Since position and centration have shown to affect the effectiveness of multifocal intraocular lenses (MFIOLs), some authors have proposed using the "coaxially sighted IOL light reflex" as a landmark to allow consistent centration of MFIOLs. Postoperatively, assessing the location of the intraocular lens with respect to the visual axis is also important. Centration of the MFIOLs can be identified postoperatively by slit lamp biomicroscopy, but it is still a qualitative method. The Nidek OPD Scan III is used. The instrument obtains retro illumination images, which allows the observation of the diffractive rings of the multifocal intraocular lenses implanted following phacoemulsification. The retro illumination image describes the location of the visual axis (white cross with blue borders +), the center of the photopic (pink cross) and mesopic (turquoise cross) pupil, quantifies the distance between the center of the pupil and the visual axis, and places the visual axis in degrees. It is attempted to match the rings of the lens with that of the acetate grid. Once the best possible equidistance between the lens and grid rings has been achieved. This method can be useful to be able to have reference of a real value of decentration of the lenses and thus have a surgical plan and try to center the lenses. We are also creating a technique to properly center the lenses, in addition to performing an analysis of the results in terms of postoperative visual quality in relation to the lens's decentration and thus see how this really affects.
{"title":"Method to quantify the decentration of the multifocal intraocular lenses in relation to the visual axis","authors":"F. Polit","doi":"10.15234/VPA.V17I4.513","DOIUrl":"https://doi.org/10.15234/VPA.V17I4.513","url":null,"abstract":"Since position and centration have shown to affect the effectiveness of multifocal intraocular lenses (MFIOLs), some authors have proposed using the \"coaxially sighted IOL light reflex\" as a landmark to allow consistent centration of MFIOLs. Postoperatively, assessing the location of the intraocular lens with respect to the visual axis is also important. Centration of the MFIOLs can be identified postoperatively by slit lamp biomicroscopy, but it is still a qualitative method. The Nidek OPD Scan III is used. The instrument obtains retro illumination images, which allows the observation of the diffractive rings of the multifocal intraocular lenses implanted following phacoemulsification. The retro illumination image describes the location of the visual axis (white cross with blue borders +), the center of the photopic (pink cross) and mesopic (turquoise cross) pupil, quantifies the distance between the center of the pupil and the visual axis, and places the visual axis in degrees. It is attempted to match the rings of the lens with that of the acetate grid. Once the best possible equidistance between the lens and grid rings has been achieved. This method can be useful to be able to have reference of a real value of decentration of the lenses and thus have a surgical plan and try to center the lenses. We are also creating a technique to properly center the lenses, in addition to performing an analysis of the results in terms of postoperative visual quality in relation to the lens's decentration and thus see how this really affects.","PeriodicalId":53032,"journal":{"name":"Vision PanAmerica","volume":"58 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76774772","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
C. Martínez-Rubio, P. Martínez-Lopez-Corell, Isabel Pascual-Camps, R. Gallego-Pinazo, R. Dolz-Marco, M. Díaz-Llopis
OBJETIVO: Facilitar el estudio de las aportaciones mas relevantes en el campo de la inflamacion ocular y uveitis. Se propone una revision de las principales revistas internacionales, incluyendo: Ophthalmology, American Journal of Ophthalmology, Retina, Ocular Inmunology and Inflammation y Journal of Ophthalmic Infection and Inflammation METODO: Revision bibliografica descriptiva de los articulos publicados durante el ano 2017 en las revistas anteriormente citadas. RESULTADOS De forma narrativa, se analizan las categorias de uveitis pediatricas, escleritis, uveitis infecciosas, uveitis no infecciosas, diagnostico y tratamiento CONCLUSIONES El campo de la inflamacion ocular y la uveitis evoluciona a gran velocidad, y durante el ano 2017 hemos sido testigos de un gran numero de publicaciones de alto impacto a nivel clinico, diagnostico y terapeutico.
