Preoperative macular spectral-domain optical coherence tomography in patients considering advanced-technology intraocular lenses for cataract surgery.
To evaluate spectral-domain optical coherence tomography (SD-OCT) as a strategy for identifying occult macular disease preoperatively in patients scheduled for cataract surgery with implantation of an advanced-technology intraocular lens (IOL).



Private practice, Danbury, Connecticut, USA.



Retrospective consecutive case series.



Macular SD-OCT scans were performed on all patients scheduled for cataract surgery and Restor multifocal or toric IOL implantation over a 6-month period. All scans were reviewed for abnormalities of the retina, retinal pigment epithelium, or vitreomacular interface. For subgroup analysis, the following health information was collected: age, sex, smoking history, hypertension, heart disease, hyperlipidemia or hypercholesterolemia, and diabetes.



Two hundred sixty-five consecutive scans from 149 patients were obtained. Macular pathology was found in 35 eyes (13.2%). The most common condition was age-related macular degeneration in 15 eyes (5.66%) followed by idiopathic epiretinal membrane in 11 eyes (4.15%). Ischemic atrophy from previously undiagnosed retinal vascular pathology was found in 5 eyes (1.89%) and edema in 3 eyes (1.13%). A subgroup analysis found a higher incidence of macular pathology in patients with a history of heart disease (30.6%, P < .001) or smoking (20.2%, P < .05), and in men (23.9%, P < .01). Media opacities precluded interpretation of 17 scans (6.42%).



Preoperative macular SD-OCT scanning was effective in identifying patients at risk for compromised visual outcomes after advanced-technology IOL surgery.



None of the authors has a financial or proprietary interest in any material or method mentioned.
From the Western Connecticut Health Network (Klein, Casden), Danbury, Connecticut, and Mt. Holyoke College (Brown), South Hadley, Massachusetts, USA. Electronic address: bettyklein@comcast.net.
Betty R
BR
Klein
From the Western Connecticut Health Network (Klein, Casden), Danbury, Connecticut, and Mt. Holyoke College (Brown), South Hadley, Massachusetts, USA.
Emma N
EN
Brown
From the Western Connecticut Health Network (Klein, Casden), Danbury, Connecticut, and Mt. Holyoke College (Brown), South Hadley, Massachusetts, USA.
Richard S
RS
Casden
D002386:Cataract; D002387:Cataract Extraction; D019773:Epiretinal Membrane; D005260:Female; D006801:Humans; D019654:Lens Implantation, Intraocular; D007910:Lenses, Intraocular; D008297:Male; D012189:Retrospective Studies; D041623:Tomography, Optical Coherence