medigraphic.com
ISSN 1561-3070 (Electronic)

2019, Number 2

<< Back Next >>

Rev Cub Oftal 2019; 32 (2)

Visual results of correction of high myopia with ACR-128 phakic lens implantation

Cárdenas DT, Qi LF, Pérez SR, Cruz ID, Monteagudo HK, Cabrera RY

Language: Spanish
References: 25
Page: 1-14
PDF size: 281.58 Kb.


ABSTRACT

Objective: Describe the visual results of correction of high myopia with ACR-128 phakic lens implantation.
Methods: An observational descriptive longitudinal prospective study was conducted of 60 eyes of 32 patients with myopia corrected with the ACR-128 phakic lens. Determination was made of the expected and observed spherical component, the keratometric cylinder, uncorrected and best corrected visual acuity in the pre- and postoperative periods, and induced astigmatism. Statistical analysis was based on the paired T-test with a significance level of 95 %.
Results: Mean age was 27.41 ± 5.91 years, preoperative spherical equivalent was -11.54 ± 3.20 diopters, and 68.75 % of the patients were female. Spherical component in diopters expected (-0.53 ± 0.37) and observed (-0.42 ± 0.47) without differences (p= 0.0742). Between ± 1.00 diopters 91.67 % and between ± 0.50 diopter 70 %. No eye was above +0.50D. Keratometric cylinder in diopters, preoperative (1.44 ± 0.76) and postoperative (1.49 ± 0.84) without induced astigmatism (p=0.6377). In 100 % visual acuity without correction ≤ 0.1 preoperative and ≥ 0.3 postoperative. After surgery 10 % reached 1.0 and 71.6% ≥ 0.5. Only 28.33% had the unit corrected in the preoperative period and 70 % in the postoperative period (98.33 % ≥ 0.7).
Conclusions: ACR-128 phakic lens implantation provides patients with favorable refractive correction and predictability. This is achieved by reducing the spherical component to desired values, not inducing astigmatism and improving visual acuity, all of which leads to an adequate visual result.


REFERENCES

  1. Rudnicka AR, Kapetanakis VV, Wathern AK, Logan SN, Gilmartin B, Whincup PH, Cook DG, et al. Global variations and time trends in the prevalence of childhood myopia, asystematic review and quantitative meta-analysis: Implications for a etiology and early prevention. Ophthalmology. 2016; 123:1-9.

  2. Holden BA, Fricke TR, Wilson DA, Jong M, Naidoo KS, Sankaridurg. Global prevalence of myopia and high myopia and temporal trends from 2000 through 2050. Ophthalmology. 2016;123:1036-42.

  3. Dolgin E. The myopia boom. Nature. 2015;519(7543):276-8.

  4. Chassine T, Villain M, Hamel CPDV. How can we prevent myopia progression? Eur J Ophthalmol. 2015;25(4):280-5.

  5. Williams KM, Verhoeven VJM, Cumberland P, Bertelsen G, Wolfram C, Buitendijk GH, et al. Prevalence of refractive error in Europe: The European Eye Epidemiology (E3) Consortium. Eur J Epidemiol. 2015;30(4):305-15.

  6. Rey DV, Cristina AP, José MM. Prevalencia y factores asociados a miopía en jóvenes. Rev Mex Oftalmol. 2016. Acceso: 15/01/2017. Disponible en: http://dx.doi.org/10.1016/j.mexoft.2016.06.007

  7. Verkicharla PK, Ohno-Matsui K, Saw SM. Current and predicted demographics of high myopia and an update of its associated pathological changes. Ophthalmic Physiol Opt. 2015;35:465-75.

  8. Morgan RH. Tissue-specific stem cells concise review: Using stem cells to prevent the progression of myopia a concept. Stem Cell. 2015;33(7):2104-13.

  9. Pan CW, Dirani M, Cheng CY, Wong TY, Saw SM. The age-specific prevalence of myopia in Asia: a meta-analysis. Optom Vis Sci. 2015;92(3):258-66.

