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Factores de riesgo asociados al error refractivo residual tras cirugía de catarata en práctica clínica. Estudio observacional retrospectivo
Risk factors for predicted refractive error after cataract surgery in clinical practice. Retrospective observational study
G. Garay-Aramburua,b,c,
Autor para correspondencia
gonzaga.garayaramburu@osakidetza.eus

Autor para correspondencia.
, R. Bergado-Mijangosd, R. Irizar-Amilletad, B. Saez-Espejod, L. Serrano-Zurbitud, J. Arakama-Alustizad, M. Gutiérrez-Sotod, M.E. Ojanguren-Zugazagad, L. Areitio-Garciad, A. Molpeceres-Uriszard
a Servicio de Oftalmología, OSI Bilbao-Basurto, Bilbao, Bizkaia, España
b Universidad del País Vasco-Euskal Herriko Unibertsitatea, Bizkaia, España
c Biocruces Bizkaia Health Research Institute, Barakaldo, Bizkaia, España
d Unidad de Gestión Clínica de Oftalmología de la OSI Araba, Vitoria-Gasteiz, Álava, España
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existen m&#250;ltiples par&#225;metros adicionales que aportan m&#225;s informaci&#243;n sobre la calidad asistencial prestada en el proceso de la cirug&#237;a de la catarata&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">Estos par&#225;metros adicionales se pueden dividir en dos grupos&#58; la medici&#243;n de los resultados reportados de la cl&#237;nica &#40;<span class="elsevierStyleItalic">clinical reported outcome measurement</span> &#91;CROM&#93;&#41;&#58; resultados visuales y refractivos postoperatorios y la presencia de complicaciones intra y postoperatorias<a class="elsevierStyleCrossRefs" href="#bib0125"><span class="elsevierStyleSup">3&#8211;8</span></a>&#59; y la medici&#243;n de los resultados reportados por el paciente &#40;<span class="elsevierStyleItalic">patient reported outcome measurment</span> &#91;PROM&#93;&#41;&#44; tanto durante la intervenci&#243;n como por la repercusi&#243;n sobre su salud visual y general<a class="elsevierStyleCrossRefs" href="#bib0145"><span class="elsevierStyleSup">7&#44;9</span></a>&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">Mahmud et al&#46;<a class="elsevierStyleCrossRef" href="#bib0145"><span class="elsevierStyleSup">7</span></a>&#44; con la colaboraci&#243;n del <span class="elsevierStyleItalic">International Consortium for Health Outcomes Measurement</span><a class="elsevierStyleCrossRef" href="#bib0160"><span class="elsevierStyleSup">10</span></a> &#40;ICHOM&#41;&#44; mediante estudio Delphi modificado&#44; definieron el conjunto m&#237;nimo de datos que se debe recoger para realizar las mediciones de los resultados de la cirug&#237;a de catarata y que permitir&#237;an comparar los resultados entre cirujanos&#44; hospitales y pa&#237;ses&#59; y por lo tanto&#44; aprender y mejorar el proceso de la catarata&#46; Este conjunto m&#237;nimo incluye un cuestionario de los resultados percibidos por el paciente y datos preoperatorios&#44; intraoperatorios y posoperatorios&#44; adem&#225;s de los factores de riesgo adicionales que permitan realizar comparaciones bajo las mismas condiciones&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">En marzo de 2008&#44; la Uni&#243;n Europea y la <span class="elsevierStyleItalic">European Society of Cataract and Refractive Surgeons</span> crearon el Registro Europeo de Resultados de Calidad para las Cirug&#237;as de Catarata y Refractiva &#40;EUREQUO&#41;<a class="elsevierStyleCrossRefs" href="#bib0165"><span class="elsevierStyleSup">11&#44;12</span></a>&#46; Lundstr&#246;m et al&#46;<a