[Refractive lensectomy--long-term results].
OBJECTIVE
To retrospectively evaluate postoperative outcomes and intraoperative and postoperative complications of clear lens extraction (CLE) with posterior chamber intraocular lens (IOL) implantation for high refractive errors.


METHODS
Sixty five (65) patients (129 eyes) who had undergone CLE with posterior chamber IOL implantation from 6/1999-6/2001. We chosen this method for all patients after exclusion of other methods of refractive surgery. The mean follow-up in all patients was 23,2 months (range 24 to 36 months). Eyes were divided into group A (myopia) with 13 patients (5 men, 8 women), average age 44.76 years (range 25 to 66 years) and group B (hyperopia) with 52 patients (24 men, 28 women), average age 49.47 years (range 27 to 64 years).


RESULTS
Group A. The mean preoperative spherical equivalent refraction was -11.05 +/- 3.56 Dsf (range -15.5 Dsf do -3.5 Dsf), the mean postoperative spherical equivalent refraction was -1.17 +/- 1.04 Dsf (range -2.75 Dsf do 0 Dsf). The mean preoperative uncorrected visual acuity (UCVA) (decimal equivalent) was 0.02 +/- 0.009, the mean postoperative UCVA was 0.34 +/- 0.26. The mean preoperative best-corrected visual acuity BCVA was 0.57 +/- 0.32, the mean postoperative BCVA 0.65 +/- 0.24. Group B. The mean preoperative spherical equivalent refrection was +5.36 +/- 2.21 Dsf (range +2.00 Dsf to +13.0 Dsf). The mean postoperative spherical equivalent refraction was +0,0 7 +/- 0.89 Dsf (range -1,5 Dsf do + 4.5 Dsf). The mean preoperative uncorrected visual acuity (UCVA) was 0.13 +/- 0.12, the mean postoperative UCVA was 0.53 +/- 0.23. The mean preoperative best-corrected visual acuity BCVA was 0.76 +/- 0.28, the mean postoperative BCVA 0.69 +/- 0.27. No significant complications were observed.


CONCLUSIONS
Refractive lensectomy with posterior chamber IOL implantation is safe, predictable, and effective. RL can achieve excellent visual acuity and refractive outcome with few complications.
Dúbravská
Z
Z
Ocni klinika LF UK a FN, Hradec Králové. dubrazla@fnhk.cz
Rozsíval
P
P
D000328:Adult; D005260:Female; D006801:Humans; D019654:Lens Implantation, Intraocular; D007908:Lens, Crystalline / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D054140:Refractive Surgical Procedures