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ISSN 1029-3019 (Electronic)

2014, Number 10

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MediSan 2014; 18 (10)

Surface technique (LASEK) in patients with high myopia

Martínez LZC, Ninaja CD, Triana CI

Language: Spanish
References: 19
Page:
PDF size: 126.41 Kb.


ABSTRACT

Introduction: at present, one of the great challenges of ophthalmology is to find the adequate treatment for the patients with high myopia.
Objective: to identify the clinical course of these affected patients according to the visual results and the presence of postoperative complications.
Methods: A descriptive, longitudinal and retrospective study of 22 patients (33 eyes) with high myopia, between -6,00 and -10,00 diopters, assisted in the Service of Refractive Surgery of the Ophthalmological Center from "Enrique Cabrera" Teaching General Hospital in Havana, operated by means of the LASEK surface technique was carried out from January, 2010 to June, 2011.
Results: the age group 20-29 years (54.5%), the female sex (72.7%) and the haze (45.5%) as postoperative complication prevailed. Most of the patients (97.0%) reached a visual acuity with correction (between 0.6 and 1.0) in the postoperative period; 60.6% with spherical equivalent (between -1.00 and 0.25 diopters) and 69.7%
Conclusions: the LASEK was effective in the correction of high myopia, with certain complications, but without negative result in the final vision reached and in the satisfaction after the procedure.ith queratometric values of 39,05 - 43,00 diopters.


REFERENCES

  1. Curtin BJ. The etiology of myopia. En: The myopias: basic science and clinical management. Philadelphia: Harper and Row;1985. p. 113-24.

  2. Hurtado Pérez M, Martínez Costa R, Cisneros Jiménez AL. Complicaciones de la cirugía refractiva intraocular. Madrid: MacLine; 2005. p. 19-30.

  3. Jin GJ, Lyle WA, Merkley KH. Laser in situ keratomileusis for primary hyperopia. J Cataract Refract Surg. 2005;31(4):776-84.

  4. Rashad KM. Laser in situ keratomileusis for the correction of hyperopia from C1.25 to C5.00 diopters with the Technolas Keracor 117C laser. J Refract Surg. 2001;17(2):113-22.

  5. Baikoff G. Surgical treatment of presbyopia: scleral, corneal, and lenticular. Curr Opin Ophthalmol. 2004;15(4):365-9.

  6. Trokel SL, Srinivasan R, Braren B. Excimer laser surgery of the cornea. Am J Ophthalmol. 1983;96(6):710-5.

  7. Majmudar PA, Forstor SL, Dennis RF, Nirankari VS, Damiano RE, Brenart R, et al. Topical mitomycin-C for subepithelial fibrosis after refractive corneal surgery. Ophthalmology. 2000;107(1):89-94.

  8. Gabler B, Winkler von Mohrenfels C, Dreiss AK, Marshall J, Lohmann CP. Vitality of epithelial cells after alcohol exposure during laser-assisted subepithelial keratectomy flap preparation. J Cataract Refract Surg. 2002;28(10):1841-6. MEDISAN 2014; 18(10):1402

  9. Vaughan MD, Asbury T, Riordan P. Oftalmología general. 11 ed. México: El Manual Moderno; 1997. p. 316.

  10. Rubio Rincón GS, Amaya Perozzo CX. Miopía, alteración visual en habitantes de Bogotá y Cundinamarca. Ciencia y Tecnología para la Salud Visual y Ocular. 2007; [citado 12 Ago 2012].

  11. Cabrera Martínez A, Cabrera Martínez JA, Tirado Martínez OM. Resultados refractivos en pacientes operados por LASIK versus LASEK con mitomicina C. Rev Cubana Oftalmol. 2009 [citado 12 Ago 2012];22(1).

  12. Díaz Martínez TA, Torres Ortega R, Zerquera Rodríguez T, Escalona Tamayo M. Motivación y satisfacción de los pacientes miopes sometidos a cirugía LASIK. Rev Cubana Oftalmol. 2009 [citado 12 Ago 2012];22(1).

  13. Alvarado Castillo B, Vázquez Maya L. Cambios en la elevación posterior corneal en pacientes sometidos a LASEK. Rev Med Hosp Gen Mex. 2007;70(1):12-7.

  14. Benítez Merino MC, Machado Fernández EJ. LASEK. Resultado en 2 años. Rev Cubana Oftalmol. 2006 [citado 12 Ago 2012];19(1).

  15. Lee JB, Seong GJ, Lee JH, Seo KY, Lee YG, Kim EK. Comparison of laser epithelial keratomileusis and fhotorefractive keratectomy for low to moderate myopia. J Cataract Refract Surg. 2001;27(4):565-70.

  16. Río Torres M, Capote Cabrera A, Padilla González CM, Eguía Martínez F, Hernández Silva JR. Oftalmología. Criterios y tendencias actuales. La Habana: Ciencias Médicas; 2009. p. 171.

  17. Cabrera Martínez JA, Cabrera Martínez A. Resultados visuales en pacientes astigmatos puros corregidos con LASIK. Rev Cubana Oftalmol. 2009 [citado 12 Ago 2012];22(1).

  18. Aquino Fernández JL, Machado Fernández EJ. Astigmatismo después de cirugía refractiva corneal con láser de excímeros. Reporte preliminar. Rev Cubana Oftalmol. 2005 [citado 12 Ago 2012];18(1).

  19. Wilson SE. Uso de láseres para la corrección de miopía e hipermetropía: New Engl J Med. 2004;351(5):470-5.




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