{"title":"Lo mejor del año en uveítis 2017","authors":"C. Martínez-Rubio, P. Martínez-Lopez-Corell, Isabel Pascual-Camps, R. Gallego-Pinazo, R. Dolz-Marco, M. Díaz-Llopis","doi":"10.15234/VPA.V17I4.496","DOIUrl":"https://doi.org/10.15234/VPA.V17I4.496","url":null,"abstract":"OBJETIVO: Facilitar el estudio de las aportaciones mas relevantes en el campo de la inflamacion ocular y uveitis. Se propone una revision de las principales revistas internacionales, incluyendo: Ophthalmology, American Journal of Ophthalmology, Retina, Ocular Inmunology and Inflammation y Journal of Ophthalmic Infection and Inflammation METODO: Revision bibliografica descriptiva de los articulos publicados durante el ano 2017 en las revistas anteriormente citadas. RESULTADOS De forma narrativa, se analizan las categorias de uveitis pediatricas, escleritis, uveitis infecciosas, uveitis no infecciosas, diagnostico y tratamiento CONCLUSIONES El campo de la inflamacion ocular y la uveitis evoluciona a gran velocidad, y durante el ano 2017 hemos sido testigos de un gran numero de publicaciones de alto impacto a nivel clinico, diagnostico y terapeutico.","PeriodicalId":53032,"journal":{"name":"Vision PanAmerica","volume":"99 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84594498","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
J. Lasiste, P. Zoroquiain, D. Miyamoto, M. Burnier
Purpose: To determine the activity of metformin in an in vitro model of posterior capsule opacification (PCO).Design: Experimental laboratory research. Methods: The HLE-B3 lens epithelial cell line was treated with PCO induction media (PCOM) supplemented with transforming growth factor-beta (TGF-β) and fibroblast growth factor (FGF). Different metformin concentrations (0-100 mM) were used. The following cellular parameters were assessed: (1) survival, using a viability assay; (2) morphology, via microscopy and image analysis; (3) migration, using the wound assay; (4) and expression of epithelial (Pax6, E-cadherin) and mesenchymal (α-smooth muscle actin or α-SMA, fibronectin) markers via Western blot. Expression of the uptake receptor SLC22A1 was evaluated in HLE-B3 and in human donor eyes with Western blot and immunohistochemistry, respectively. Statistical analysis of variance (ANOVA) with Tukey post-hoc test was done for analysis of cytotoxicity, morphology and migration data. Results: Metformin was lethal to half (LC50) of the cells at 30 mM, and a decrease in viability (P<0.05) was noted at 5 mM. LECs in PCOM treated with 1 mM metformin showed increased Pax6 and E-cadherin and decreased α-SMA and fibronectin expression. LECs in PCOM treated with metformin also maintained epithelial morphology. Migration was inhibited with 0.5 mM metformin (P<0.05). Both HLE-B3 and the lens epithelium in donor eyes were found to express SLC22A1.Conclusion: Metformin decreased survival and migration in LECs, maintaining epithelial phenotype and reducing mesenchymal marker expression. Metformin therefore has potential as an adjunct in PCO prevention.Financial Disclosures: This work was partially funded by Mitacs Canada.
{"title":"Metformin activity in an in vitro model of posterior capsule opacification","authors":"J. Lasiste, P. Zoroquiain, D. Miyamoto, M. Burnier","doi":"10.15234/VPA.V17I4.511","DOIUrl":"https://doi.org/10.15234/VPA.V17I4.511","url":null,"abstract":"Purpose: To determine the activity of metformin in an in vitro model of posterior capsule opacification (PCO).Design: Experimental laboratory research. Methods: The HLE-B3 lens epithelial cell line was treated with PCO induction media (PCOM) supplemented with transforming growth factor-beta (TGF-β) and fibroblast growth factor (FGF). Different metformin concentrations (0-100 mM) were used. The following cellular parameters were assessed: (1) survival, using a viability assay; (2) morphology, via microscopy and image analysis; (3) migration, using the wound assay; (4) and expression of epithelial (Pax6, E-cadherin) and mesenchymal (α-smooth muscle actin or α-SMA, fibronectin) markers via Western blot. Expression of the uptake receptor SLC22A1 was evaluated in HLE-B3 and in human donor eyes with Western blot and immunohistochemistry, respectively. Statistical analysis of variance (ANOVA) with Tukey post-hoc test was done for analysis of cytotoxicity, morphology and migration data. Results: Metformin was lethal to half (LC50) of the cells at 30 mM, and a decrease in viability (P<0.05) was noted at 5 mM. LECs in PCOM treated with 1 mM metformin showed increased Pax6 and E-cadherin and decreased α-SMA and fibronectin expression. LECs in PCOM treated with metformin also maintained epithelial morphology. Migration was inhibited with 0.5 mM metformin (P<0.05). Both HLE-B3 and the lens epithelium in donor eyes were found to express SLC22A1.Conclusion: Metformin decreased survival and migration in LECs, maintaining epithelial phenotype and reducing mesenchymal marker expression. Metformin therefore has potential as an adjunct in PCO prevention.Financial Disclosures: This work was partially funded by Mitacs Canada.","PeriodicalId":53032,"journal":{"name":"Vision PanAmerica","volume":"97 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85763068","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
L. Alves, L. Selegatto, C. Batalha, Gustavo Bueno De Camargo, Marcelo Sobrinho
We report a case of a child with nephrotic syndrome (NS), who presented an acute convergent strabismus, double vision and papilledema one week after a history of badly treated sinusitis. The image study revealed an extensive thrombosis of the intracranial sinuses that was treated with intravenous heparin and oral corticosteroids. Four months later, the case evolved with spontaneous resolution of the ocular deviation and no diplopia.
