medigraphic.com
ISSN 1561-3070 (Electronic)

2021, Number 2

<< Back Next >>

Rev Cub Oftal 2021; 34 (2)

Control of the progression of astigmatism in phacoemulsification

Fu Q, Hernández SJR, Jiayue W, Hernández RH, Ramos LM

Language: Spanish
References: 32
Page: 1-27
PDF size: 656.04 Kb.


ABSTRACT

Objective: Determine how to control the progression of astigmatism in phacoemulsification to improve its results.
Methods: A descriptive prospective study was conducted of a case series of 43 eyes of cataract patients undergoing prechop phacoemulsification with foldable intraocular lens implantation at Ramón Pando Ferrer Cuban Institute of Ophthalmology from November 2018 to April 2020. Percentages and absolute numbers were used for qualitative variables, and mean and standard deviation for quantitative variables, with a confidence interval of 95%.
Results: Mean age was 69.4 ± 8.3 years (51.16%); hardness was NO3; in 76.75% best uncorrected visual acuity improved 0.8-1.0; pre- vs. postoperative mean keratometry did not show any statistically significant differences; in 72.09% the postoperative refractive cylinder was smaller than 0.5 diopters; 51.17% of the eyes had preoperative refractive against-the-rule astigmatism, improving at one month postoperative in 60.47%. Quality of life by the VF-14 survey was very good in 100% of the patients one month after surgery.
Conclusions: Correction of astigmatism with personalized incisions in phacoemulsification provides good predictability and improves visual quality and quality of life.


REFERENCES

  1. Bourne RRA, Flaxman SR, Braithwaite T, Cicinelli MV, Das A, Jonas JB, et al. Vision Loss Expert Group. Magnitude, temporal trends, and projections of the global prevalence of blindness and distance and near vision impairment: a systematic review and meta-analysis. Lancet Glob Health. 2017;5(9):888-97.

  2. Ferrer T, Montés R, Peixoto S. Prevalence of corneal astigmatism before cataract surgery. J Cataract Refract Surg. 2009; 35(1):70-5.

  3. Freydell H. Astigmatismo en cirugía de cataratas. En: Centurión V, Nicoli C, Villar-Kouri J (editores). El Cristalino de las Américas. Sao Paulo: Livraria Santos; 2007. p. 811-7.

  4. Ramos Pereira Y, Medina Perdomo JC, Hernández Silva JR, Rodríguez Suárez B, Pérez Candelaria EC, Gutiérrez Castillo M, et al. Diagnóstico y control del astigmatismo en la cirugía del cristalino. Rev Cubana Oftalmol. 2015 [acceso: 23/04/2020];28(2): [aprox 13 p.]. Disponible en: http://www.revoftalmologia.sld.cu/index.php/oftalmologia/article/view/312/html_163

  5. Nikose AS, Saha D, Laddha PM, Patil M. Surgically induced astigmatism after phacoemulsification by temporal clear corneal and superior clear corneal approach: a comparison. Clin Ophthalmol. 2018;12: 65-70.

  6. Hashemi H, Khabazkhoob M, Soroush S, Shariati R, Miraftab M, Yekta A. The location of incision in cataract surgery and its impact on induced astigmatism. Curr Opin Ophthalmol. 2016;27(1):58-64.

  7. Hernández Silva JR, Ramos López M, Curbelo Cunill L, Fernández Vásquez G, Río Torres M, Ruiz Rodríguez Y. Astigmatismo posquirúrgico en la facoemulsificación según el lugar de la incisión. Rev Cubana Oftalmol. 2012;25(1):2-11.

  8. Hernández Silva JR, Barroso Cruz M, Ramos López M, Nafeh Mengual N, Hernández Ramos H, Río Torres M. Estudio densitométrico del cristalino y su relación con el sistema LOCS III. Rev Cubana Oftalmol. 2013;26(2):191-7.

  9. Lara del Castillo M, Torres A, Gonzáles L. Trabajo Final de Grado en Óptica y Optometría. Barcelona: Universidad Politécnica de Cataluña; 2015.

  10. Valderas JM, Rue M, Guyatt G, Alonso J. Systematic Use of Quality of Life Measures in the Clinical Practice Working Group. The impact of the VF-14 index, a perceived visual function measure, in the routine management of cataract patients. Qual Life Res. 2005;14(7):1743-53.

  11. Nieves López CJ, Álvarez Díaz MC, Triana Casado I, Martínez Legón ZC, Morell Ochoa Z. Caracterización del astigmatismo poscirugía de catarata con técnica de Blumenthal. Centro Oftalmológico "Eloy Alfaro", de Ecuador; 2010.

  12. Mateo Garbas J. Tratamiento del astigmatismo moderado en pacientes con cataratas. Tesis doctoral. Zaragoza: Universidad de Zaragoza. Facultad de Medicina; 2013.

  13. Pico García A. El astigmatismo en la cirugía de la catarata con incisión pequeña: análisis de la evolución queratométrica y refractiva en la sonofacoaspiración [Tesis para optar por el Grado de Doctor en Medicina y Cirugía]. Barcelona: Universidad Autónoma de Barcelona. Facultad de Medicina; 2007.

  14. Novoa E, Véliz GD, Pérez D, Mora I, García F, Ballate EM. Astigmatismo inducido en la incisión en meridiano más curvo vs. incisión temporal. Acta Méd Cuba. 2017;18(1):1-10.

