Leal-Rodriguez R, Ossma-Gómez IL, Ruiz-Esmenjaud S

Language: Spanish
References: 11
Page: 298-302
PDF size: 278.97 Kb.

ABSTRACT

Purpose: To evaluate limbal relaxing incisions as an alternative in the management of astigmatism associated with cataract in patients undergoing phacoemulsification performed by a surgeon training in both techniques.
Materials and methods: Limbal relaxing incisions and phacoemulsification were performed in 26 eyes of patients with cataract and astigmatism over 2.0 D. Astigmatic change was analyzed using vector analysis with the Holladay-Cravy- Koch method and the results compared with a group of 28 eyes undergoing only phacoemulsification.
Results: Mean postoperative follow-up was 3.32±0.81 and 4.56±1.67 months in the relaxing incisions and control group respectively. Astigmatic change one month postoperatively was 2.28±0.61 D and 0.79±0.17 D in the limbal relaxing and control groups respectively (p‹0.0001). Postoperative uncorrected visual acuity was 20/40 or better in 68.4% of eyes with limbal relaxing incisions and in 35.7% of eyes in the control group.
Conclusions: Limbal relaxing incisions are effective for the correction of astigmatism over 2.0 D in patients undergoing phacoemulsification. Nevertheless, a longer follow up is required to establish the long-term stability of the achieved correction.

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