{"title":"BILATERAL ABDUCENS NERVE PALSY SECUNDARY TO INTRACRANIAL SINUSES THROMBOSIS IN A CHILD WITH NEPHROTIC SYNDROM – CASE REPORT","authors":"L. Alves, L. Selegatto, C. Batalha, Gustavo Bueno De Camargo, Marcelo Sobrinho","doi":"10.15234/VPA.V17I4.507","DOIUrl":"https://doi.org/10.15234/VPA.V17I4.507","url":null,"abstract":"We report a case of a child with nephrotic syndrome (NS), who presented an acute convergent strabismus, double vision and papilledema one week after a history of badly treated sinusitis. The image study revealed an extensive thrombosis of the intracranial sinuses that was treated with intravenous heparin and oral corticosteroids. Four months later, the case evolved with spontaneous resolution of the ocular deviation and no diplopia.","PeriodicalId":53032,"journal":{"name":"Vision PanAmerica","volume":"30 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83358191","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"MESSAGE FROM THE CHAIRMAN, PAOF BOARD","authors":"Jorge Garcia","doi":"10.15234/vpa.v17i4.529","DOIUrl":"https://doi.org/10.15234/vpa.v17i4.529","url":null,"abstract":"MESSAGE FROM THE CHAIRMAN, PAOF BOARD","PeriodicalId":53032,"journal":{"name":"Vision PanAmerica","volume":"14 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88404013","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Purpose: To describe a case of inferior bullous keratopathy caused by iris fibers resolved with laser diode 532.Case report: A 74-year-old woman consulted for deterioration of visual acuity in right eye, accompanied by foreign body sensation. A phacoemulsification surgery with IOL implant had been performed in both eyes three months before. Best corrected visual acuity reached 20/40 in right eye. Slit lamp examination revealed bullous keratopathy located in the central inferior quarter of the cornea of her right eye. Gonosioscopy was performed to rule out having nucleus fragments in the inferior angle. With higher magnification, a pair of fine undulating fibers were observed coming from the anterior layers of the iris and making contact with the posterior face of the cornea. Photocoagulation of the iris fibers was performed with laser diode 532 and photodisruption with Nd-YAG laser, applied at the base of the fibers. After nine days, resolution of corneal edema, and disappearance of bullae was observed. Best corrected visual acuity improved to of 20/25.Conclusions: photocoagulation of iris fibers with laser diode 532 complemented with photodisruption with Nd-YAG laser, in patients with iridoschisis, is an alternative to avoid endothelial decompensation and corneal edema, which may require a corneal transplantation.
{"title":"Inferior bullous keratopathy caused by iris fibers, resolved with diode laser 532","authors":"A. Polit, F. Polit, J. Pólit","doi":"10.15234/VPA.V17I3.498","DOIUrl":"https://doi.org/10.15234/VPA.V17I3.498","url":null,"abstract":"Purpose: To describe a case of inferior bullous keratopathy caused by iris fibers resolved with laser diode 532.Case report: A 74-year-old woman consulted for deterioration of visual acuity in right eye, accompanied by foreign body sensation. A phacoemulsification surgery with IOL implant had been performed in both eyes three months before. Best corrected visual acuity reached 20/40 in right eye. Slit lamp examination revealed bullous keratopathy located in the central inferior quarter of the cornea of her right eye. Gonosioscopy was performed to rule out having nucleus fragments in the inferior angle. With higher magnification, a pair of fine undulating fibers were observed coming from the anterior layers of the iris and making contact with the posterior face of the cornea. Photocoagulation of the iris fibers was performed with laser diode 532 and photodisruption with Nd-YAG laser, applied at the base of the fibers. After nine days, resolution of corneal edema, and disappearance of bullae was observed. Best corrected visual acuity improved to of 20/25.Conclusions: photocoagulation of iris fibers with laser diode 532 complemented with photodisruption with Nd-YAG laser, in patients with iridoschisis, is an alternative to avoid endothelial decompensation and corneal