Postoperative Corneal and Surgically Induced Astigmatism following Superior Approach Manual Small Incision Cataract Surgery in Patients with Preoperative Against-the-Rule Astigmatism

The aim of the study was to report postoperative corneal and surgically induced astigmatism (SIA) in patients with preoperative against-the-rule (ATR) astigmatism who underwent superior approach manual small incision cataract surgery (MSICS). 58 eyes of 58 cataract patients with preoperative ATR ast...

Full description

Saved in:
Bibliographic Details
Main Authors: Edmund Arthur, Ahmed Abdul Sadik, David Ben Kumah, Eugene Appenteng Osae, Felix Agyemang Mireku, Frank Yeboah Asiedu, Reynolds Kwame Ablordeppey
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Journal of Ophthalmology
Online Access:http://dx.doi.org/10.1155/2016/9489036
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832550921871032320
author Edmund Arthur
Ahmed Abdul Sadik
David Ben Kumah
Eugene Appenteng Osae
Felix Agyemang Mireku
Frank Yeboah Asiedu
Reynolds Kwame Ablordeppey
author_facet Edmund Arthur
Ahmed Abdul Sadik
David Ben Kumah
Eugene Appenteng Osae
Felix Agyemang Mireku
Frank Yeboah Asiedu
Reynolds Kwame Ablordeppey
author_sort Edmund Arthur
collection DOAJ
description The aim of the study was to report postoperative corneal and surgically induced astigmatism (SIA) in patients with preoperative against-the-rule (ATR) astigmatism who underwent superior approach manual small incision cataract surgery (MSICS). 58 eyes of 58 cataract patients with preoperative ATR astigmatism were involved in this study. All patients had operable cataracts and underwent superior approach MSICS. Keratometric (K) readings were taken prior to surgery and at 12 weeks after surgery. Centroid values of SIA, preoperative astigmatism, and postoperative astigmatism were calculated using Cartesian coordinates based analysis. Wilcoxon signed rank test was used to compute statistical significance between mean preoperative and postoperative corneal astigmatism. Cohen’s d was used as effect size measure. Centroid values of 1.42 D × 179, 2.48 D × 0, and 1.07 D × 1 were recorded, respectively, for preoperative astigmatism, postoperative astigmatism, and SIA. Wilcoxon signed rank test indicated that mean ± SD postoperative corneal astigmatism (2.80±1.40 D) was statistically significantly greater than preoperative corneal astigmatism (1.49±1.34 D), Z=-6.263, p<0.0001. A high Cohen’s d of 1.32 was found. Our results suggest statistical and clinically significant greater postoperative corneal astigmatism than preoperative corneal astigmatism for ATR astigmatism cataract patients who underwent superior approach MSICS.
format Article
id doaj-art-93341a4426c14d8a8c3ca0621e791039
institution Kabale University
issn 2090-004X
2090-0058
language English
publishDate 2016-01-01
publisher Wiley
record_format Article
series Journal of Ophthalmology
spelling doaj-art-93341a4426c14d8a8c3ca0621e7910392025-02-03T06:05:24ZengWileyJournal of Ophthalmology2090-004X2090-00582016-01-01201610.1155/2016/94890369489036Postoperative Corneal and Surgically Induced Astigmatism following Superior Approach Manual Small Incision Cataract Surgery in Patients with Preoperative Against-the-Rule AstigmatismEdmund Arthur0Ahmed Abdul Sadik1David Ben Kumah2Eugene Appenteng Osae3Felix Agyemang Mireku4Frank Yeboah Asiedu5Reynolds Kwame Ablordeppey6Department of Optometry and Visual Science, Kwame Nkrumah University of Science and Technology, Kumasi, GhanaDepartment of Optometry and Visual Science, Kwame Nkrumah University of Science and Technology, Kumasi, GhanaDepartment of Optometry and Visual Science, Kwame Nkrumah University of Science and Technology, Kumasi, GhanaDepartment of Optometry and Visual Science, Kwame Nkrumah University of Science and Technology, Kumasi, GhanaDepartment of Optometry and Visual Science, Kwame Nkrumah University of Science and Technology, Kumasi, GhanaRuebsam Eye Clinic, St. Dominic’s Hospital, P.O. Box 59, Akwatia, GhanaDepartment of Optometry and Visual Science, Kwame Nkrumah University of Science and Technology, Kumasi, GhanaThe aim of the study was to report postoperative corneal and surgically induced astigmatism (SIA) in patients with preoperative against-the-rule (ATR) astigmatism who underwent superior approach manual small incision cataract surgery (MSICS). 