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Phacoemulsification of the crystalline lens and implantation of an intraocular lens for the correction of moderate and high myopia: Four-year follow-up

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dc.creatorGüell J.L.spa
dc.creatorRodriguez-Arenas A.F.spa
dc.creatorGris O.spa
dc.creatorMalecaze F.spa
dc.creatorVelasco F.spa
dc.date.accessioned2020-05-25T23:55:57Z
dc.date.available2020-05-25T23:55:57Z
dc.date.created2003spa
dc.description.abstractPurpose: To assess the safety of lens extraction and intraocular lens (IOL) implantation in patients with high myopia treated for initial lens opacity and/or refractive indications. Setting: Instituto de Microcirugfa Ocular de Barcelona, Barcelona, Spain. Methods: This retrospective nonrandomized case series study comprised 44 eyes of 30 consecutive myopic patients who had surgery because of initial lens opacity and/or refractive indications during a 2-year period. In each case, phacoemulsification was performed using an ultrasonic technique and an IOL was implanted in the capsular bag. The patients were seen preoperatively to evaluate retinal pathology. They also had a complete ophthalmologic evaluation that included detailed indirect ophthalmoscopy. All patients were followed at regular intervals. The main outcome measures were preoperative and postoperative-spherical equivalent (SE), the incidence of posterior capsule opacification (PCO) and the need for capsulotomy, and the incidence of retinal complications. Results: In all eyes, the surgery was uneventful. The mean patient age at surgery was 42.83 years; the mean preoperative SE was -15.77 diopters (D) and the mean postoperative SE, -1.05 D. No eye required preoperative peripheral retinal photocoagulation. Twenty-five eyes (56.8%) had PCO and had a neodymium:YAG laser capsulotomy. One eye had a retinal tear 14 months after surgery and was treated with focal photocoagulation. The mean endothelial cell loss was 2.1% during the first postoperative year. Two eyes had an immediate postoperative intraocular pressure (IOP)rise, 1 with an inflammatory membrane and the other with corneal edema; both resolved with topical treatment. One eye with elevated IOP and a bad response to medical treatment had argon laser trabeculoplasty. No eye had a retinal detachment during the follow-up. Conclusion: With a thorough preoperative ophthalmologic evaluation and uneventful surgery, patients who have phacoemulsification and IOL implantation for the correction of myopia have a satisfactory chance of obtaining good visual results with few complications. ©2003 ASCRS and ESCRS.eng
dc.format.mimetypeapplication/pdf
dc.identifier.doihttps://doi.org/10.1016/S0886-3350(02)01944-2
dc.identifier.issn8863350
dc.identifier.urihttps://repository.urosario.edu.co/handle/10336/22277
dc.language.isoengspa
dc.publisherElsevier Inc.spa
dc.relation.citationEndPage38
dc.relation.citationIssueNo. 1
dc.relation.citationStartPage34
dc.relation.citationTitleJournal of Cataract and Refractive Surgery
dc.relation.citationVolumeVol. 29
dc.relation.ispartofJournal of Cataract and Refractive Surgery, ISSN:8863350, Vol.29, No.1 (2003); pp. 34-38spa
dc.relation.urihttps://www.scopus.com/inward/record.uri?eid=2-s2.0-0037257653&doi=10.1016%2fS0886-3350%2802%2901944-2&partnerID=40&md5=e6e487f326ddea3fb822d366537ac630spa
dc.rights.accesRightsinfo:eu-repo/semantics/openAccess
dc.rights.accesoAbierto (Texto Completo)spa
dc.source.instnameinstname:Universidad del Rosariospa
dc.source.reponamereponame:Repositorio Institucional EdocURspa
dc.subject.keywordAdultspa
dc.subject.keywordArgon laserspa
dc.subject.keywordArticlespa
dc.subject.keywordCapsulotomyspa
dc.subject.keywordCataractspa
dc.subject.keywordClinical articlespa
dc.subject.keywordFemalespa
dc.subject.keywordFollow upspa
dc.subject.keywordHumanspa
dc.subject.keywordIntraocular pressurespa
dc.subject.keywordLaser coagulationspa
dc.subject.keywordLensspa
dc.subject.keywordLens implantationspa
dc.subject.keywordMalespa
dc.subject.keywordMyopiaspa
dc.subject.keywordNeodymium laserspa
dc.subject.keywordOphthalmoscopyspa
dc.subject.keywordPhacoemulsificationspa
dc.subject.keywordPreoperative evaluationspa
dc.subject.keywordPriority journalspa
dc.subject.keywordRefraction errorspa
dc.subject.keywordSafetyspa
dc.subject.keywordTrabeculoplastyspa
dc.subject.keywordTreatment outcomespa
dc.subject.keywordUltrasoundspa
dc.titlePhacoemulsification of the crystalline lens and implantation of an intraocular lens for the correction of moderate and high myopia: Four-year follow-upspa
dc.typearticleeng
dc.type.hasVersioninfo:eu-repo/semantics/publishedVersion
dc.type.spaArtículospa
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