edema, which may require a corneal transplantation.","PeriodicalId":53032,"journal":{"name":"Vision PanAmerica","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75724727","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"VPA DIGITAL AT YOUR FINGERTIPS","authors":"P. E. Dantas","doi":"10.15234/vpa.v17i4.539","DOIUrl":"https://doi.org/10.15234/vpa.v17i4.539","url":null,"abstract":"VPA DIGITAL AT YOUR FINGERTIPS","PeriodicalId":53032,"journal":{"name":"Vision PanAmerica","volume":"22 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90911982","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Denis Anaya Reyes, Juan F. DíazGranados, Laura Toro-Giraldo, M. Neira, Mario Osorio
RESUMEN: Objetivo : Describir resultados y complicaciones de pacientes llevados a cirugia de catarata por facoemulsificacion mas implante de lente intraocular en el Hospital de San Jose y explorar la asociacion entre posibles factores relacionados con complicaciones intraoperatorias. Materiales y metodos: Cohorte retrospectiva. Se incluyeron todos los ojos operados de catarata por facoemulsificacion entre 2010 y 2016. Se excluyeron casos con registros insuficientes, convertidos a extraccion extracapsular de catarata por causas diferentes a complicaciones y en los cuales se realizo cirugia combinada programada. Se describieron caracteristicas especiales intraoperatorias del ojo, dureza de la catarata, colaboracion intraoperatoria del paciente, resultados visuales y refractivos y complicaciones, durante el primer mes postoperatorio. Se evaluo la relacion entre caracteristicas especiales del ojo y complicaciones intraoperatorias usando la prueba de chicuadrado y considerando un p valor inferior a 0.05 como estadisticamente significativo Resultados: Se incluyeron 2175 ojos, se excluyeron 128, para 2047 estudiados. Al mes postoperatorio, el 86.8% alcanzo agudeza visual corregida de 20/40 o mejor y el 75.2% equivalente esferico de ± 1.00D. Los ojos con alguna caracteristica especial presentaron mas complicaciones intraoperatorias (p=0.01), al igual que aquellos con catarata extremadamente dura (p=0.003) y con colaboracion deficiente durante la cirugia (p<0.000). La complicacion intraoperatoria mas frecuente fue ruptura de capsula posterior y la postoperatoria, opacidad de capsula posterior. Conclusiones: Se obtuvieron resultados visuales y refractivos satisfactorios y la incidencia de complicaciones fue similar a la reportada en la literatura. La identificacion de caracteristicas especiales intraoperatorias es importante dada su asociacion con mayor incidencia de complicaciones. ABSTRACT: Purpose: To describe outcomes and complications of patients underwent phacoemulsification cataract surgery with intraocular lens implantation in the San Jose Hospital and explore the association between possible factors with intraoperative complications. Materials and methods: Retrospective cohort. There was included all the eyes undergoing phacoemulsification cataract surgery between 2010 and 2016. There was excluded cases with insufficient records, cases converted to extracapsular cataract extraction by causes different of complications and those wich underwent scheduled combined surgery. There was described intraoperative special characteristics of the eye, cataract hardness, intraoperative colaboration of the patient, visual and refractive outcomes and complications during the first postoperative month. The association between special characteristics of the eye and intraoperative complications was evaluated using the chi square test considering a p value less than 0.05 as statistically significant. Results: There was included 2175 eyes and 128 excluded, for a tot