class="elsevierStyleCrossRef" href="#bib0140"><span class="elsevierStyleSup">6</span></a> analizaron 368&#46;256 cataratas y determinaron que la presencia de comorbilidad ocular y las complicaciones postoperatorias fueron los factores que influ&#237;an en los resultados visuales&#46; En otro an&#225;lisis de la misma base de datos&#44; pero sobre 282&#46;811 pacientes&#44; Lundstr&#246;m et al&#46;<a class="elsevierStyleCrossRef" href="#bib0175"><span class="elsevierStyleSup">13</span></a> determinaron que una baja agudeza visual preoperatoria&#44; cirug&#237;a ocular previa y la presencia de comorbilidad&#44; eran las caracter&#237;sticas preoperatorias relacionadas con la consecuci&#243;n de un peor resultado refractivo tras la cirug&#237;a de la catarata&#46;</p><p id="par0025" class="elsevierStylePara elsevierViewall">Los objetivos de este estudio son describir las caracter&#237;sticas preoperatorias de la poblaci&#243;n intervenida en nuestro hospital&#44; siguiendo el est&#225;ndar ICHOM de las CROM&#44; y determinar qu&#233; caracter&#237;sticas biom&#233;tricas o epidemiol&#243;gicas previas a la intervenci&#243;n de cataratas condicionan la presencia de un error refractivo residual final&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0070">Material y m&#233;todos</span><p id="par0030" class="elsevierStylePara elsevierViewall">Estudio retrospectivo&#44; observacional de datos de pacientes intervenidos mediante facoemulsificaci&#243;n e implante de lente intraocular en el Hospital Universitario Araba &#40;HUA&#44; Vitoria-Gasteiz&#44; Espa&#241;a&#41; entre febrero 2017 y diciembre 2019&#44; tras aprobaci&#243;n del Comit&#233; de &#201;tica del HUA &#40;BBDD 01&#47;2017&#41;&#44; y posterior aprobaci&#243;n del Comit&#233; de &#201;tica e Investigaci&#243;n con medicamentos de Euskadi tras extensi&#243;n del estudio&#44; por lo cual se solicit&#243; consentimiento informado a los pacientes&#46;</p><p id="par0035" class="elsevierStylePara elsevierViewall">Fueron incluidos en el estudio los pacientes intervenidos de catarata mediante facoemulsificaci&#243;n&#44; mayores de edad y con los siguientes 25 datos obligatorios&#58; fechas de nacimiento&#44; de inclusi&#243;n en lista de espera&#44; de realizaci&#243;n de biometr&#237;a&#44; de cirug&#237;a y de &#250;ltima visita postoperatoria&#59; sexo&#59; edad&#59; agudeza visual &#40;AV&#41; previa con su correcci&#243;n &#40;Snellen decimal&#41;<a class="elsevierStyleCrossRef" href="#bib0125"><span class="elsevierStyleSup">3</span></a>&#59; datos biom&#233;tricos&#58; tipo biometr&#237;a&#44; longitud axial &#40;ALX&#41;&#44; f&#243;rmula empleada&#44; potencia di&#243;ptrica anterior c&#243;rnea m&#225;s curva y m&#225;s plana&#59; cirujano&#44; potencia de la lente implantada&#44; equivalente esf&#233;rico &#40;EE&#41; buscado&#44; orden del ojo intervenido&#59; tratamiento t&#243;pico empleado&#59; presi&#243;n intraocular &#40;PIO&#41;&#44; refracci&#243;n subjetiva y AV en la &#250;ltima revisi&#243;n&#46; Se excluyeron pacientes sometidos a cirug&#237;a combinada de catarata y queratoplastia&#44; glaucoma o vitrectom&#237;a&#44; pacientes menores de edad o aquellos sin alguno de los 25 datos anteriores&#46;</p><p id="par0040" class="elsevierStylePara elsevierViewall">Adem&#225;s&#44; se recogieron otras 81 variables&#44; repartidas entre datos generales&#44; refracci&#243;n previa&#44; comorbilidad ocular asociada&#44; cirug&#237;as oculares previas&#44; datos biom&#233;tricos&#44; datos sobre la intervenci&#243;n&#44; complicaciones intraoperatorias