array:23 [ "pii" => "S2173579417300610" "issn" => "21735794" "doi" => "10.1016/j.oftale.2017.03.005" "estado" => "S300" "fechaPublicacion" => "2017-05-01" "aid" => "1114" "copyright" => "Sociedad Española de Oftalmología" "copyrightAnyo" => "2016" "documento" => "article" "crossmark" => 1 "subdocumento" => "fla" "cita" => "Arch Soc Esp Oftalmol. 2017;92:233-6" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 48 "formatos" => array:3 [ "EPUB" => 1 "HTML" => 42 "PDF" => 5 ] ] "itemSiguiente" => array:19 [ "pii" => "S2173579417300609" "issn" => "21735794" "doi" => "10.1016/j.oftale.2017.03.004" "estado" => "S300" "fechaPublicacion" => "2017-05-01" "aid" => "1105" "copyright" => "Sociedad Española de Oftalmología" "documento" => "article" "crossmark" => 1 "subdocumento" => "fla" "cita" => "Arch Soc Esp Oftalmol. 2017;92:237-40" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 30 "formatos" => array:3 [ "EPUB" => 1 "HTML" => 23 "PDF" => 6 ] ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Short communication</span>" "titulo" => "Fuchs’ dystrophy associated with radial keratotomy: Lamellar or perforating keratoplasty?" "tienePdf" => "en" "tieneTextoCompleto" => "en" "tieneResumen" => array:2 [ 0 => "en" 1 => "es" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "237" "paginaFinal" => "240" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Distrofia de Fuchs asociada a queratotomía radial: ¿queratoplastia penetrante o lamelar?" ] ] "contieneResumen" => array:2 [ "en" => true "es" => true ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0010" "etiqueta" => "Fig. 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 2250 "Ancho" => 2927 "Tamanyo" => 1497676 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Pentacam<span class="elsevierStyleSup">®</span> 2013 RE (A), LE (B) and 2016 RE (C), LE (D). Oblate pattern with slight the centering in BE and increased pachymetry, 2013. In 2016, central pachymetry diminished 197<span class="elsevierStyleHsp" style=""></span>μm in BE producing changes in pattern arrangement, but K values and astigmatism remained similar (Mean K, RE: 2013 38.8<span class="elsevierStyleHsp" style=""></span>D/2016 38<span class="elsevierStyleHsp" style=""></span>D; LE: 2013 35.7<span class="elsevierStyleHsp" style=""></span>D/2016 36.6<span class="elsevierStyleHsp" style=""></span>D). Anterior and posterior surface are elevated due to the RK configuration, not to ectasia.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "P. Rodriguez-Ausin, D. Antolin-Garcia, L. Santamaria Garcia, A.-B. Blazquez-Fernandez" "autores" => array:4 [ 0 => array:2 [ "nombre" => "P." "apellidos" => "Rodriguez-Ausin" ] 1 => array:2 [ "nombre" => "D." "apellidos" => "Antolin-Garcia" ] 2 => array:2 [ "nombre" => "L." "apellidos" => "Santamaria Garcia" ] 3 => array:2 [ "nombre" => "A.-B." "apellidos" => "Blazquez-Fernandez" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0365669116302210" "doi" => "10.1016/j.oftal.2016.10.018" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0365669116302210?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173579417300609?idApp=UINPBA00004N" "url" => "/21735794/0000009200000005/v1_201704260025/S2173579417300609/v1_201704260025/en/main.assets" ] "itemAnterior" => array:19 [ "pii" => "S2173579417300622" "issn" => "21735794" "doi" => "10.1016/j.oftale.2017.03.006" "estado" => "S300" "fechaPublicacion" => "2017-05-01" "aid" => "1140" "copyright" => "Sociedad Española de Oftalmología" "documento" => "article" "crossmark" => 1 "subdocumento" => "ssu" "cita" => "Arch Soc Esp Oftalmol. 2017;92:225-32" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 48 "formatos" => array:2 [ "HTML" => 34 "PDF" => 14 ] ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Review</span>" "titulo" => "The visual system of diurnal raptors: Updated review" "tienePdf" => "en" "tieneTextoCompleto" => "en" "tieneResumen" => array:2 [ 0 => "en" 1 => "es" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "225" "paginaFinal" => "232" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "El sistema visual de las rapaces diurnas: revisión actualizada" ] ] "contieneResumen" => array:2 [ "en" => true "es" => true ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0030" "etiqueta" => "Fig. 6" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr6.jpeg" "Alto" => 2816 "Ancho" => 1296 "Tamanyo" => 595466 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0070" class="elsevierStyleSimplePara elsevierViewall">Nictitating membrane in common kestrel (<span class="elsevierStyleItalic">Falco tinnunculus</span>)<span class="elsevierStyleItalic">.