  15. Wang J, Zhang EK, Fan WY, Ma JX, Zhao PF. The effect of micro-incision and small-incision coaxial phaco-emulsification on corneal astigmatism. Clin Experiment Ophthalmol. 2009;37(7):664-9.

  16. Cao JX. Comparison of corneal power measurements with Pentacam and IOL Master. Int Eye Sci. 2019;19(1):113-7.

  17. Giansanti F, Rapizzi E, Virgili G, Mencucci R, Bini A, Vannozzi L, et al. Clear Corneal Incision of 2.75 mm for Cataract Surgery Induces Little Change of Astigmatism in Eyes with Low Preoperative Corneal Cylinder. Eur J Ophthalmol. 2018;16(3):385-93.

  18. Zhang B, Ma JX, Liu DY, Guo CR, Du YH, Guo XJ, et al. Effects of posterior corneal astigmatism on the accuracy of AcrySof toric intraocular lens astigmatism correction. Int J Ophthalmol. 2016;9(9):1276-82.

  19. Schmitt AJ, Moreira ATR, Filho FAK, Schmitt FP. Corneal Posterior Curvature Changes After Phacoemulsification Cataract Surgery with 2.75 mm Corneal Incision. Med Hypothesis Discov Innov Ophthalmol. 2019;8(2):110-5.

  20. Hernández H, Hernández JR, Ramos M, Padilla CM, Perera Miniet E, Gutiérrez Paulino M. Evaluación de la efectividad en la cirugía de catarata por facoemulsificación bilateral simultánea versus facoemulsificación bilateral secuencial. Rev Cubana Oftalmol. 2019 [acceso: 07/09/2020];32(2):e750. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864-21762019000200011&lng=es

  21. Hernández H, Hernández JR, Ramos M, Fundora Y. Calidad de vida y visual en pacientes operados de catarata por Facoemulsificación bilateral simultánea con implante de lente intraocular. Rev Cubana Oftalmol. 2019 [acceso: 07/09/2020];32(2):e311. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864- 21762019000200009&lng=es

  22. Manning S, Barry P, Henry Y, Rosen P, Stenevi U, Young D, et al. Femtosecond laser-assisted cataract surgery versus standard phacoemulsification cataract surgery: study from the European Registry of Quality Outcomes for Cataract and Refractive Surgery. J Cat Refr Surg. 2016;42(12):1779-90.

  23. Day AC, Dhariwal M, Keith MS, Ender F, Pérez C, Miglio C, et al. Distribution of preoperative and postoperative astigmatism in a large population of patients undergoing cataract surgery in the UK. Br J Ophthalmol. 2019;103(7):993-1000.

  24. Dzhaber D, Mustafa OM, Alsaleh F, Daoud YJ. Visual and refractive outcomes and complications in femtosecond laser-assisted versus conventional phacoemulsification cataract surgery: findings from a randomised, controlled clinical trial. Br Ophthalmol. 2020;104(11):1596-600.

  25. Velásquez JE. Ametropía, determinación del defecto refractivo residual en cirugía de catarata por facoemulsificación y satisfacción visual [Tesis Doctoral]. Ecuador: Universidad de Guayaquil; 2017 [acceso: 20/08/2020]. Disponible en: http://repositorio.ug.edu.ec/handle/redug/38515

  26. Sarhan AE, Elhagaa AA, Shakal FA. The role of preoperative Pentacam in optimizing visual outcome after cataract surgery. Menoufia Med J. 2020 [acceso: 07/09/2020];33:546-50. DOI: https://doi.org/10.4103/mmj.mmj_421_18

  27. Ferrer-Blasco T, Montés-Micó R, Peixoto-de-Matos SC, González-Méijome JM, Cerviño A. Prevalence of corneal astigmatism before cataract surgery. J Cat Refract Surg. 2009;35(1):70-5.

  28. Kaufmann C, Krishnan A, Landers J, Esterman A, Thiel MA, Goggin M. Astigmatic neutrality in biaxial microincision cataract surgery. J Cataract Refr Surg. 2009;35(9):1555-62.

  29. Wang ZY, Yang WL, Li DJ, Chen W, Zhao Q, Li YF, et al. Comparison of biometry with the Pentacam AXL, IOLMaster 700 and IOLMaster 500 in cataract patients. Chinese J Ophthalmol. 2019;55(7):515-21.

  30. Luján S, Pizanguo O, Alburquerque M, Valenzuela M, Mayta-Tristan P. Calidad de vida y función visual poscirugía de Catarata. Rev Mex Oftalmol. 2014;88(4):176-81.

  31. Harrer A, Gerstmeyer K, Hirnschall N, Pesudovs K, Lundström M, Findl O. Impact of bilateral cataract surgery on vision-related activity limitations. J Cat Refr Surg. 2013;39(5):680-5.

  32. Milanés AR, Molina K, Zamora I, González A, Villalpando J, Mayo M. Cirugía de catarata en pacientes longevos: repercusión sobre su calidad de vida y funcionabilidad. Medisur. 2012 [acceso: 07/09/2020];10(5):[aprox. 6 p.]. Disponible en: http://medisur.sld.cu/index.php/medisur/article/view/2273




2020     |     www.medigraphic.com