Posters

Effect of endocyclophotocoagulation on the refractive result of patients undergoing surgery of phacoemulsification with intraocular lens implant

Poster Details

First Author: J.Romo-Aguas MEXICO

Co Author(s):    Y. Azses-Halabe   J. Gamiochipi-Arjona   R. González-Salinas   N. Davila-Avila   A. Sarabia-Jauregui   J. Jimenez-Roman     

Abstract Details

Purpose:

Demonstrate the existence of spherical equivalent variation after 3 months of surgery, in patients with glaucoma, who underwent phacoemulsification and intraocular lens implantation plus endocyclophotocoagulation, in comparison with phacoemulsification and intraocular lens implantation only

Setting:

Asociacion Para Evitar la Ceguera en Mexico, I.A.P., Glaucoma department

Methods:

Retrospective case and control study. For case patients, we revised all the charts from January 2015 to May 2019 of patients who underwent phacoemulsification and intraocular lens implantation plus endocyclophotocoagulation and fulfill the inclusion criteria. The control patients included underwent phacoemulsification with intraocular lens implantation with no complications during the surgery and were diagnosed with any type o glaucoma. From each chart included, we obtain demographic data, glaucoma type, preoperative refraction, intraocular lens (IOL) calculation sheet, IOL power, and postoperative refraction after 3 months. Student´s t-test was used to compare spherical equivalent preoperative vs 3 months after the surgery.

Results:

Ninety-eight eyes of 98 patients were included in combined surgery and 88 patients in the control group. The variables in each group were age 74 years vs 75 years, 60 % vs 69 % of female, spherical equivalent (SE) preoperative -0.84 ± 2.63 diopters (D) vs -0.86 ± 3.61 D. The calculated SE was 0.22±0.22 D vs -0.29±0.16 D and after 3 months the real SE was -0.26±0.39 (P= 0.424) vs -0.23±0.36 (P= 0.144).

Conclusions:

Patients undergoing phacoemulsification surgery with intraocular lens and Endocyclophotocoagulation by anterior approach had a slight tendency to myopization in post-surgical refraction, which was neither clinical nor statistically significant. However, this supports the theory that this cyclodestructive procedure could have some impact on the effective position of the lens.

Financial Disclosure:

None