  10. Zhou Z, Ma X, Yi H, Pang X, Shi Y, Chen Q. Factors underlying different myopia prevalence between middle- and low-income provinces in China. 2015;122(5):1060–2.

  11. Wu LJ, You QS, Duan JL, Luo YX, Liu LJ, Li X. Prevalence and associated factors of myopia in high-school students in Beijing. PloS One. 2015;10(3):e0120764.

  12. Knorz MC, Lane SS, Holland SP. Angle-supported phakicintraocular lens for correction of moderate to high myopia:three-year interim results in international multicenter studies. J Cataract Refract Surg. 2011;37:469-80.

  13. American Academy of Ophthalmology. Refractive Surgery (Basic and Clinical Science Course). American Academy of Ophthalmology; 2015.

  14. MacRae S , Holladay JT, Hilmantel G, Calogero D, Masket S, Stark W, et al. Special Report: American Academy of Ophthalmology Task Force Recommendations for Specular Microscopy for Phakic Intraocular Lenses. Ophthalmology. 2017;124(1):141-2.

  15. Pérez-Cambrodí RJ, Piñero DP, Ferrer-Blasco T, Cerviño A, Brautaset R. The posterior chamber phakic refractive lens (PRL): a review. Eye (Lond). 2013;27:14-21.

  16. Ruiz Y, Capote A. Efectividad de los LIO Fáquicos artisan/artiflex en la corrección de la alta miopía. La Habana: Trabajo de terminación de residencia para optar por el título de Especialista de I Grado de Oftalmología. Instituto Cubano de Oftalmología “Ramón Pando Ferrer”; 2007.

  17. Ruiz Y. Efectividad de los lentes fáquicos Artisan en la corrección de la alta miopía. Rev Cubana Oftalmol. 2010. Acceso: 23/09/2018;23(1). Disponible en: http://scielo.sld.cu/ scielo.php?script=sci_arttext&pid=S0864-21762010000200011&lng=es&nrm=iso&tlng=es

  18. Ruiz Y. Experiencia con los lentes fáquicos Artiflex como opción correctiva de la alta miopía. Rev Cubana Oftalmol. 2010. Acceso: 23/09/2018;23(1). Disponible en: http://scielo. sld.cu/scielo.php?script=sci_arttext&pid=S0864-21762010000100007&lng=es&nrm= iso&tlng=es

  19. Ruiz Y. Estudio del entotelio corneal en la corrección de alta miopía con lente intraocular fáquica Artisan. Rev Cubana Oftalmol. 2009. Acceso: 23/09/2018;22(1). Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864-21762009000 100002&lng=es&nrm=iso&tlng=es

  20. López SM. Variación del endotelio corneal en pacientes operados de alta miopía con implante de lentes fáquicas . Rev Cubana Oftalmol. 2013. Acceso: 23/09/2018;26(3). Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864-21762013000 300002&lng=es&nrm=iso&tlng=es 21. Van der Heijde GL, Fechner PU, Worst JG. Optical consequences of implantation of a negative intraocular lens in myopic patients. Klin Monatsbl Augenheilkd. 1988;193:99-102.

  21. DI Ruggiero M. Declaración de Helsinki, principios y valores bioéticos en juego en la investigación médica con seres humanos. Rev Colomb Bioét. 2011;6(1):125-44.

  22. Eguia F, Río M, Capote A, et al. Manual de diagnóstico y tratamiento en Oftalmología. La Habana: ECIMED; 2009. p. 201.

  23. Alió Jl, Plaza-Puche AB, Cavas F, Yébana Rubio P, Sala E. An angle-supported foldable phakic intraocular lens for correction of myopia: A five-year follow-up. Arch Soc Esp Oftalmol. 2017;92(1):4-11.

  24. Yang RB, Zhao SZ. AcrySof phakic angle-supported intraocular lens for the correction of high to extremely high myopia: one-year follow-up results. Int J Ophthalmol. 2012;5(3):360-5.

  25. Kohnen T, Maxwell A, Holland S. Correction of moderate to high myopia with a foldable, angle-supported phakic intraocular lens. Ophthalmology. 2016;123:1027-35.




2020     |     www.medigraphic.com