alexa MICS With Toric Intraocular Lenses In Keratoconus: Outcomes And Predictability Analysis Of Postoperative Refraction
ISSN: 2155-9570

Journal of Clinical & Experimental Ophthalmology
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10th International Conference on Clinical & Experimental Ophthalmology
November 21-23, 2016 Dubai, UAE

Felipe A Soria, Jorge L Alio, Pablo Pena-Garcia, Fidan Abdulla Guliyeva, Ghassam Zein and Sabat K Abu-Mustafa
Vissum Corporación, Spain
Corporacion Alicante,Spain
Universidad Miguel Hernández, Spain
Ahmadi Hospital Kuwait, Kuwait
ScientificTracks Abstracts: J Clin Exp Ophthalmol
DOI: 10.4172/2155-9570.C1.048
Aim: To investigate the visual and refractive outcomes, safety, efficacy and stability of cataract surgery in eyes with stable keratoconus. Methods: 17 eyes (10 patients) diagnosed as stable keratoconus, aged from 34 to 73 years (56.63±12.47), underwent micro-incision cataract surgery (MICS) followed by implantation of toric intraocular lens (IOL). Seven of them were operated bilaterally and three unilaterally. A complete ophthalmological examinationwas performed preoperatively and postoperatively. The main outcome measures were: uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), keratometry and manifest refraction. Results: Sphere changed from −1.77±6.57D (−11.00 to 7.00) preoperatively to 0.08±0.79D (−1.25 to 1.75) postoperatively (p=0.211), and cylinder changed from −2.95±1.71D (−7.00 to −0.75) to −1.40±1.13D (−3.25 to 0.00) ( p=0.016). UDVA (logMAR) changed from 1.33±0.95 (0.40 to 2.77) to 0.32±0.38 (0.00 to 1.30) (p=0.008) and CDVA (logMAR) changed from 0.32±0.45 (0.01 to 1.77) to 0.20±0.36 (−0.03 to 1.30) (p=0.013). Efficacy and safety indexes were 1.38±0.58 and 1.17±0.66, respectively. Refraction and corneal topography were stable during the follow-up (9.10±5.54 months, 3–15). Conclusions: MICS surgery using corneal topography data and standard formulas for the calculation of the IOL power is a safe and effective procedure regarding keratometric stability, visual and refractive results.

Felipe A Soria studied Medicine in the Adventist University in Argentina and did Specialty in Ophthalmology in the Vision Institute of Montemorelos University in Mexico. He made the Subspecialties of Cornea, Refractive and Cataract Surgery in Vissum Corporation with Dr. Jorge Alio for a period of two years. He has written more than 30 scientific articles and book chapters, being Editor of the book Femtosecond Laser Assisted Keratoplasty. He has participated with 40 communications in different international congress across the world. He owns the patent: Use of Mesothelial cells in Tissue Bioengineering and Artificial Tissues.

Email: [email protected]

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