complete ocular examination done and B-scan performed. Percentage of patients with abnormal B-scan findings in various groups were calculated and association of systemic/ ocular factors with vitreoretinal pathologies were evaluated using paired chi square test.
Result: Mean age of patients was 60.78±9.001 years with a female preponderance (58%). 92% cases had senile mature cataract, 3% were presenile, 3% were traumatic and 2% were complicated mature cataract. Most common pathological finding on B-scan was vitreous opacity seen in 16% cases, followed by posterior vitreous detachment seen in 6%. Vitreous hemorrhage was seen in 3% cases while 69% cases showed normal posterior segment. Patients were grouped into two categories- one comprised patients with relevant systemic and/ or ocular history (47%), while other category belonged to patients with no such history (53%). On comparing the number of patients with abnormal B-scan findings in the two categories, no statistical significance was noted. (p value=0.105).
Conclusion: B-scan ultrasonography is an important presurgical investigation in patients with dense cataracts for diagnosing posterior segment pathologies that may influence post operative visual outcome.
 

Keywords: Vitreoretinal pathologies, White mature cataract, Vitreous opacity, B- scan ultrasonography.

How to cite : Jaiswal K, Jain A, Rathi R, Verma S, Chandravanshi S, Nema N, Maurya R P, Ultrasonographic assessment of vitreoretinal pathologies in white mature cataract. Indian J Clin Exp Ophthalmol 2023;9(3):294-301

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