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ESTABILIDAD REFRACTIVA A LARGO PLAZO EN PACIENTES CON

QUERATOCONO LUEGO DE CIRUGIA DE CATARATAS E IMPLANTE DE LIO


MONOFOCAL

LONG-TERM REFRACTIVE STABILITY IN PATIENTS WITH KERATOCONUS AFTER CATARACT


SURGERY AND MONOFOCAL IOL IMPLANT

ABSTRACT

PORPOUSE:
DETERMINE REFRACTIVE STABILITY IN PATIENTS WITH MILD-MODERATE KERATOCONUS
WHO HAVE UNDERGOED CATARACT SURGERY AND MONOFOCAL IOL IMPLANT.

Methods:

Retrospective study. Clinical records from patients with non-progressive keratoconus and cataracts that
underwent non-complicated phacoemulsification with toric IOL implantation were reviewed. Mean
keratometry (Km), refractive cylinder (RC), spherical equivalent (SE), steeper keratometry (K), and axis were
evaluated at the 1-month, 6-month, 12-month, and 24-month follow-up visits.

RESULTS

CONCLUSION

KEY WORDS: KERATOCONUS, MONOFOCAL IOL, CORNEAL STABILITY, CATARACT SURGERY,


PHACOEMULSIFICATION.
INTRODUCTION

DEFINITION
ETIOLOGY
CLASIFICATION
PROGRESSION CRITERIA
METHODS

Study Design

A retrospective assessment conducted of the clinical records of cataract patients and stable keratoconus,
including 54 eyes from 41 patients undergoing phacoe- mulsification surgery and in-the-bag toric IOL, at the
Anterior Segment Surgery Department, at the Asociación para Evitar la Ceguera, in Mexico City, Mexico,
from 2015 to 2020. This study was approved by the Internal Review Board, and conducted following the
tenets of the Declaration of Helsinki. In addition, the patients included signed a written informed consent
form prior to the surgi- cal procedure.

PATIENTS SELECTION

INCLUSION AND EXCLUTION CRITERIA

PREOPERATIVE EVALUATION

IOL CALCULATION

STADISTICAL ANALYSIS

RESULTS

DISCUSSION

Declaration of conflicting interests

The author(s) declared following potential conflicts of interest with respect to the research, authorship, and/or publication
of this article: Dr. Gonzalez-Salinas reports personal fees from Tarsus Pharmaceuticals Inc., Kedalion Therapeutics Inc.,
LayerBio Inc., Allegro Ophthalmics LLC., and Laboratorios Sanfer, outside the submitted work. None of the previous dis-
closures conflict with the present work. Also, no conflicting relationship exists for any other author.

Funding

The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this
article: The Asociación Para Evitar la Ceguera, in Mexico City, Mexico supported this study by the Grant number: SA-19-
01.
BIBLIOGRAFÍA

Trokel had been looking the posibility of using different lasers (such as CO2 and Nd:YAG
lasers) for radial keratotomy incisions, but none that he had tried were suitable for corneal
aplication.

Trokel first learnt of excimer lasers after reading Taboada`s paper, which encouraged him
to investigate the pontential of corneal aplications for the excimer laser. Trokel was
introduced to Srinivasan at IBM who agreed to work with him to investigate the potential
of using an excimer laser to improve the accuracy of radial keratotomy incisions.

Trokel later began working with Marshall to study the ultastructural aspects of corneal
photoablation. They compared the quality of the wounds made by an excimer laser at 193
nm with one at 248 nm as well as wounds made by steel and diamond blades. The quality
of the wounds was best with 193 nm.

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