SECOIR - Sociedad Española de Cirugía Ocular Implanto-Refractiva
Journal Of Emmetropia Journal of Cataract, Refractive and Corneal Surgery
Cataract Surgery and femtosecond Lasers: Is it that good to change? Validating an Aberration-neutral Ablation Profile Evaluation of Clear Corneal Incisions with OCT Fixed Dilated Pupil after DALK Biometry Hydrid Multifocal Intraocular LEnses October-December 2011
ISSN: 2171-4703
www.journalofemmetropia.org
Volume 2. Number 4
Journal Of Emmetropia Volume 2. Number 4 October-December 2011
179 181 189 201
EDITORIAL
Cataract Surgery and femtosecond Lasers: Is it that good to change? Ramón Naranjo Tackman, MD
ARTICLES
Phakic Collamer Lens (ICL) Implantation Followed by Excimer Laser Treatment (Bioptics) to Correct Hyperopia with Astigmatism J. F. Alfonso, C. Lisa, C. Baamonde, P. Fernandes, J. Jorge, R. Montés Micó Validating an Aberration-Neutral ablation profile María Clara Arbeláez, MD; Camila Vidal, OD; Samuel Arba Mosquera, MS
The evaluation of clear corneal incision architecture using optical coherence tomography Javier Orbegozo Gárate, MD; Erika Vázquez Cruchaga, MD; Iñaki Basterra Barrenetxea, OD; Begoña Díez González, OD; Germán González Martín, OD
CASE REPORT 207
210 217 224
Fixed dilated pupil following deep anterior lamellar keratoplasty (DALK) done in a case of post herpetic scar Somnath Mukhopadhyay, MBBS, MS; Jayanta Dutta, MBBS, MS; Himadri Datta, MBBS, MS, PhD; Swarnali Sen, MBBS, MS; Pradeep Panigrahi, MBBS, MS
UPDATE/REVIEW Biometry Kenneth J. Hoffer, MD, FACS
Hydrid multifocal intraocular lenses Santiago García-Lázaro, PhD; César Albarrán Diego, MSc; Alberto Domínguez, OD; Cari Pérez Vives, MSc; Lurdes Belda Salmerón, MSc Anteprograma 27 Congreso SECOIR (Sevilla, 2012)
Journal Of Emmetropia Journal of Cataract, Refractive and Corneal Surgery Volume 2. Number 4 October-Dicember 2011
Editors
Alfonso JF, MD (Oviedo, Spain) Cristóbal JA, MD (Zaragoza, Spain) Güell JL, MD (Barcelona, Spain)
Executive Director Palomino C, MD (Madrid, Spain) Assistant director Castillo A, MD (Madrid, Spain) Soler F, MD (Elche, Alicante)
Editorial Board (Open) Albertazzi R, MD (Buenos Aires, Argentina)
Iseli HP, MD (Zurich, Switzerland)
Aramberri J, MD (San Sebastián, Spain)
Lorente R, MD (Orense, Spain)
Arias A, MD (Madrid, Spain)
Mendicute J, MD (San Sebastián, Spain)
Arshinov S, MD (Toronto, Canada)
Merayo J, MD (Oviedo, Spain)
Baamonde B, MD (Oviedo, Spain)
Menezo JL, MD (Valencia, Spain)
Barraquer R, MD (Barcelona, Spain)
Montés-Micó R, OD (Valencia, Spain)
Belmonte J, MD (Alicante, Spain)
Moreno-Montañés J, MD (Pamplona, Spain)
Benitez del Castillo JM, MD (Madrid, Spain)
Naranjo-Tackman R, MD (México DF, México)
Daya S, MD (London, England)
Pietrini D, MD (París, France)
De Rojas V, MD (Santiago de Compostela, Spain)
Piovella M, MD (Monza, Italy)
Durán JA, MD (Bilbao, Spain)
Rivera R, MD (Phoenix, USA)
El-Danasoury A, MD (Jeddah, Saudi Arabia)
Shimizu K, MD (Kanagawa, Japan)
Elies D, MD (Barcelona, Spain)
Valdez García JE, MD (Monterrey, México)
Fernández-Vega L, MD (Oviedo, Spain)
Villar-Kuri J, MD † (México DF, México)
Ferrara P, MD (Belo Horizonte, Brasil)
Villarubia A, MD (Córdoba, Spain)
Gris O, MD (Barcelona, Spain)
Zaldívar R, MD (Mendoza, Argentina)
Hoffer K, MD (Los Ángeles, USA) ISSN: 2171-4703 · Depósito Legal: M-12662-2010
SECOIR - Sociedad Española de Cirugía Ocular Implanto-Refractiva C/ Donoso Cortés 73 - 1 · 28015 Madrid Phones + 34 91 544 80 35 - + 34 91 544 58 79 - + 34 91 544 91 46
