Glistening in glaucomatous eyes: visual performances and risk factors

Cedric Schweitzer 1, Isabelle Orignac 2, Delphine Praud 1, Olivier Chatoux 1, Joseph Colin 1.

1 Ophthalmology Department, University Hospital Pellegrin, Bordeaux Cedex, France
2 Ophthalmology Department, University Hospital Hotel-Dieu, Nantes Cedex, France


PURPOSE: To analyse risk factors and visual performances of glaucomatous eyes with glistening in the intra-ocular lens (IOL).

METHODS: Prospective study performed between November 2010 and April 2011 and involving 67 consecutive glaucomatous eyes (47 patients), who previously had a phacoemulsification with a hydrophobic acrylic IOL implanted in the capsular bag. Glistening was classified in three groups of severity grade: G0 (<50 microvacuoles per mm2), G1 (50–150 microvacuoles per mm2), and G2 (>150 microvacuoles per mm2). All eyes underwent a best-corrected visual acuity evaluation (BCVA, LogMAR scale), a complete clinical examination, a visual field test, a contrast sensitivity evaluation and a wavefront analysis of high-order aberrations (HOAs) using a Shack–Hartmann aberrometer. Eyes with a posterior capsular opacification and a BCVA>0.30 LogMAR were excluded.

RESULTS: Twenty six eyes (38.8%) had a grade 0, 12 eyes (17.9%) a grade 1 and 29 eyes (43.3%) a grade 2 of glistening severity grade. The mean follow-up after cataract surgery was 35.2 ± 24.2 months and was significantly higher for G1 and G2 groups (p < 0.001). A higher number of topical glaucoma medication were associated with a higher glistening severity grade (p < 0.05). G1 and G2 groups had significantly lower mean contrast sensitivity values at high spatial frequencies and significantly higher loss variance (LV) values of the visual field test (p < 0.05). There was no significant difference in mean BCVA between groups (p = 0.455).

CONCLUSIONS: In glaucomatous eyes, glistening increased with time was associated with the number of topical glaucoma medications daily instilled and altered visual performances. It should be a consideration for glaucoma patients who are more likely to develop glistening within the IOL optic.

Acta Ophthalmol. © 2013 Acta Ophthalmologica Scandinavica Foundation. Published by John Wiley & Sons Ltd

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