| Título: | Sequential intrastromal corneal ring segment and monofocal intraocular lens implantation for keratoconus and cataract: Long-term follow-up |
| Autores: | Alfonso, José F. ; Lisa Fernández, Carlos ; Fernández-Vega Cueto, Luis ; Poo López, Arancha ; Madrid Costa, David ; Fernández-Vega, Luis |
| Tipo de documento: | texto impreso |
| Editorial: | Elsevier, 2017-02 |
| Dimensiones: | application/pdf |
| Nota general: | info:eu-repo/semantics/restrictedAccess |
| Idiomas: | |
| Palabras clave: | Estado = Publicado , Materia = Ciencias Biomédicas: Medicina: Cirugía , Materia = Ciencias Biomédicas: Medicina: Oftalmología , Materia = Ciencias Biomédicas: Óptica y optometría: Óptica oftálmica , Tipo = Artículo |
| Resumen: |
Purpose: To evaluate the efficacy, safety, predictability, and stability of sequential Ferrara intrastromal corneal ring segment (ICRS) and intraocular lens (IOL) implantation in patients with keratoconus and cataract. Setting: Fernández-Vega Ophthalmological Institute, Oviedo, Spain. Design: Retrospective case series. Methods: This study comprised patients with keratoconus and cataract who had ICRS implantation followed 6 months later by IOL implantation. The uncorrected (UDVA) and corrected (CDVA) distance visual acuities and residual refractive errors, analyzed using vector analysis, were recorded preoperatively, 6 months after ICRS implantation, 6 months after IOL implantation, and 3 years and 5 years thereafter. Results: Seventy eyes of 47 patients were studied. The mean UDVA was 1.08 logMAR ± 0.24 (SD) preoperatively, 0.95 ± 0.31 logMAR 6 months after ICRS implantation (P = .03), and 0.44 ± 0.29 logMAR 6 months after IOL implantation (P .05). The spherical equivalent (SE) and the refractive cylinder declined steeply after IOL implantation (P .05). Conclusion: Sequential ICRS and IOL implantation provided good visual and refractive outcomes and was an effective, safe, predictable, and stable procedure for the treatment of patients with keratoconus and cataract. |
| En línea: | https://eprints.ucm.es/47636/1/MAdrid%2C%20David_Sequencial%20stromal-Elsevier-2018--1-s2.0-S0886335017300172-main.pdf |
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