</span> The presence of a gland that produces a viscous secretion protecting the eye from desiccation during rapid dives has been described in some hawks.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "J. González-Martín-Moro, J.L. Hernández-Verdejo, A. Clement-Corral" "autores" => array:3 [ 0 => array:2 [ "nombre" => "J." "apellidos" => "González-Martín-Moro" ] 1 => array:2 [ "nombre" => "J.L." "apellidos" => "Hernández-Verdejo" ] 2 => array:2 [ "nombre" => "A." "apellidos" => "Clement-Corral" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0365669117300151" "doi" => "10.1016/j.oftal.2016.11.019" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0365669117300151?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173579417300622?idApp=UINPBA00004N" "url" => "/21735794/0000009200000005/v1_201704260025/S2173579417300622/v1_201704260025/en/main.assets" ] "en" => array:20 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Short communication</span>" "titulo" => "Implantable collamer lens for correction of ametropia in eyes with corneal scarring" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "233" "paginaFinal" => "236" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "A.I. Ruiz-Rizaldos, J. Baviera-Sabater, J. Ortega-Usobiaga" "autores" => array:3 [ 0 => array:4 [ "nombre" => "A.I." "apellidos" => "Ruiz-Rizaldos" "email" => array:1 [ 0 => "aruiz@clinicabaviera.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "J." "apellidos" => "Baviera-Sabater" ] 2 => array:2 [ "nombre" => "J." "apellidos" => "Ortega-Usobiaga" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Clínica Baviera, Instituto Oftalmológico Europeo, Zaragoza, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "<span class="elsevierStyleItalic">Corresponding author</span>." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Implantación de lente fáquica para corrección de miopía en pacientes con leucoma corneal" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0010" "etiqueta" => "Fig. 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 690 "Ancho" => 827 "Tamanyo" => 98407 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Scar; patient 1.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0045">Introduction</span><p id="par0005" class="elsevierStylePara elsevierViewall">In the past few decades, laser in situ keratomileusis has been utilized to safely and efficiently correct refractive defects. Other described and currently in use techniques are refractive lensectomy and phakic lens implant (ICL). The use of refractive lensectomy in myopic patients is controversial due to the risk of retina detachment, which is higher in patients under 50 years of age.</p><p id="par0010" class="elsevierStylePara elsevierViewall">The Visian Staar lens, Visian Intraocular Collamer Lens<span class="elsevierStyleSup">®</span> (ICL, Staar Surgical Co., Monrovia, CA, United States) comprises a porcine collagen copolymer and HEMA, collamer. The power is calculated considering refraction and anterior chamber depth (ACD). The diameter is based on the white–white measure. The superiority of this lens has been verified in what concerns visual results, safety and effectiveness in the treatment of high and moderate ametropia.</p><p id="par0015" class="elsevierStylePara elsevierViewall">To date, one case has been reported involving treatment of refractive errors in eyes with corneal scar.</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0050">Clinic case reports</span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0055">Case 1</span><p id="par0020" class="elsevierStylePara elsevierViewall">In 2010, a 48-year-old male visited the practice of the authors requesting surgery. Manifest RE refraction was −5; −0.75<span class="elsevierStyleHsp" style=""></span>×<span class="elsevierStyleHsp" style=""></span>100° with a visual acuity of 1 and in LE −7.75; −4<span class="elsevierStyleHsp" style=""></span>×<span class="elsevierStyleHsp" style=""></span>160° reaching 0.3. Corneal topography (Orbscan II version 3.0 Orbtek Inc., Bausch & Lomb, Munich, Germany) showed irregular astigmatism in LE (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0025" class="elsevierStylePara elsevierViewall">The RE anterior segment was normal. LE under slit lamp showed linear scar in superotemporal to inferonasal direction, involving the central cornea, from the epithelium up to Descemet (<a class="elsevierStyleCrossRefs" href="#fig0010">Figs. 2 and 3</a>). In LE, ACD (Alcon OcuScan RxP Ophthamic Ultrasound System, Fort Worth, TX, United States) was 3.32<span class="elsevierStyleHsp" style=""></span>mm, Km