Official ESCRS | European Society of Cataract & Refractive Surgeons

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


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.


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


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).


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


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.

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