Factores de riesgo asociados al error refractivo residual tras cirugía de catarata en práctica clínica. Estudio observacional retrospectivo

  1. G. Garay-Aramburu 134
  2. R. Bergado-Mijangos 2
  3. R. Irizar-Amilleta 2
  4. B. Saez-Espejo 2
  5. L. Serrano-Zurbitu 2
  6. J. Arakama-Alustiza 2
  7. M. Gutiérrez-Soto 2
  8. M.E. Ojanguren-Zugazaga 2
  9. L. Areitio-Garcia 2
  10. A. Molpeceres-Uriszar 2
  1. 1 Servicio de Oftalmología, OSI Bilbao-Basurto, Bilbao, Bizkaia, España
  2. 2 Unidad de Gestión Clínica de Oftalmología de la OSI Araba, Vitoria-Gasteiz, Álava, España
  3. 3 Universidad del País Vasco/Euskal Herriko Unibertsitatea
    info

    Universidad del País Vasco/Euskal Herriko Unibertsitatea

    Lejona, España

    ROR https://ror.org/000xsnr85

  4. 4 Instituto de Investigación Sanitaria Biobizkaia
    info

    Instituto de Investigación Sanitaria Biobizkaia

    Barakaldo, España

    ROR https://ror.org/0061s4v88

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Journal:
Archivos de la Sociedad Española de Oftalmologia

ISSN: 0365-6691

Year of publication: 2022

Volume: 97

Issue: 3

Pages: 140-148

Type: Article

DOI: 10.1016/J.OFTAL.2021.03.003 DIALNET GOOGLE SCHOLAR

More publications in: Archivos de la Sociedad Española de Oftalmologia

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Abstract

Objectives To describe the preoperative characteristics of patients undergoing cataract surgery in our hospital, to determine the final visual and refractive results and to determine the preoperative characteristics that conditioned the presence of a residual refractive error (RRE) greater than one diopter. Methods Retrospective analysis of cataract surgeries performed at Araba University Hospital between February 2017 and December 2019. Sociodemographic, eye comorbidity, biometric, surgical and post-surgical characteristics were collected. Results A total of 1,419 patients and 1,578 surgeries were included for analysis. Of these, 9.07% had preoperative legal blindness, 31.69% eye comorbidity and 4.18% had previous surgery. Overall, 95.82% of patients achieved a corrected final visual acuity (VA) ≥ 0.5 Snellen decimal and 63.12% ≥ 1, and 96.70% of patients improved VA after surgery. RRE was between ± 0.5 diopters in 77.82% of patients and between ± 1 diopter in 94.74%. The most prominent risk factors that conditioned the presence of RRE greater than 1 diopter were the use of ultrasonic contact biometer, a history of glaucoma surgery, the presence of white or hard cataract, and prior legal blindness. Conclusions The visual results of cataract surgery were excellent, with 63.12% of patients obtaining corrected VA ≥ 1 and an RRE of ± 1 diopter in 94.74%. Different risk factors influenced the achievement of poor refractive outcomes: preoperative conditions (previous surgeries, white/hard cataract, previous VA) and biometrics.

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Funding information

Los autores quieren agradecer a los cirujanos que realizaron las intervenciones analizadas en este estudio (Itziar Ozaeta, Cristian Dalmasso, J.M. Landaluze, Beatriz Mac?as, M. Teresa Abelaira, ?ngela G?mez, Pio Garc?a, Jes?s Garrido, Maialen Aldazabal, Irene P?rez-Landaluce, Zuri?e del Barrio, David Rodr?guez, Marta Urbano, Andoni Junquera, Daniel Coello, Ricardo Cocco, Irene Herrero, Aritz Urcola, Arantza Larrauri, Enrique D?az de Durana, Hugo Gonz?lez, Bego?a Ortiz de Landaluce, Aitor Eiras, Tomas Yunes, Jon Federio y Teresa de la Fuente), y a todo el personal de la Unidad de Gesti?n Cl?nica de Oftalmolog?a de la OSI Araba.

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