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NR 7-9/2007
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Operacja zaćmy z
mikrocięcia rogówki z jednoczesnym wszczepem soczewki Acri.Smart
48S
Microincision cataract
surgery with implantation of an Acri.Smart 48S lens
Wojciech Lubiński, Karolina
Podborączyńska-Jodko, Krzysztof Barnyk, Danuta Karczewicz
Z Katedry i Kliniki Okulistyki Pomorskiej Akademii Medycznej w
Szczecinie
Kierownik: prof. dr hab. n. med. Danuta Karczewicz |
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| Summary: |
Purpose: To
evaluate visual and refractive outcome and complications
after microincision cataract surgery (MICS) with
implantation of an Acri.Smart 48S intraocular lens (IOL).
Material and methods: This study comprised 22
eyes of 11 patients having bilateral microincision
cataract surgery. MICS was performed through a 1.4 mm
clear corneal incision using the MacKool System and low
ultrasound power. The IOL was implanted through a 1.7 or
smaller clear corneal incision with a Acri.Smart Glide
System. The final size of the clear corneal incision,
postoperative uncorrected and best corrected distance
visual acuity, best corrected near visual acuity (Snellen,
Jaeger Table), astigmatism, pseudoaccommodation
possibility of Acri.Smart 48S IOL, complications and
patient satisfaction were analyzed. The follow up was 1
month.
Results: The Acri.Smart 48S lens was implanted
through mean incision of 1.56 ± 0.07 mm. One month after
surgery the mean uncorrected distance visual acuity (UCVA)
and the best corrected visual acuity (BCVA)
significantly improved (UCVA: preoperatively – 0.49 ±
0.33; postoperatively – 0.97 ± 0.11; p <0.001; BCVA:
preoperatively 0.68 ± 0.3; postoperatively – 1.0; p<
0.001) as well as BCVA for near (BCVA: preoperatively –
5.27 ± 3.30; postoperatively – 2.91 ± 1.48; p=0.002).
One month after surgery, there was not significant
increase of astigmatism and the pseudoaccommodative
ability of Acri.Smart 48S was not observed. There were
no serious intraoperative and postoperative
complications. All the patients were highly satisfied
with the quality of the vision.
Conclusions: Our preliminary results show that
MICS with Acri.Smart 48S lens implantation is safe and
effective procedure. This conclusion has to be confirmed
by studies with longer follow up period and larger
series of patients. |
| Słowa kluczowe: |
chirurgia zaćmy z
mikrocięcia, wszczepienie soczewek Acri.Smart 48S. |
| Key words: |
microincision cataract
surgery, Acri.Smart 48S IOL implantation. |
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