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https://hdl.handle.net/1822/20713
Título: | Comparison of visual and refractive results of Toric Implantable Collamer Lens with bioptics for myopic astigmatism |
Autor(es): | Alfonso, José F. Fernández-Vega, Luis Fernandes, Paulo Rodrigues González-Méijome, José Manuel Montés-Micó, Robert |
Palavras-chave: | Implantable Collamer Lens (ICL) Astigmatism Bioptics Excimer laser Implantable Collamer Lens |
Data: | 2013 |
Editora: | Springer Verlag |
Revista: | Graefe's Archive for Clinical and Experimental Ophthalmology |
Resumo(s): | PURPOSE: To compare visual and refractive results of Toric Implantable Collamer Lens (TICL) and bioptics (ICL plus excimer corneal surgery) to treat myopic astigmatism. METHODS: Eighty-one eyes underwent TICL implantation and 83 eyes were treated with bioptics (corneal ablation was performed between 1.5 and 6 months after ICL implantation). Uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), refraction, adverse events, safety, and efficacy were evaluated 12 months postoperatively. RESULTS: At 12 months postoperatively, the mean spherical equivalent was -0.15 ± 0.36 diopters (D) in the TICL group and -0.08 ± 0.26 D in the bioptics group (p = 0.099). Sixty-six (81.5 %) and 78 (94.0 %) eyes were within ±0.50 D for TICL and bioptics groups, respectively. The mean Snellen UDVA was not statistically different between both procedures (p = 0.909); 53 (65.4 %) and 54 (65.1 %) eyes achieved at least 20/25 or better in TICL and bioptics groups, respectively. No eye had lost more than two lines of CDVA, and 32.1 % of eyes (26/81) in the TICL group and 57.8 % of eyes (48/83) in the bioptics group had better postoperative UDVA than preoperative CDVA (p < 0.001). Safety was not statistically different between groups (p = 0.464) while efficacy was significantly higher in the bioptics group (p = 0.000). Two eyes with a TICL were treated to correct TICL decentration. CONCLUSIONS: Bioptics showed slightly better outcomes in some clinical measures such as uncorrected visual acuity, efficacy, and refractive predictability. TICL implantation shows reliable results similar to bioptics. A single procedure with TICL implantation might be preferred, eliminating the inherent risks of laser treatments and the risks of a second surgical procedure. |
Tipo: | Artigo |
URI: | https://hdl.handle.net/1822/20713 |
DOI: | 10.1007/s00417-012-2155-9 |
ISSN: | 0721-832X 1435-702X |
Versão da editora: | http://www.springerlink.com/ |
Arbitragem científica: | yes |
Acesso: | Acesso aberto |
Aparece nas coleções: | CDF - OCV - Artigos/Papers (with refereeing) |
Ficheiros deste registo:
Ficheiro | Descrição | Tamanho | Formato | |
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5.5.79. ALFONSO_12_GRAEFFES (Toric Bioptics vs ToricICL).pdf | PDF version | 543,43 kB | Adobe PDF | Ver/Abrir |