Evaluation of refractive surgery with posterior chamber intraocular lenses in patients with high myopia treated in an Ophthalmologic Center of the city of Rosario, years 2019-2022
DOI:
https://doi.org/10.56294/sctconf2024721Keywords:
Ametropia, high myopia, IOLf, LCI, visual acuityAbstract
Introduction: Myopia is an ametropia that is highly prevalent and causes loss of visual acuity, characterized by having diopters greater than -
5.00. The implantation of a posterior chamber intraocular lens represents a treatment option for those patients who cannot undergo the Excimer Laser technique.
Objective: To describe the results achieved with the placement of posterior chamber intraocular lenses in patients with high myopia treated in an ophthalmologic center in the city of Rosario between the years of 2019-2022.
Materials and Methods: Quantitative, descriptive, observational, retrospective, retrospective, cross-sectional, non-probabilistic study by convenience. Conducted at Centro Oftalmología Global, a private center specialized in ocular pathologies, located at Bv. Oroño 1003 in the city of Rosario - Santa Fe. Data were collected by review of medical records. The data obtained were entered into a Microsoft Excel database. The data were tabulated for presentation and analysis. Summary measures of central tendency (arithmetic mean, median and mode) and dispersion (standard deviation) and descriptive statistical techniques (frequency distributions, averages and percentages) were used.
Results: A total of 38 medical records were studied, of which n=23 (60.5%) were female and n=15 (39.5%) were male. The mean age was 31.2 (SD ±2.84 years; min. 24 and max. 35). The age group with the highest frequency was 30 and 35 with 25 patients (65.8%). Of the total, n=21 (55.3%) were patients with high myopia and n=17 (45.7%) with high myopia and astigmatism. Of n=38, 44.7% presented preoperative visual acuity less than 1/10 and 26.3% of 1/10. Refractometry showed results between -3.00 to -20.00 diopters of sphere and -1.00 to -6.00 diopters of cylinder.
Conclusion: It was possible to assess that 86.8% of the patients who underwent refractive surgery were able to achieve an optimal visual quality (10/10) after LCI placement, and of the total number of patients (n=38) studied, only 5 (13.2%) presented complications in the postoperative period
References
1. Alaskar, H. (2022). Evaluación de la efectividad y seguridad de las técnicas de cirugía refractiva en la miopía alta [Tesis de doctorado, Universidad de Almería]. Repositorio Universidad de Almería http://repositorio.ual.es/bitstream/handle/10835/13129/01.%20Tesis.pdf?sequen
i. ce=1
2. Aragón, L., Alberto, F., Yulius, D y Zayas, Y. (2020). Phacorefractive surgery in patients with high myopia. Revista Médica Electrónica de Ciego de Ávila, 26(1). http://www.revmediciego.sld.cu/index.php/mediciego/rt/printerFriendly/1516/20
i. 40
3. Brien, H., Fricke, T., Wilson, D., Jong, M., Naidoo, K., Sankaridurg, P., Wong, T., Naduvilath, T., y Resnikoff, S. (2016). Global Prevalence of Myopia and High Myopia and Temporal Trends from 2000 through 2050. American Academy of Ophthalmology, 123(5), 1036-1042.
i. https://doi.org/10.1016/j.ophtha.2016.01.006
4. Carolina, P., Sanchez, V., Irigaray, L., Morgan, I., y Iribarren, R. (2021). Myopia progression in children during COVID-19 home confinement in Argentina. Oftalmología Clínica y Experimental, 14(3), 156-161.
i. https://revistaoce.com/index.php/revista/article/view/73/107
5. Dhaliwal, D. (2022). Introducción a los trastornos de refracción. Manual MSD. https://www.msdmanuals.com/es/hogar/trastornos-
6. oft%C3%A1lmicos/trastornos-de-la-refracci%C3%B3n/introducci%C3%B3n-a-
i. los-trastornos-de-refracci%C3%B3n
7. Flitcroft, D., He, M., Jonas, J., Jong, M., Naidoo, K., Ohno-Matsui, K., Rahi, J., Resnikoff, S., Vitale, S., y Yannuzzi, L. (2019). IMI: definición y clasificación de
i. la miopía: un conjunto propuesto de estándares para estudios clínicos y epidemiológicos. Investigative Ophthalmology & Visual Science, 60(3), 20-
ii. 30. 10.1167/iovs.18-25957
8. Franklin, W. (2021). Examen de agudeza visual. MedlinePlus. https://medlineplus.gov/spanish/ency/article/003396.htm#:~:text=Es%20una%2
i. 0prueba%20que%20se,20%20pies%20(6%20metros).