of 49.5 (−4.75<span class="elsevierStyleHsp" style=""></span>×<span class="elsevierStyleHsp" style=""></span>160°), endothelial cell count (ECC) measured with contact-free mirror microscope (SP-2000P, Topcon, Japan) was 2975<span class="elsevierStyleHsp" style=""></span>cells/mm<span class="elsevierStyleSup">3</span>; corneal thickness was 595<span class="elsevierStyleHsp" style=""></span>μm (Alcon OcuScan RxP Ophthamic Ultrasound System, Fort Worth, TX, United States), white–white was 11.4<span class="elsevierStyleHsp" style=""></span>mm (Orbscan II version 3.0 Orbtek Inc., Bausch & Lomb, Munich, Germany). Laser in situ keratomileusis was indicated for the RE and ICL in LE to avoid anisometropia, warning the patient about the visual prognosis for the LE.</p><elsevierMultimedia ident="fig0010"></elsevierMultimedia><elsevierMultimedia ident="fig0015"></elsevierMultimedia><p id="par0030" class="elsevierStylePara elsevierViewall">After obtaining the informed consent, laser in situ keratomileusis was performed in RE (<span class="elsevierStyleItalic">Moria</span> LSK-<span class="elsevierStyleItalic">One</span>; <span class="elsevierStyleItalic">Moria</span>, Anthony, France, and Technolas Keracor 217C Bausch & Lomb, Claremont, CA, United States) and ICL, model V4b, in LE.</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0060">Case 2</span><p id="par0035" class="elsevierStylePara elsevierViewall">Male, 32, who visited the practice in 2014. Corrected visual acuity in RE was 0.25−8.75; −1.25<span class="elsevierStyleHsp" style=""></span>×<span class="elsevierStyleHsp" style=""></span>8°) and 1 in LE (−7.75; −0.75<span class="elsevierStyleHsp" style=""></span>×<span class="elsevierStyleHsp" style=""></span>157°). Corneal topography exhibited irregular astigmatism in RE (<a class="elsevierStyleCrossRef" href="#fig0020">Fig. 4</a>) and normality in LE. Corneal thickness was 441<span class="elsevierStyleHsp" style=""></span>μm and 480<span class="elsevierStyleHsp" style=""></span>μm respectively. Slit lamp revealed superoinferior central scar in RE, from the epithelium to the posterior stroma. LE was normal, ACD was 3.39<span class="elsevierStyleHsp" style=""></span>mm and 3.57<span class="elsevierStyleHsp" style=""></span>mm respectively. ECC was 2803<span class="elsevierStyleHsp" style=""></span>cells/mm<span class="elsevierStyleSup">3</span> and 2500<span class="elsevierStyleHsp" style=""></span>cells/mm<span class="elsevierStyleSup">3</span> respectively. White–white (ZEISS IOLMaster<span class="elsevierStyleSup">®</span> 500) was 12.2<span class="elsevierStyleHsp" style=""></span>mm and 11.8<span class="elsevierStyleHsp" style=""></span>mm respectively.</p><elsevierMultimedia ident="fig0020"></elsevierMultimedia><p id="par0040" class="elsevierStylePara elsevierViewall">After obtaining informed consent, ICL (ICL V4c) was implanted in both eyes.</p><p id="par0045" class="elsevierStylePara elsevierViewall">In 2015, the first patient exhibited uncorrected visual acuity of 1 in RE and 0.3 in LE. The ECC evolution was: 3000<span class="elsevierStyleHsp" style=""></span>cells/mm<span class="elsevierStyleSup">3</span> in 2010; 2552<span class="elsevierStyleHsp" style=""></span>cells/mm<span class="elsevierStyleSup">3</span> in 2012 and 2627<span class="elsevierStyleHsp" style=""></span>cells/mm<span class="elsevierStyleSup">3</span> in 2015. ICL is accented with a vault of 363<span class="elsevierStyleHsp" style=""></span>μm.</p><p id="par0050" class="elsevierStylePara elsevierViewall">In the second patient, 4 months after the intervention uncorrected visual acuity was 0.25 in RE and 1 in LE. ECC in RE was 2785<span class="elsevierStyleHsp" style=""></span>cells/mm<span class="elsevierStyleSup">3</span> and vault 500<span class="elsevierStyleHsp" style=""></span>μm (<a class="elsevierStyleCrossRef" href="#fig0025">Fig. 5</a>).</p><elsevierMultimedia ident="fig0025"></elsevierMultimedia></span></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0065">Discussion</span><p id="par0055" class="elsevierStylePara elsevierViewall">Phakic intraocular lenses are an option for correcting ametropia in patients who are not apt for corneal procedures.<a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">1</span></a> The ICL posterior phakic lens (ICL; STAAR Surgical, Monrovia, CA, USA) is the most widely used lens in the world.<a class="elsevierStyleCrossRef" href="#bib0060"><span class="elsevierStyleSup">2</span></a> The development of this lens comprises changes in design and indications. In 2010, the authors implanted the V4b model requiring iridectomy. In 2015, the V4c model was implanted that includes a 0.36<span class="elsevierStyleHsp" style=""></span>mm central orifice that diminishes cataract risk and does not require iridectomy.