J L Alió Sanz | PubMed Health

PubMed2001

[Retinal detachment surgery after refractive surgery].

PURPOSE: To analyze the characteristics of retinal detachments (RD) in myopic patients who underwent different kinds of refractive surgery (RS). Modifications in patient eyes deriving from RS and how it hindered surgery for treating RD, was also studied. MATERIAL AND METHODS: 14 (6 female/8 male) patients with RD after having been treated with RS (laser assisted in situ keratomileusis (LASIK), photorefractive keratectomy (PRK), radial keratotomy (RK) and phakic anterior chamber lenses). RD was treated by scleral surgery and in two cases by vitrectomy after first RD surgery. RESULTS: 12 RD cases showed slight modification over previous refraction. In 2 cases vitrectomy was necessary since proliferative vitreoretinopathy was evidenced. The appearance of RD cases did not increase after PRK, RK or LASIK. RS did not hinder RD surgery. RD appearance in patients with anterior chamber lenses was higher, with severe difficulty in peripheral exploration and in performing RD surgery. CONCLUSION: After PRK, RK and LASIK, RD surgery does not show more difficulty, while after anterior chamber intraocular lenses implantation there is an increased difficulty for RD surgery.

Adult↗

PubMed1998

Astigmatism induced by intrastromal corneal suture after small incision phacoemulsification.

PURPOSE: To evaluate the course of astigmatic evolution and complications after clear corneal incisions using an intrastromal corneal suture. SETTING: Instituto Oftalmologico de Alicante, University of Alicante, Spain. METHODS: Eighty eyes of 62 patients had endocapsular phacoemulsification. A foldable intraocular lens was implanted through a 4.0 mm clear corneal incision. A 10-0 nylon intrastromal corneal suture was used in all eyes. Change sin corneal astigmatism were calculated by vector analysis; follow-up was 6 months. Early and late suture-related complications were also evaluated. RESULTS: Mean induced cylinder was 1.25 diopters (D) +/- 1.24 (SD) with the wound 1 day postoperatively and 0.19 +/- 0.81 D against the wound at 6 months. There were no incision- or suture-related complications postoperatively. CONCLUSION: Use of the intrastromal corneal suture led to astigmatically neutral closure of multiplanar corneal incisions.

Acrylates↗