9. Gabriel, B. (s.f.). Cirugía refractiva. Bercovichgabriel. https://bercovichgabriel.com.ar/servicio/cirugia-refractiva/
10. Haarman, A., Clair, E., Willem, T., Milly, T., Virginie, V., y Caroline, K. (2020). The complications of myopia: a review and meta-analysis. Investigative Ophthalmology & Visual Science, 61(4), 49. 10.1167/iovs.61.4.49
11. Herrero, M. (2021). Evaluación de la disfotopsia en el paciente implantado con lente intraocular. [Tesis de doctorado no publicada]. Universidad de Valladolid https://uvadoc.uva.es/bitstream/handle/10324/50520/TFG-
i. G5317.pdf?sequence=1&isAllowed=y
12. Instituto de Microcirugía Ocular. (2019). Cirugía refractiva con lentes intraoculares. https://www.imo.es/es/enfermedades-de-los-ojos/tratamientos/cirugia-refractiva-
i. con-lentes-intraoculares
13. Kumar, A., Rohan, C., Devesh, K., y Ganesh, P. (2017). Insight into high myopia and the macula. Indian Journaul of Ophthalmology, 65(2), 85-
i. 91. 10.4103/ijo.IJO_863_16
14. Martínez, E., López, A., Holgueras, A., Barraquer, R., Alió, J., y Malfonado, M. (2020). Phakic intraocular lenses: Recnt advances and innovations. Archivos de la Sociedad Española de Oftalmología, 95(4), 178-187. 10.1016/j.oftal.2020.02.001
15. Morgan, I. (2003). The biological basis of myopic refractive error. Clinical and Experimental Optometry, 86(5), 276-88. 10.1111/j.1444-0938.2003.tb03123.x
16. Moya, C. (2013). Estudio a largo plazo descriptivo, morfológico y funcional acerca de los resultados obtenidos con la lente fáquica ICL para la corrección de la alta miopía. [Tesis de doctorado, Universidad de Valencia]. Repositorio Universidad de Valencia.
i. https://roderic.uv.es/bitstream/handle/10550/29925/TESIS+TOMAS+MOYA+C
17. ALLEJA.pdf;jsessionid=2B34CFB8F26B03BE2AB76E61162DBD93.nodo1?se
i. quence=1
18. Organización Mundial de la Salud. (2015). The impact of myopia and high myopia.
i. https://myopiainstitute.org/wp-
ii. content/uploads/2020/10/Myopia_report_020517.pdf
19. Pérez, D., García, F., González, I., Mujica, M y María, E. (2013). Phacoemulsification and intraocular lens implant for the correction of high myopia. Hospital Clínico Quirúrgico Hermanos Ameijeiras. https://www.medigraphic.com/pdfs/actamedica/acm-2014/acm141c.pdf
20. Pineda, R., y Chauhan, T. (2016). Phakic Intraocular lenses and their Special indications.
21. Journal of Ophthalmic & Vision Research, 11(4), 422–428. 10.4103/2008-
i. 322X.194140
22. Qing, Y., Xiu, L., y Qing, C. (2015). Prevention and management of collagen copolymer phakic intraocular lens exchange: causes and surgical techniques. Journal of Cataract & Refractive Surgery, 41(3), 576-584. 10.1016/j.jcrs.2014.06.036
23. Schiefer, U., Kraus, C., Baumbach, P., Ungewib, J., y Michels, R. (2016). Refractive errors. Deutsches Arzteblatt International, 113(41), 693-
i. 702. 10.3238/arztebl.2016.0693
24. Sirisha, S., Nikhil, S., Pravin, K., Somasheila, M., Jagadesh, C., y Chandra, S. (2016). Etiology and management of raised intraocular pressure following posterior chamber phakic intraocular lens implantation in myopic eyes. Plos One, 11(11). 10.1371/journal.pone.0165469
25. Subudhi, P., y Agarwal, P. (2022). Myopia. National Library of Medicine.
i. https://www.ncbi.nlm.nih.gov/books/NBK580529/
26. Taimi, C., Ketty, Y., Michel, G., Dunia, C., Oreste, M., y Ivan, H. (2018). Antecedentes y actualidad de las lentes fáquicas para la corrección de las ametropías. Revista Cubana de Oftalmología, 31(2). http://www.revoftalmologia.sld.cu/index.php/oftalmologia/article/view/609/htmli._349
27. Xiangui, H., Sankaridurg, P., Xiong, S., Li, W., Naduvilath, T., Lin, S., Weng, R., Lv,
i. M., Ma, Y., Lu, L., Wang, J., Zhao, R., Resnikoff, S., Zhu, J., Zou, H., y Xu, x. (2021). Prevalence of myopia and high myopia, and the association with education: Shanghai child and adolescent large-scale eye study (SCALE): a cross- sectional study. BMJ Open, 11(12). 10.1136/bmjopen-2020-048450
28. Xiaoying, W., y Xingtao, Z. (2016).Update on treating high myopia with implantable collamer lenses. Asia Pacific Journal of Ophthalmology, 5(6), 445-449. 10.1097/APO.0000000000000235
Published
Issue
Section
License
Copyright (c) 2024 Pablo Ribeiro Dionísio, Gabriel Bercovich (Author)
This work is licensed under a Creative Commons Attribution 4.0 International License.
The article is distributed under the Creative Commons Attribution 4.0 License. Unless otherwise stated, associated published material is distributed under the same licence.
