Anastasios John Kanellopoulos1, George Asimellis2, Stella Georgiadou2. 1. From Laservision.gr Clinical and Research Eye Institute (Kanellopoulos, Asimellis, Georgiadou), Athens, Greece, and New York University School of Medicine (Kanellopoulos), New York, New York, USA. Electronic address: ajk@brilliantvision.com. 2. From Laservision.gr Clinical and Research Eye Institute (Kanellopoulos, Asimellis, Georgiadou), Athens, Greece, and New York University School of Medicine (Kanellopoulos), New York, New York, USA.
Abstract
PURPOSE: To compare postoperative changes in apparent photopic and mesopic pupil size and centration in relation to cornea reflection landmarks after cataract surgery. SETTING: LaserVision.gr Clinical and Research Eye Institute, Athens, Greece. DESIGN: Prospective consecutive case study. METHODS: Pupils were imaged for pupil size and corneal vertex location before and 1-month after cataract surgery. Digital analysis of pupil images was used to determine the Cartesian coordinates (nasal-temporal, horizontal axis, superior-inferior, vertical axis) of the first Purkinje reflection point (approximating the corneal intersection of the visual axis [corneal vertex]) to the pupil geometric center (approximating the corneal intersection of the line of sight [corneal apex]). Pupil size changes were measured, and the correlation between vertex-to-apex shift changes and postoperative pupil centroid shift was evaluated. RESULTS: The study evaluated 40 eyes. The pupil size (diameter) change corresponded to a relative reduction of -9.8% for photopic pupils and -9.1% for mesopic pupils; the difference was statistically significant (P = .045 and P = .011, respectively). Also, there was a reduction in the centroid shift (all eyes) from a mean of 0.12 mm preoperatively to 0.05 mm postoperatively as a result of the postoperative minus temporal horizontal difference between the corneal vertex and the apex. CONCLUSIONS: Cataract extraction surgery appears to affect pupil size and centration. Specifically, a smaller pupil and less temporal shift were recorded. These data may have clinical relevance in targeted intraoperative intraocular lens centration. FINANCIAL DISCLOSURE: Dr. Kanellopoulos is a consultant to Alcon Surgical, Inc., Wavelight Laser Technologie AG, Allergan, Avedro, Inc., and i-Optics Corp. No author has a financial or proprietary interest in any material or method mentioned.
PURPOSE: To compare postoperative changes in apparent photopic and mesopic pupil size and centration in relation to cornea reflection landmarks after cataract surgery. SETTING: LaserVision.gr Clinical and Research Eye Institute, Athens, Greece. DESIGN: Prospective consecutive case study. METHODS: Pupils were imaged for pupil size and corneal vertex location before and 1-month after cataract surgery. Digital analysis of pupil images was used to determine the Cartesian coordinates (nasal-temporal, horizontal axis, superior-inferior, vertical axis) of the first Purkinje reflection point (approximating the corneal intersection of the visual axis [corneal vertex]) to the pupil geometric center (approximating the corneal intersection of the line of sight [corneal apex]). Pupil size changes were measured, and the correlation between vertex-to-apex shift changes and postoperative pupil centroid shift was evaluated. RESULTS: The study evaluated 40 eyes. The pupil size (diameter) change corresponded to a relative reduction of -9.8% for photopic pupils and -9.1% for mesopic pupils; the difference was statistically significant (P = .045 and P = .011, respectively). Also, there was a reduction in the centroid shift (all eyes) from a mean of 0.12 mm preoperatively to 0.05 mm postoperatively as a result of the postoperative minus temporal horizontal difference between the corneal vertex and the apex. CONCLUSIONS:Cataract extraction surgery appears to affect pupil size and centration. Specifically, a smaller pupil and less temporal shift were recorded. These data may have clinical relevance in targeted intraoperative intraocular lens centration. FINANCIAL DISCLOSURE: Dr. Kanellopoulos is a consultant to Alcon Surgical, Inc., Wavelight Laser Technologie AG, Allergan, Avedro, Inc., and i-Optics Corp. No author has a financial or proprietary interest in any material or method mentioned.
Authors: Enrique Ordiñaga-Monreal; Diego Castanera-Gratacós; Fernando Castanera; Isabel Fambuena-Muedra; Fidel Vega; María S Millán Journal: J Optom Date: 2021-02-03