摘要:目的:描述在San Jose医院进行白内障超声乳化加人工晶状体手术的患者的结果和并发症，并探讨与术中并发症相关的可能因素之间的关系。方法:回顾性队列研究。我们纳入了2010年至2016年期间通过超声乳化进行白内障手术的所有眼睛。我们排除了记录不足、因非并发症原因而转为囊外摘除的病例，以及计划进行联合手术的病例。我们描述了术后第一个月眼睛的特殊术中特征、白内障的硬度、患者的术中合作、视觉和屈光结果以及并发症。结果:在2047例研究中，纳入2175只眼，排除128只眼，采用chicuadrado检验评估眼部特殊特征与术中并发症之间的关系，p值小于0.05具有统计学意义。术后一个月，86.8%的患者矫正视力达到20/40或更好，75.2%的患者达到±1.00D的球形等效视力。有特殊特征的眼睛有更多的术中并发症(p=0.01)，非常严重的白内障(p=0.003)和手术中配合不良(p<0.000)。手术中最常见的并发症是后囊破裂，术后后囊混浊。结果:在一项随机对照试验中，患者的视力和屈光效果均较好，并发症发生率与文献报道的相似。确定术中特殊特征是很重要的，因为它们与较高的并发症发生率有关。摘要:目的:描述圣何塞医院眼内透镜植入白内障手术患者的结果和并发症，探讨可能因素与术中并发症之间的关系。材料与方法:回顾性队列研究。There was all the眼睛所列undergoing phacoemulsification cataract surgery 2010年与2016。There was excluded cases with记录不足、cases converted to extracapsular cataract提取制造不同of必须和那些wich underwent化combined surgery。在第一次手术后的第一个月里，描述了眼科的特殊术中特征、白内障的硬度、患者的术中合作、视觉和屈光效果及并发症。采用卡方检验评估眼部特殊特征与术中并发症之间的关联，p值小于0.05具有统计学意义。= =地理= =根据美国人口普查，这个县的总面积为，其中土地和(3.064平方公里)水。A month postoperatively, the 86.8%一最佳视觉corrected accuity of 20/40 or better and the 75.2% spherical equivalent of±1.00D。有特殊特征的眼睛出现更多的术中并发症(p=0.01)，与极硬白内障(p=0.003)和手术中配合不良(p<0.000)相同。最常见的术中并发症是后囊破裂，最常见的术后并发症是后囊混浊。结论:取得了满意的视觉和屈光效果，并发症发生率与文献报道的相似。确定intraoperative特殊的特征两eye is important to its协会with higher年of必须。
{"title":"RESULTADOS Y COMPLICACIONES DE CIRUGÍA DE CATARATA POR FACOEMULSIFICACIÓN","authors":"Denis Anaya Reyes, Juan F. DíazGranados, Laura Toro-Giraldo, M. Neira, Mario Osorio","doi":"10.15234/VPA.V17I3.495","DOIUrl":"https://doi.org/10.15234/VPA.V17I3.495","url":null,"abstract":"RESUMEN: Objetivo : Describir resultados y complicaciones de pacientes llevados a cirugia de catarata por facoemulsificacion mas implante de lente intraocular en el Hospital de San Jose y explorar la asociacion entre posibles factores relacionados con complicaciones intraoperatorias. Materiales y metodos: Cohorte retrospectiva. Se incluyeron todos los ojos operados de catarata por facoemulsificacion entre 2010 y 2016. Se excluyeron casos con registros insuficientes, convertidos a extraccion extracapsular de catarata por causas diferentes a complicaciones y en los cuales se realizo cirugia combinada programada. Se describieron caracteristicas especiales intraoperatorias del ojo, dureza de la catarata, colaboracion intraoperatoria del paciente, resultados visuales y refractivos y complicaciones, durante el primer mes postoperatorio. Se evaluo la relacion entre caracteristicas especiales del ojo y complicaciones intraoperatorias usando la prueba de chicuadrado y considerando un p valor inferior a 0.05 como estadisticamente significativo Resultados: Se incluyeron 2175 ojos, se excluyeron 128, para 2047 estudiados. Al mes postoperatorio, el 86.8% alcanzo agudeza visual corregida de 20/40 o mejor y el 75.2% equivalente esferico de ± 1.00D. Los ojos con alguna caracteristica especial presentaron mas complicaciones intraoperatorias (p=0.01), al igual que aquellos con catarata extremadamente dura (p=0.003) y con colaboracion deficiente durante la cirugia (p<0.000). La complicacion intraoperatoria mas frecuente fue ruptura de capsula posterior y la postoperatoria, opacidad de capsula posterior. Conclusiones: Se obtuvieron resultados visuales y refractivos satisfactorios y la incidencia de complicaciones fue similar a la reportada en la literatura. La identificacion de caracteristicas especiales intraoperatorias es importante dada su asociacion con mayor incidencia de complicaciones. ABSTRACT: Purpose: To describe outcomes and complications of patients underwent phacoemulsification cataract surgery with intraocular lens implantation in the San Jose Hospital and explore the association between possible factors with intraoperative complications. Materials and methods: Retrospective cohort. There was included all the eyes undergoing phacoemulsification cataract surgery between 2010 and 2016. There was excluded cases with insufficient records, cases converted to extracapsular cataract extraction by causes different of complications and those wich underwent scheduled combined surgery. There was described intraoperative special characteristics of the eye, cataract hardness, intraoperative colaboration of the patient, visual and refractive outcomes and complications during the first postoperative month. The association between special characteristics of the eye and intraoperative complications was evaluated using the chi square test considering a p value less than 0.05 as statistically significant. Results: There was included 2175 eyes and 128 excluded, for a tot","PeriodicalId":53032,"journal":{"name":"Vision PanAmerica","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80981090","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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