dc.creator | González Cruces, Timoteo | es |
dc.creator | Sánchez Ventosa, Álvaro | es |
dc.creator | Villarrubia, Alberto | es |
dc.creator | Sánchez González, José María | es |
dc.creator | Cano Ortiz, Antonio | es |
dc.date.accessioned | 2023-12-11T16:26:34Z | |
dc.date.available | 2023-12-11T16:26:34Z | |
dc.date.issued | 2023 | |
dc.identifier.citation | González Cruces, T., Sánchez Ventosa, Á., Villarrubia, A., Sánchez González, J.M. y Cano Ortiz, A. (2023). Management of low astigmatism in implantable collamer lens surgery: opposite clear corneal incisions versus toric implantable collamer lens. Journal of Cataract and Refractive Surgery, 49 (12), 1249-1257. https://doi.org/10.1097/j.jcrs.0000000000001297. | |
dc.identifier.issn | 0886-3350 | es |
dc.identifier.issn | 1873-4502 | es |
dc.identifier.uri | https://hdl.handle.net/11441/152372 | |
dc.description.abstract | PURPOSE: To compare 2 techniques to correct low astigmatism during implantable collamer lens (ICL) surgery: astigmatic opposite clear corneal incisions (OCCIs) and toric ICL (T-ICL). SETTING: Arruzafa Ophthalmological Hospital, Cordoba, Spain. DESIGN: Randomized prospective comparative study. METHODS: The study comprised 152 myopic eyes undergoing ICL surgery. Patients were separated into 2 groups: Group 1 (57 patients; 76 eyes) received a spherical ICL with OCCIs and Group 2 (53 patients; 76 eyes) received a T-ICL. The inclusion criteria were refractive astigmatism up to 1.50 diopters (D), regular corneal astigmatism up to 2.00 D (Sim K, Pentacam), and agreement between the refractive and topographic corneal cylinders (discrepancies less than 30 degrees axis or 0.50 D). The outcomes were evaluated after a 1-month follow-up. RESULTS: The T-ICL group achieved a mean postoperative spherical equivalent refraction and refractive astigmatism of -0.04 ± 0.17 D and -0.03 ± 0.12 D, respectively, vs -0.14 ± 0.33 D and -0.20 ± 0.36 D, in the OCCI group ( P < .001). Postoperative refractive astigmatism of less than 0.25 D was achieved in 94.74% of cases in the T-ICL group vs 73.68% in the OCCI group. Undercorrection of corneal astigmatism occurred in the OCCI group with a surgically induced astigmatism of 0.48 ± 0.24 D and correction index = 0.46. CONCLUSIONS: Both the T-ICL and OCCI techniques provided excellent results in terms of safety and efficacy. T-ICL surgery was shown to be more predictable and accurate for correcting low astigmatism with a lower postoperative spherical equivalent and less residual astigmatism compared to incisional management. | es |
dc.format | application/pdf | es |
dc.format.extent | 15 p. | es |
dc.language.iso | eng | es |
dc.publisher | Wolters Kluwer Health | es |
dc.relation.ispartof | Journal of Cataract and Refractive Surgery, 49 (12), 1249-1257. | |
dc.rights | Attribution-NonCommercial-NoDerivatives 4.0 Internacional | * |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/4.0/ | * |
dc.title | Management of low astigmatism in implantable collamer lens surgery: opposite clear corneal incisions versus toric implantable collamer lens | es |
dc.type | info:eu-repo/semantics/article | es |
dcterms.identifier | https://ror.org/03yxnpp24 | |
dc.type.version | info:eu-repo/semantics/acceptedVersion | es |
dc.rights.accessRights | info:eu-repo/semantics/openAccess | es |
dc.contributor.affiliation | Universidad de Sevilla. Departamento de Física de la Materia Condensada | es |
dc.date.embargoEndDate | 2024-12-01 | |
dc.relation.publisherversion | https://doi.org/10.1097/j.jcrs.0000000000001297 | es |
dc.identifier.doi | 10.1097/j.jcrs.0000000000001297 | es |
dc.journaltitle | Journal of Cataract and Refractive Surgery | es |
dc.publication.volumen | 49 | es |
dc.publication.issue | 12 | es |
dc.publication.initialPage | 1249 | es |
dc.publication.endPage | 1257 | es |