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Volume 32, Issue 9, Pages 1445-1451 (September 2006)


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Conductive keratoplasty to correct residual hyperopia after cataract surgery

Pascual J. Claramonte, MD, PhD, Jorge L. Alió, MD, PhDCorresponding Author Informationemail address, Mohamed I. Ramzy, MD

Accepted 11 April 2006.

Purpose

To evaluate the efficacy, predictability, safety, and stability of conductive keratoplasty (CK) for correcting residual hyperopia after cataract surgery with intraocular lens implantation.

Setting

Vissum-Instituto Oftalmologico de Alicante, Alicante, and Vissum-Instituto de Albacete, Albacete, Spain.

Methods

Sixteen eyes of 16 patients had CK for the correction of residual hyperopia after cataract surgery. The CK was performed with the CK View Point Refractec (RCS-200, Refractec, Inc.). The follow-up was 12 months.

Results

One year after CK, 10 eyes (62.5%) achieved an uncorrected visual acuity (UCVA) of 0.50 or better. The mean UCVA was 0.50 ± 0.21 (SD), and the mean best spectacle-corrected visual acuity (BSCVA) was 0.68 ± 0.24. One eye lost 1 line of BSCVA, and none lost 2 or more lines. The mean spherical equivalent refraction was +0.39 ± 0.84 D 1 year after CK. No vision-threatening complications occurred.

Conclusions

One-year data show that CK for the correction of low to moderate hyperopia after cataract surgery was safe, stable, relatively predictable, and efficient. No complications occurred when CK was performed after phacoemulsification.

From the Instituto Oftalmológico de Alicante & Albacete–Vissum, Refractive Surgery and Cornea Department (Claramonte, Alió), Miguel Hernández University, Medical School, Alicante, Spain, and the Research Institute of Ophthalmology (Ramzy), Cairo, Egypt

Corresponding Author InformationCorresponding author: Jorge L. Alió, MD, PhD, Vissum-Instituto Oftalmológico de Alicante, Avenida Denia s/n, Edificio Vissum, 03016 Alicante, Spain.

 Supported in part by the Spanish Ministry of Health, Instituto de Salud Carlos III, Red Temática de Investigación Cooperativa en Oftalmología (ref C 03/13) Subproyecto Cirugía Refractiva y Calidad Visual and in part by a grant from the Spanish Generalitat Valenciana, ref: Grupos 05/036 Grants and Support for scientific research and technological development in the Comunidad Valenciana for the year 2005.

No author has a financial or proprietary interest in any material or method mentioned.

PII: S0886-3350(06)00661-4

doi:10.1016/j.jcrs.2006.04.013


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