ARTICLE
Phakic Collamer Lens (ICL) Implantation Followed by Excimer Laser Treatment (Bioptics) to Correct Hyperopia with Astigmatism José F. Alfonso1,2, Carlos Lisa1, Begoña Baamonde1,2, Paulo Fernandes, Jorge Jorge3, Robert Montés Micó4
PURPORSE: To evaluate the efficacy and safety results of excimer corneal surgery following posterior chamber phakic Implantable Collamer Lens (Bioptics) to treat hyperopia with astigmatism. SETTINGS: Fernández-Vega Ophthalmological Institute, Oviedo, Spain. METHODS: This cohort study included 62 eyes who underwent ICH V3 implantation followed by photorefractive keratectomy (PRK) and laser in situ keratomileusis (LASIK) to treat residual refractive errors (mainly astigmatism). Mean follow-up was 9.3±4.7 months after laser ablation (range 1 to 29 months). RESULTS: Preoperatively the average manifest refractive sphere (MRSE) was 5.73±1.79 diopters (D) (range 1.50 to 11.00) and manifest refractive cylinder (MRCYL) was -2.07±1.03 D (range -4.00 to 0.00). Following ICH implantation, the mean spherical equivalent (SE) was -0.07±0.09 D (range -2.88 to 0.75 D); after laser treatment the mean MRSE was -0.01±0.08 D (range -0.5 to 0.25) and MRCYL was -0.19±0.36 D (range -1.50 to 0.00). The mean UDVA was at least 20/25 in almost 70% of laser-treated eyes; over 90% of the eyes achieved UDVA of 20/32 or better. No eye lost ≥2 lines of preoperative CDVA and a loss of 2 lines of UDVA after laser treatment compared to the CDVA after ICH implantation was noted in 4 (6.5%) eyes. After bioptics all eyes were within ±1.00 D and 60 eyes (96.8%) within ±0.50 D of SE. CONCLUSIONS: Bioptics procedure combining posterior chamber phakic IOL implantation and corneal refractive surgery showed to be a safe procedure to treat hyperopia associated with astigmatism.
INTRODUCTION The improvements in excimer laser technology made hyperopic excimer refractive surgery a valuable option for 1 Fernández-Vega Ophthalmological Institute, Oviedo, Spain. 2 Surgery Department, School of Medicine, Universidad de Oviedo, hyperopia correction. However, despite the good visual and refractive outcomes of excimer laser photorefractive Spain. 3 Clinical & Experimental Optometry Research Lab; Center of keratectomy (PRK) and laser in situ Keratomileusis Physics, School of Sciences. Universidade do Minho. Braga. Portugal. (LASIK) treatments, they are more effective and stable 4 Optics Department, Faculty of Physics, Universidad de Valencia, for the correction of low degrees of hyperopia than high Spain. hyperopia1-7. Refractive regression8,9 and significant Acknowledgements and Disclosure: The authors have no proprietary increase in ocular and corneal aberrations10,11 have been interest in any of the materials mentioned in this article. This article reported. Submitted: Nov 30 2011 Accepted: Dec 21, 2011
was supported in part by a Ministerio de Ciencia e Innovación Research Grant to Robert Montés-Micó (#SAF2009- 13342#) and a grant from de Fundação para a Ciência e Tecnologia to Paulo Fernandes (#FCTSFRH-BD-34303-2007#). Address: José F. Alfonso MD, PhD, Instituto Oftalmológico Fernández-Vega, Avda. Dres. Fernández-Vega 114, 33012 (Oviedo), Spain. E-mail: j.alfonso@fernandez-vega.com
The Implantable Collamer Lens (Visian ICL; STAAR Surgical, Nidau, Switzerland) is a foldable phakic intraocular lens (pIOL) designed to be placed in the posterior chamber behind the iris with the haptic zone resting on the ciliary sulcus and has demonstrated to be