Management of Extreme Ametropia after Penetrating Keratoplasty: A Series of Surgical Procedures for High Myopia and Astigmatism
Autor: | Alejandro Tamez-Peña, Juan F. Lozano-Ramírez, Jorge E. Valdez-García, Juan J Cueto-Gómez |
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Jazyk: | angličtina |
Rok vydání: | 2014 |
Předmět: |
medicine.medical_specialty
Visual acuity Published online: August 2014 Thin cornea genetic structures medicine.medical_treatment Intraocular lens Astigmatism Ametropia lcsh:Ophthalmology Refractive surgery Ophthalmology medicine Myopia business.industry High myopia Surgical procedures medicine.disease eye diseases Surgery Left eye lcsh:RE1-994 Keratoplasty sense organs medicine.symptom business |
Zdroj: | Case Reports in Ophthalmology Case Reports in Ophthalmology, Vol 5, Iss 2, Pp 255-261 (2014) |
ISSN: | 1663-2699 |
Popis: | A series of surgical interventions - relaxing corneal incisions, intraocular lens, and intrastromal rings - were used to correct a case of extreme ametropia in a thin cornea after a penetrating keratoplasty in an 18-year-old patient who presented with a -10.25 -8.50 × 120 preoperative refraction and 20/200 best-corrected visual acuity (BCVA). After a series of surgical procedures, the patient's BCVA in his left eye improved to 20/30 with +0.50 -1.00 × 170, the slit lamp examination showed no significant findings, and the patient's visual complaints disappeared. At the 1-year follow-up, the BCVA was 20/25, without visual complaints. The process of individualizing the surgical procedure in the present case was employed in an outcome-based approach, that is, the next surgical procedure was defined after the surgery and postoperative evaluation. The patient did not present complications during the follow-up period of 2.5 years. |
Databáze: | OpenAIRE |
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