58 eyes of 58 cataract patients with preoperative ATR astigmatism were involved in this study. All patients had operable cataracts and underwent superior approach MSICS. Keratometric (K) readings were taken prior to surgery and at 12 weeks after surgery. Centroid values of SIA, preoperative astigmatism, and postoperative astigmatism were calculated using Cartesian coordinates based analysis. Wilcoxon signed rank test was used to compute statistical significance between mean preoperative and postoperative corneal astigmatism. Cohen’s d was used as effect size measure. Centroid values of 1.42 D × 179, 2.48 D × 0, and 1.07 D × 1 were recorded, respectively, for preoperative astigmatism, postoperative astigmatism, and SIA. Wilcoxon signed rank test indicated that mean ± SD postoperative corneal astigmatism (2.80±1.40 D) was statistically significantly greater than preoperative corneal astigmatism (1.49±1.34 D), Z=-6.263, p<0.0001. A high Cohen’s d of 1.32 was found. Our results suggest statistical and clinically significant greater postoperative corneal astigmatism than preoperative corneal astigmatism for ATR astigmatism cataract patients who underwent superior approach MSICS.http://dx.doi.org/10.1155/2016/9489036
spellingShingle Edmund Arthur
Ahmed Abdul Sadik
David Ben Kumah
Eugene Appenteng Osae
Felix Agyemang Mireku
Frank Yeboah Asiedu
Reynolds Kwame Ablordeppey
Postoperative Corneal and Surgically Induced Astigmatism following Superior Approach Manual Small Incision Cataract Surgery in Patients with Preoperative Against-the-Rule Astigmatism
Journal of Ophthalmology
title Postoperative Corneal and Surgically Induced Astigmatism following Superior Approach Manual Small Incision Cataract Surgery in Patients with Preoperative Against-the-Rule Astigmatism
title_full Postoperative Corneal and Surgically Induced Astigmatism following Superior Approach Manual Small Incision Cataract Surgery in Patients with Preoperative Against-the-Rule Astigmatism
title_fullStr Postoperative Corneal and Surgically Induced Astigmatism following Superior Approach Manual Small Incision Cataract Surgery in Patients with Preoperative Against-the-Rule Astigmatism
title_full_unstemmed Postoperative Corneal and Surgically Induced Astigmatism following Superior Approach Manual Small Incision Cataract Surgery in Patients with Preoperative Against-the-Rule Astigmatism
title_short Postoperative Corneal and Surgically Induced Astigmatism following Superior Approach Manual Small Incision Cataract Surgery in Patients with Preoperative Against-the-Rule Astigmatism
title_sort postoperative corneal and surgically induced astigmatism following superior approach manual small incision cataract surgery in patients with preoperative against the rule astigmatism
url http://dx.doi.org/10.1155/2016/9489036
work_keys_str_mv AT edmundarthur postoperativecornealandsurgicallyinducedastigmatismfollowingsuperiorapproachmanualsmallincisioncataractsurgeryinpatientswithpreoperativeagainsttheruleastigmatism
AT ahmedabdulsadik postoperativecornealandsurgicallyinducedastigmatismfollowingsuperiorapproachmanualsmallincisioncataractsurgeryinpatientswithpreoperativeagainsttheruleastigmatism
AT davidbenkumah postoperativecornealandsurgicallyinducedastigmatismfollowingsuperiorapproachmanualsmallincisioncataractsurgeryinpatientswithpreoperativeagainsttheruleastigmatism
AT eugeneappentengosae postoperativecornealandsurgicallyinducedastigmatismfollowingsuperiorapproachmanualsmallincisioncataractsurgeryinpatientswithpreoperativeagainsttheruleastigmatism
AT felixagyemangmireku postoperativecornealandsurgicallyinducedastigmatismfollowingsuperiorapproachmanualsmallincisioncataractsurgeryinpatientswithpreoperativeagainsttheruleastigmatism
AT frankyeboahasiedu postoperativecornealandsurgicallyinducedastigmatismfollowingsuperiorapproachmanualsmallincisioncataractsurgeryinpatientswithpreoperativeagainsttheruleastigmatism
AT reynoldskwameablordeppey postoperativecornealandsurgicallyinducedastigmatismfollowingsuperiorapproachmanualsmallincisioncataractsurgeryinpatientswithpreoperativeagainsttheruleastigmatism