Título: | Influence of Preoperative Astigmatism Type and Magnitude on the Effectiveness of SMILE Correction |
Autores: | Pérez Izquierdo, Ricardo ; Rodríguez Vallejo, Manuel ; Matamoros, Alicia ; Martínez, Javier ; Garzón Jiménez, Nuria ; Poyales Galán, Francisco ; Fernández, Joaquín |
Tipo de documento: | texto impreso |
Editorial: | Slack Corporated, 2019 |
Dimensiones: | application/pdf |
Nota general: | info:eu-repo/semantics/openAccess |
Idiomas: | |
Palabras clave: | Estado = En prensa , Materia = Ciencias Biomédicas: Medicina: Cirugía , Materia = Ciencias Biomédicas: Medicina: Oftalmología , Materia = Ciencias Biomédicas: Óptica y optometría: Optometría , Materia = Ciencias Biomédicas: Óptica y optometría: Anatomía ocular , Tipo = Artículo |
Resumen: |
PURPOSE: To assess the effectiveness of small incision lenticule extraction (SMILE) as a function of the astigmatism level and type. METHODS: A total of 102 right eyes were included in this study. Refractive astigmatism and corneal astigmatism measured with Scheimpflug technology were retrieved from the preoperative visit and the 3-month follow-up visit. Patients were split into three groups according to the preoperative refractive astigmatism (0.50, 0.75 to 1.25, and 1.50 diopters [D] or greater) and the effectiveness among each group was evaluated according to the with-the-rule (WTR), against-the-rule (ATR), and oblique classifications. The standard Alpins method was used for the analysis. RESULTS: Resultant astigmatism was not associated with its preoperative classification when the total sample was considered, but a significant association emerged between the presence of resultant astigmatism and its preoperative classification in the 1.50 D or greater group. The magnitude of error was significantly lower in the WTR (median: -0.30 D) than in the oblique and ATR astigmatism groups, resulting in a coefficient of adjustment of 1.13 for WTR astigmatism of 1.50 D or greater but not for the other types. CONCLUSIONS: Astigmatism correction with SMILE is predictable for astigmatism lower than 1.50 D without the need to apply a correction. However, higher undercorrection is present in WTR astigmatism of 1.50 D or greater. |
En línea: | https://eprints.ucm.es/50582/1/Garzon_Galeradas%20nomograma%20SMILE.pdf |
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