Utilize este identificador para referenciar este registo:
https://hdl.handle.net/1822/87280
Registo completo
Campo DC | Valor | Idioma |
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dc.contributor.author | Sánchez-Trancón, Angel | por |
dc.contributor.author | Baptista, António M. G. | por |
dc.contributor.author | Sierra, Oscar Torrado | por |
dc.contributor.author | Serra, Pedro Miguel | por |
dc.date.accessioned | 2023-11-21T15:58:58Z | - |
dc.date.issued | 2024-01 | - |
dc.identifier.citation | Sánchez-Trancón, Angel MD, PhD; Baptista, António Manuel PhD; Sierra, Oscar Torrado MD; Serra, Pedro Miguel PhD. Clinical management of a nonoptimal vault and unexpected postoperative refraction in a patient implanted with a phakic intraocular lens. JCRS Online Case Reports 12(1):p e00112, January 2024. | DOI: 10.1097/j.jcro.0000000000000112 | por |
dc.identifier.uri | https://hdl.handle.net/1822/87280 | - |
dc.description.abstract | Introduction: This case reports the management of a bilateral toric implantable collamer lens (ICL) surgery with low vaulting and unilateral reduction in visual acuity (VA) associated with a combined effect of surgically induced astigmatism (SIA) and toric-ICL rotation. This case expands the common management of toric-ICL rotation, by adding surgically induced corneal changes. Patient and Clinical Findings: The patient presented with moderate myopia and high astigmatism and was implanted with a toric-ICL, resulting in bilateral low vault <150 mm and unilateral VA reduction (20/40) because of postoperative oblique astigmatism, observed at the 4-week follow-up. Diagnosis, Intervention and Outcomes: The lowICL vaulting was associated with a high crystalline lens rise and underestimation of the sulcus-to-sulcus distance. The VA reduction resulted from a combined effect of ∼1.0 diopter SIA and 8-degree ICL rotation. The authors associate the high SIA to abnormal corneal biomechanics indexes and the toric-ICL rotation to a lack of stability resultant from a small ICL size. The left eye toric-ICL has exchanged with one with larger size and the power recalculated using vectorial analysis. The toric ICL exchange increased the vault 75 mm and improved VA. Conclusions: Detailed anterior chamber morphometry and corneal biomechanics may assist in improving the refractive outcome in toric-ICL surgery. | por |
dc.description.sponsorship | (undefined) | por |
dc.language.iso | eng | por |
dc.publisher | Wolters Kluwer Health | por |
dc.rights | closedAccess | por |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/4.0/ | por |
dc.subject | Toric Implantable Collamer Lens | por |
dc.subject | ICL | por |
dc.title | Clinical management of a nonoptimal vault and unexpected postoperative refraction in a patient implanted with a phakic intraocular lens | por |
dc.type | article | por |
dc.peerreviewed | yes | por |
dc.relation.publisherversion | https://journals.lww.com/jcro/fulltext/2024/01000/clinical_management_of_a_nonoptimal_vault_and.5.aspx | por |
oaire.citationStartPage | 1 | por |
oaire.citationEndPage | 5 | por |
oaire.citationIssue | 1 | por |
oaire.citationVolume | 12 | por |
dc.identifier.eissn | 2214-1677 | por |
dc.identifier.doi | 10.1097/j.jcro.0000000000000112 | por |
dc.date.embargo | 10000-01-01 | - |
dc.subject.fos | Ciências Médicas::Ciências da Saúde | por |
sdum.journal | JCRS Online Case Reports | por |
oaire.version | VoR | por |
dc.subject.ods | Saúde de qualidade | por |
Aparece nas coleções: | CDF - OCV - Artigos/Papers (with refereeing) |
Ficheiros deste registo:
Ficheiro | Descrição | Tamanho | Formato | |
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clinical_management_of_a_nonoptimal_vault_and.5.pdf Acesso restrito! | 408,13 kB | Adobe PDF | Ver/Abrir |
Este trabalho está licenciado sob uma Licença Creative Commons