Estudio retrospectivo de implante secundario de lentes de fijación retroiridiana en pacientes sin soporte capsularresultados funcionales y complicaciones
- K. Fernández Berdasco 1
- J. Castro Navarro 1
- C.n González Castaño 1
- S. Rodríguez Villa 1
- M. García Fernández 1
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1
Hospital Universitario Central de Asturias
info
ISSN: 0365-6691
Datum der Publikation: 2022
Ausgabe: 97
Nummer: 6
Seiten: 317-322
Art: Artikel
Andere Publikationen in: Archivos de la Sociedad Española de Oftalmologia
Ziele für nachhaltige Entwicklung
Zusammenfassung
Introduction The correction of aphakia when there is no adequate capsular support remains a therapeutic challenge. The use of retroiridial fixation lenses has been extended given their lower complication rate compared to other available options. Material and methods Retrospective study including all cases operated with an Artisan® retropupillary aphakia implant. Results 33 eyes were included out of a total of 28 patients. The follow-up period has been 38.55 months (1-96). 32.3% had a lens dislocation and 67.7% had an intraocular lens dislocation. The previous mean best corrected visual acuity (BCVA) was 1.18 ± 0.79 logMAR and post-intervention 0.36 ± 0.62 (p < 0.01). 93.8% of the patients presented a final BCVA equal to or better and 62.5% an improvement of 3 or more lines. The most frequent complication was corectopia (31.3%) and hypotony in the immediate postoperative period (21.9%). An epiretinal membrane (ERM) developed in 18.8% and cystic macular oedema (CME) in 9.4%. The presence of complications in the postoperative period did not statistically influence the final BCVA. Conclusions The retropupillary Artisan® lens allows the correction of aphakia with satisfactory visual results and a low rate of complications.