AOR
Archives of Ophthalmological Research

The Archives of Ophthalmological Research aims to publish issues related to publish articles of the highest scientific and clinical value at an international level, and accepts articles on these topics. The target audience of the journal included specialists and physicians working in ophthalmology, and other health professionals interested in these fields.

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Original Article
Impact of phacoemulsification on choroidal and ganglion cell complex thickness assessed by spectral-domain optical coherence tomography
Abstract
Aims: To investigate the effects of phacoemulsification on subfoveal choroidal thickness (SFCT) and ganglion cell complex thickness (GCCT), using spectral-domain optical coherence tomography (SD-OCT).
Methods: This retrospective study included 40 eyes of 40 patients who underwent phacoemulsification with intraocular lens implantation for senile cataract. Preoperative examinations included best-corrected visual acuity (BCVA), slit-lamp biomicroscopy, intraocular pressure (IOP), central corneal thickness (CCT), and axial length (AL). Operative time (OT) and effective phaco time (EPT) were recorded. SFCT, GCCT, central macular thickness (CMT), and peripapillary retinal nerve fiber layer thickness (pRNFLT) were measured preoperatively and at 1 month using SD-OCT.
Results: At one month postoperatively, all parameters showed statistically significant increases (p<0.001): SFCT (298.6±41.3 µm to 304.6±40.8 µm), GCCT (83.2±4.4 µm to 91.4±6.1 µm), CMT (244.6±16.6 µm to 248.3±17.4 µm), and pRNFLT (95.3±5.1 µm to 100.9±5.8 µm). No significant associations were found between changes in SFCT or GCCT and demographic or clinical factors.
Conclusion: Phacoemulsification may induce mild inflammatory changes that affect posterior segment structures, even in uneventful cases. SFCT, GCCT, CMT, and pRNFLT should therefore be re-evaluated postoperatively to establish new baselines for accurate monitoring. Larger, long-term studies are warranted to clarify the clinical relevance of these changes.

Keywords : Subfoveal choroidal thickness, ganglion cell complex thickness, phacoemulsification, cataract surgery

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Article available in :
Volume 2, Issue 4, 2025
Page : 58-62
https://doi.org/10.51271/AOR-0038
Article Information
Received : 01 Eyl 2025
Accepted : 13 Eki 2025
Published : 30 Eki 2025
Corresponding Author :

Kadriye Demir: Department of Ophthalmology, Sakarya University Medical Training and Research Hospital, Sakarya, Turkiye

[email protected]
Citation : Demir K, Çelik E. Impact of phacoemulsification on choroidal and ganglion cell complex thickness assessed by spectraldomain optical coherence tomography. Arch Ophthalmol Res. 2025;2(4):58-62.

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