ISTANBUL escrs

Long term (10-Year) refractive alterations after small Incision phacoemulsification

Session Details

Session Title: Cataract 2
Session Date/Time: Saturday 21/02/2015 | 08:30-11:00
Paper Time: 10:45
Venue: Hall 1
First Author: : P.Papadopoulos GREECE
Co Author(s): :    D. Bessinis   A. Papadopoulos   C. Kakoulidis   A. Cernak     

Abstract Details

Purpose:

Since the introduction of phacoemulsification and the design of foldable IOLs which fit smaller and smaller incisions, refractive outcomes have become more predictable, transforming cataract surgery into a refractive procedure. The purpose of this retrospective study was to evaluate the stability of refractive changes of patients who underwent small incision phacoemulsification, ten years postoperatively.

Setting:

1-Ophthalmo-Check Eye Center of Athens, Greece 2-Ophthalmology Clinic, Slovak Medical University in Bratislava, Slovakia 3-Evaggelismos Hospital, Athens, Greece

Methods:

51 eyes of 38 patients who underwent uncomplicated small incision (<0;3mm) phacoemulsification between 1997 and 2004, 18 men and 20 women were examined postoperatively (post-op) and refraction was performed at 1 month, 1 year, 5 years and 10 years post-operatively. The spherical equivalent was calculated and data were analyzed with SPSS software V.20 for Windows (Chicago, IL) with the use of Repeated Measures Analysis Of Variance (Repeated measures ANOVA).

Results:

Statistical analysis revealed a myopic shift in the spherical equivalent through time (p<0,05).

Conclusions:

Ten years after uncomplicated small incision phacoemulsification, there seems to be a myopic shift of approximately 0,3D. The results of this study show the relative stability of the refractive status of the eye, even ten years after small incision surgery.

Financial Disclosure:

NONE

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