<a class="elsevierStyleCrossRef" href="#bib0060"><span class="elsevierStyleSup">2</span></a></p><p id="par0060" class="elsevierStylePara elsevierViewall">ICL is indicated in adults between 21 and 45 years of age to correct ametropia when ACD exceeds 3<span class="elsevierStyleHsp" style=""></span>mm and refraction is stable. However, it has also been implanted in complex cases, including myopic astigmatism after keratoplasty,<a class="elsevierStyleCrossRefs" href="#bib0065"><span class="elsevierStyleSup">3,4</span></a> pellucid marginal degeneration,<a class="elsevierStyleCrossRefs" href="#bib0075"><span class="elsevierStyleSup">5,6</span></a> children with high myopia for treating amblyopia<a class="elsevierStyleCrossRef" href="#bib0085"><span class="elsevierStyleSup">7</span></a> and pseudophakic ametropia.<a class="elsevierStyleCrossRef" href="#bib0090"><span class="elsevierStyleSup">8</span></a> The authors were informed of a case treated with thoric ICL in a corneal scar patient with good results.<a class="elsevierStyleCrossRef" href="#bib0095"><span class="elsevierStyleSup">9</span></a> The objective of the authors was to correct spherical equivalent and avoid anisometropia. However, visual acuity improvements were not obtained or expected, as was observed in amblyope eyes in which it was implanted.<a class="elsevierStyleCrossRef" href="#bib0100"><span class="elsevierStyleSup">10</span></a></p><p id="par0065" class="elsevierStylePara elsevierViewall">With adequate warning related to prognosis, in both cases ICL is an option regardless of age.</p><p id="par0070" class="elsevierStylePara elsevierViewall">The first patient, with longer follow-up, exhibited refractive and anatomical stability.</p><p id="par0075" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleItalic">Conclusion</span>: the performance of ICL phakic lens in patients with linear corneal scars is similar to that observed in eyes without said alteration. For this reason, a possible new indication can be foreseen for said lens although additional studies are required for confirmation.</p></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0070">Conflict of interests</span><p id="par0090" class="elsevierStylePara elsevierViewall">No conflict of interests was declared by the authors.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:9 [ 0 => array:3 [ "identificador" => "xres833052" "titulo" => "Abstract" "secciones" => array:2 [ 0 => array:2 [ "identificador" => "abst0005" "titulo" => "Cases" ] 1 => array:2 [ "identificador" => "abst0010" "titulo" => "Discussion" ] ] ] 1 => array:2 [ "identificador" => "xpalclavsec828975" "titulo" => "Keywords" ] 2 => array:3 [ "identificador" => "xres833051" "titulo" => "Resumen" "secciones" => array:2 [ 0 => array:2 [ "identificador" => "abst0015" "titulo" => "Casos" ] 1 => array:2 [ "identificador" => "abst0020" "titulo" => "Discusión" ] ] ] 3 => array:2 [ "identificador" => "xpalclavsec828974" "titulo" => "Palabras clave" ] 4 => array:2 [ "identificador" => "sec0005" "titulo" => "Introduction" ] 5 => array:3 [ "identificador" => "sec0010" "titulo" => "Clinic case reports" "secciones" => array:2 [ 0 => array:2 [ "identificador" => "sec0015" "titulo" => "Case 1" ] 1 => array:2 [ "identificador" => "sec0020" "titulo" => "Case 2" ] ] ] 6 => array:2 [ "identificador" => "sec0025" "titulo" => "Discussion" ] 7 => array:2 [ "identificador" => "sec0030" "titulo" => "Conflict of interests" ] 8 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2016-09-19" "fechaAceptado" => "2016-11-03" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec828975" "palabras" => array:5 [ 0 => "Implantable collamer lens" 1 => "Corneal scar" 2 => "Surgical treatment of myopia" 3 => "Refractive surgery" 4 => "Intraocular lens" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec828974" "palabras" => array:5 [ 0 => "Lente fáquica de colámero" 1 => "Leucoma corneal" 2 => "Cirugía de la miopía" 3 => "Cirugía refractiva" 4 => "Lente intraocular" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:3 [ "titulo" => "Abstract" "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Cases</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Two cases are reported in which implantation of a collagen copolymer phakic intraocular lens (implantable collamer lens) corrected refractive errors in eyes with corneal scarring. A previous accident, in both cases, resulted in a central linear scar on the surface of the cornea of one eye. In the first patient, a corneal scar was visible in the left eye. The distance corrected visual acuity was 0.3 (–7.75 to 4<span class="elsevierStyleHsp" style=""></span>×<span class="elsevierStyleHsp" style=""></span>160°). An uncorrected distance visual acuity of 0.25 was obtained by implanting an implantable collamer lens. In the second patient an oblique corneal scar was visible in the right eye. The distance corrected visual acuity was 0.25 (–8.75 to 1.25<span class="elsevierStyleHsp" style=""></span>×<span class="elsevierStyleHsp" style=""></span>8°), and after implantation of the implantable collamer lens, uncorrected distance visual acuity was 0.25.