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Subject Area

Ophthalmology

Article Type

Original Study

Abstract

Background Despite the availability of advances such as laser-assisted capsulotomy, performing a safe continuous curvilinear capsulorhexis still poses a challenge in mature and intumescent cataracts. Objectives To correlate between anterior segment optical coherence tomography and ultrasonography for better management of white cataract. Patients and methods The study was designed as a cross-sectional study of 30 patients. The study protocol was explained to the patients, and all patients were provided written informed consent from October 2019 to February 2020. This study was conducted on 30 eyes of 30 patients (17 males and 13 females; range 44–75-year-old) with white cataract who were going to have elective unilateral standard phacoemulsification and intraocular lens implantation. Results Axial length ranged from 19.0 to 23.0, with mean ± SD of 20.45 ± 1.29 in cases with subcapsular fluid pockets. In cases with no subcapsular fluid pocket, axial length ranged from 14.0 to 26.0, with mean ± SD of 18.74 ± 4.20. There was no clinical significance between axial length and subcapsular fluid pocket (P = 0.112). There was clinical significance between lens thickness and subcapsular fluid pocket. Conclusion Our study highlights a new method of using anterior segment optical coherence tomography to identify the presence of fluid pockets in mature and intumescent cataract.

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