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Predictability of refraction following immediate sequential bilateral cataract surgery(ISBCS)performed under general anaesthesia

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Eye and Vision 2015年第1期2卷 117-123页

作者： Ivo Guber Laurent Rémont Ciara Bergin Jules Gonin Eye Hospital Foundation Asile des AveuglesUniversity of LausanneAvenue de France 151000 Lausanne 7VaudSwitzerland Department of Ophthalmology Kantonsspital WinterthurZürichSwitzerland Department of Ophthalmology CHU of LiègeUniversity of LiègeLiègeBelgium

Background:To evaluate the predictability of refraction following immediate sequential bilateral cataract surgery(ISBCS)performed under general ***:This is a retrospective review of all ISBCS performed at Kantonsspital Winterthur,Switzerland,between April 2000 and September *** case notes of 250 patients were *** having full refraction reported(110 patients/220 eyes)were included.210(95%)eyes had a straight forward phacoemulsification with posterior chamber intraocular lens implantation,seven eyes had a planned extracapsular cataract extraction(ECCE);three eyes had an intracapsular cataract ***:Both eyes of 110 patients(64 women,46 men)with a mean age of 79.0 years,standard deviation(SD)±11.4(range 26 to 97 years)were *** preoperative best corrected visual acuity(BCVA)was 0.5 LogMAR in the first eye,the interquartile range(IQR)was[0.4,1.2];0.7 LogMAR in the second eye with IQR[0.4,1.8].At one month,the median BCVA was 0.2 LogMAR,IQR[0.1,0.3]in the first eye,median BCVA was 0.1 LogMAR and IQR[0.0,0.5]in the second *** were 3 eyes(3%)that lost 3 lines or more in BCVA at one month(control ***-operatively).In all three cases,poor visual acuity had been recorded pre-operatively(>1 LogMAR).Achieved refraction was within±1.0 D of the target in 83%of *** were only 5%(n=6)of cases where if delayed sequential bilateral extraction had been performed could potentially intraocular lens(IOL)choice have been adjusted,in four of these cases,target refraction was within±1.0 D in the second ***:ISBCS performed under general anaesthesia achieves target refraction in 83%of eyes after consideration of complications,ocular co-morbidities and systemic *** the majority of cases where IOL power calculation could be considered,the achieved refraction of the second surgical eye was within±1.0 D of intended *** undermines the utility of IOL power adjustments in the second surgical

关键词： cataract cataract surgery immediate sequential bilateral cataract surgery

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