Autores:
I. Prieto, J. Cabral, B. Feijóo, M. Ferreira, A. Souza e Silva, F.E. Esperancinha
Resumo:
Purpose: Describe the surgical options in cases of undesirable post operative refraction and negative performance of the intraocular lens after cataract surgery.
Methods: We report seven cases of unhappy patients with the result of cataract surgery carried through between 1 month and 1 year before submit to the surgical repair. Four cases present anisometropia with undesirable postoperative refraction, two cases present spherical aberrations with monofocal IOL and one with multifocal IOL complain with glare and blur vision. Except one the cases that presents an angle fixated anterior chamber IOL, the others have an uneventful cataract surgery and a well centered in the bag posterior chamber IOL. Different approaches were performing with exchange in four cases and a second implant in three cases.
Results: There were no surgical and postsurgical complications. All the cases obtain a good optical visual quality and a satisfactory post operative refraction.
Conclusions: The higher patient expectations in terms of the refractive outcome after cataract surgery increase the cases of an unsatisfied patient. Sometimes is difficult to decide to exchange or not exchange the intraocular lens. Nevertheless, different surgical options can provide a good result with a minimal risk.
Apresentado:
no XXIV Congress of the European Society of Cataract and Refractive Surgeons, em Londres, Setembro de 2006