</p></span> <span id="abst0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Discussion</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">The indications of the implantable collamer lens should be reviewed and possibly expanded.</p></span>" "secciones" => array:2 [ 0 => array:2 [ "identificador" => "abst0005" "titulo" => "Cases" ] 1 => array:2 [ "identificador" => "abst0010" "titulo" => "Discussion" ] ] ] "es" => array:3 [ "titulo" => "Resumen" "resumen" => "<span id="abst0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Casos</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Comunicamos 2 casos en los que la implantación de una lente fáquica corrige defectos refractivos en ojos con leucoma. Ambos sufrieron un accidente hace años, quedando un leucoma lineal central en uno de sus ojos. El primero presentaba la lesión en su ojo izquierdo. Su agudeza visual corregida de lejos fue de 0,3 (−7,75; −4<span class="elsevierStyleHsp" style=""></span>×<span class="elsevierStyleHsp" style=""></span>160°). Tras implantar la lente fáquica alcanzó una agudeza visual no corregida de lejos de 0,3. El segundo mostraba en su ojo derecho una lesión oblicua con agudeza visual corregida de 0,25 (−8,75; −1,25<span class="elsevierStyleHsp" style=""></span>×<span class="elsevierStyleHsp" style=""></span>8°). Tras la intervención alcanzó una agudeza visual no corregida de 0,25.</p></span> <span id="abst0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0030">Discusión</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Las indicaciones de la implantación de una lente fáquica son susceptibles de ser revisadas y, posiblemente, ampliadas.</p></span>" "secciones" => array:2 [ 0 => array:2 [ "identificador" => "abst0015" "titulo" => "Casos" ] 1 => array:2 [ "identificador" => "abst0020" "titulo" => "Discusión" ] ] ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Ruiz-Rizaldos AI, Baviera-Sabater J, Ortega-Usobiaga J. Implantación de lente fáquica para corrección de miopía en pacientes con leucoma corneal. Arch Soc Esp Oftalmol. 2017;92:233–236.</p>" ] ] "multimedia" => array:5 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1177 "Ancho" => 1758 "Tamanyo" => 385716 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Irregular astigmatism in the LE anterior side of patient 1.</p>" ] ] 1 => array:7 [ "identificador" => "fig0010" "etiqueta" => "Fig. 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 690 "Ancho" => 827 "Tamanyo" => 98407 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Scar; patient 1.</p>" ] ] 2 => array:7 [ "identificador" => "fig0015" "etiqueta" => "Fig. 3" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr3.jpeg" "Alto" => 302 "Ancho" => 992 "Tamanyo" => 47991 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">OCT; cornea of patient 1.</p>" ] ] 3 => array:7 [ "identificador" => "fig0020" "etiqueta" => "Fig. 4" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr4.jpeg" "Alto" => 1152 "Ancho" => 1771 "Tamanyo" => 383828 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Irregular astigmatism in RE anterior side, patient 2.</p>" ] ] 4 => array:7 [ "identificador" => "fig0025" "etiqueta" => "Fig. 5" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr5.jpeg" "Alto" => 538 "Ancho" => 992 "Tamanyo" => 70977 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">ICL; RE of patient 2.</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:10 [ 0 => array:3 [ "identificador" => "bib0055" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Phakic intraocular lenses. 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Journal Information
Short communication
Implantable collamer lens for correction of ametropia in eyes with corneal scarring
Implantación de lente fáquica para corrección de miopía en pacientes con leucoma corneal
A.I. Ruiz-Rizaldos
, J. Baviera-Sabater, J. Ortega-Usobiaga
Corresponding author
Clínica Baviera, Instituto Oftalmológico Europeo, Zaragoza, Spain