y postoperatorias&#44; maniobras quir&#250;rgicas realizadas&#44; y datos sobre la revisi&#243;n oftalmol&#243;gica realizada a la semana y en la visita del alta&#44; incluyendo los datos determinados por Mahmud et al&#46;<a class="elsevierStyleCrossRef" href="#bib0145"><span class="elsevierStyleSup">7</span></a> La graduaci&#243;n objetiva fue realizada mediante autokeratorefract&#243;metro TRK-2P de Topcon &#40;Nagoya&#44; Japan&#41; y la AV posquir&#250;rgica fue registrada sin correcci&#243;n y con la graduaci&#243;n subjetiva con la que se consigue la mejor AV&#46; La medici&#243;n fue realizada por los &#243;pticos del servicio en dos consultas similares&#46; El EE residual final se analiz&#243; rest&#225;ndole al EE objetivo buscado con la lente implantada el EE subjetivo final y se analiz&#243; la mediana del valor absoluto del error &#40;MAE&#41;<a class="elsevierStyleCrossRef" href="#bib0180"><span class="elsevierStyleSup">14</span></a>&#46;</p><p id="par0045" class="elsevierStylePara elsevierViewall">Las biometr&#237;as fueron realizadas con bi&#243;metro &#243;ptico Lenstar 900&#174; &#40;Haag-Streit&#44; Suiza&#41; y con el bi&#243;metro Ocuscan RXP &#174; &#40;Alcon&#44; EE&#46; UU&#46;&#41; de contacto &#40;BUS&#41;&#44; en caso de no ser valorable con el bi&#243;metro &#243;ptico&#46; Uno de los autores &#40;R&#46;B&#46;M&#46;&#41; realiz&#243; un formulario Excel &#40;Microsoft&#44; EE&#46; UU&#46;&#41; con rangos de datos limitados para asegurar la validez del dato introducido &#40;<a class="elsevierStyleCrossRef" href="#fig0005">fig&#46; 1</a>&#41;&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0050" class="elsevierStylePara elsevierViewall">Los an&#225;lisis estad&#237;sticos fueron realizados con SPPS Software &#40;versi&#243;n 23&#44; IBM Corp&#44; Armonk&#44; NY&#41;&#46; Se describieron las variables categ&#243;ricas usando tablas de frecuencia y porcentajes&#59; y las variables contin&#250;as utilizando medianas y rango intercuart&#237;lico &#40;RI&#41;&#46; Se realiz&#243; el test de Kolmogorov-Smirnov para comprobar la normalidad de las variables continuas&#46; La relaci&#243;n entre las variables cualitativas fue evaluada utilizando &#967;<span class="elsevierStyleSup">2</span>&#46; Los cambios entre la AV preoperatoria y posoperatoria se analizaron con la prueba de los rangos con signo de Wilcoxon&#46; Se analizaron los niveles de error refractivo como variable dicot&#243;mica mediante an&#225;lisis de regresi&#243;n log&#237;stica&#46; La <span class="elsevierStyleItalic">odds ratio</span> &#40;OR&#41; fue analizada mediante el test de &#967;<span class="elsevierStyleSup">2</span>&#46; Para todos los an&#225;lisis&#44; el nivel de significancia se estableci&#243; en un valor de p &#60; 0&#44;05&#46;</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0075">Resultados</span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0080">Caracter&#237;sticas basales</span><p id="par0055" class="elsevierStylePara elsevierViewall">El estudio incluy&#243; un total de 1&#46;578 cirug&#237;as cuyos datos epidemiol&#243;gicos basales se describen en la <a class="elsevierStyleCrossRef" href="#tbl0005">tabla 1</a>&#46; La mediana de la edad &#40;RI&#41; fue de 75 a&#241;os &#40;69-82&#41;&#44; el 56&#44;02&#37; de los pacientes eran mujeres y el 51&#44;8&#37; de los ojos intervenidos eran derechos&#46; La mediana del EE prequir&#250;rgico fue de -0&#44;25 dioptr&#237;as &#40;RI -2&#46;37-1&#44;5&#41;&#44; siendo el 3&#44;91&#37; de los pacientes miopes magnos &#40;EE &#8804; -6 dioptr&#237;as&#41;&#59; y la mediana de la AV preoperatoria de 0&#44;40 &#40;RI 0&#44;30-0&#44;50&#41;&#44; presentando el 34&#44;03&#37; de los pacientes baja visi&#243;n y el 9&#44;37&#37; ceguera legal&#46; El 31&#44;69&#37; de los pacientes presentaron comorbilidad ocular&#44; siendo las m&#225;s frecuentes el glaucoma &#40;7&#44;03&#37;&#41; y la presencia de catarata blanca o dura &#40;4&#44;12&#37;&#41;&#46; El 4&#44;18&#37; hab&#237;an sido operados previamente del mismo ojo&#58; el 1&#44;14&#37; de cirug&#237;a vitreorretiniana&#44; 1&#44;01&#37; hab&#237;an recibido inyecciones intrav&#237;treas&#44; el 0&#44;82&#37; de cirug&#237;a refractiva y el 0&#44;51&#37; de cirug&#237;a de glaucoma&#46;</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia><p id="par0060" class="elsevierStylePara elsevierViewall">El 88&#44;72&#37; de las biometr&#237;as fueron realizadas mediante bi&#243;metro &#243;ptico&#46; En cuanto a la ALX&#44; en el 6&#44;21&#37; fue menor de 22 mm y en el 5&#44;20&#37; &#62; 26 mm&#46; El 12&#44;05&#37; de los ojos presentaban una profundidad de c&#225;mara anterior &#40;ACD&#41; &#8804; a 2&#44;5 mm&#44; el 7&#44;67&#37; presentaron un poder di&#243;ptrico corneal anterior medio &#40;Km&#41; menor de 42 dioptr&#237;as y un 10&#44;01&#37; &#8805; 46 dioptr&#237;as&#46; El 24&#44;29&#37; presentaron una distancia blanco-blanco &#40;WTW&#41; &#60; 10 mm y un 7&#44;27&#37; &#8805; a 12&#44;5 mm&#46;</p></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0085">Resultados intraquir&#250;rgicos</span><p id="par0065" class="elsevierStylePara elsevierViewall">Para el c&#225;lculo de la lente se eligi&#243; la f&#243;rmula Barrett Universal II en un 75&#44;66&#37; de los implantes&#46; La mediana del EE buscado fue de -0&#44;24 dioptr&#237;as &#40;RI -0&#44;35 a -0&#44;12 dioptr&#237;as&#41;&#46; Las lentes implantadas fueron de cinco tipos diferentes&#44; siendo las m&#225;s frecuentes las plataformas TECNIS de Johnson &#38; Johnson &#40;50&#44;06&#37;&#41; y el 41&#44;83&#37; de Acrysof de Alcon &#40;39&#44;99&#37; monobloque y 1&#44;84&#37; de tres piezas&#41;&#46;</p><p id="par0070" class="elsevierStylePara elsevierViewall">Las cirug&#237;as fueron realizadas por todos los cirujanos de catarata de la unidad &#40;siendo un total de 29 m&#233;dicos&#41;&#44; incluidos los residentes &#40;que operaron 37 ojos&#41;&#46; Se recogieron 161 complicaciones intraquir&#250;rgicas &#40;10&#44;27&#37; de las intervenciones&#41;&#59; 4&#44;82&#37; relacionadas con el iris&#44; como mala midriasis&#44; hernias de iris&#44; s&#237;ndrome de iris fl&#225;cido o necesidad de maniobras para mantener la dilataci&#243;n&#59; 1&#44;26&#37; relacionadas con la capsula&#59; 1&#44;58&#37; presentaron otras complicaciones intraquir&#250;rgicas&#44; como alteraciones en la incisi&#243;n principal o sangrado angular&#46; Y en 35 pacientes &#40;2&#44;2&#37;&#41; se realiz&#243; sutura corneal&#46; Se observ&#243; mediante an&#225;lisis de regresi&#243;n log&#237;stica que el riesgo de implantar una lente de tres piezas es 6&#44;58 &#40;intervalo de confianza &#91;IC&#93; 95&#37; 3&#44;08-14&#44;09&#41; veces mayor entre los pacientes con complicaciones intraquir&#250;rgicas&#44; siendo estad&#237;sticamente significativo &#40;p &#60; 0&#44;001&#41;&#46;</p></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0090">Resultados postoperatorios</span><p id="par0075" class="elsevierStylePara elsevierViewall">La revisi&#243;n del alta se realiz&#243; en una mediana de 59 d&#237;as &#40;RI 48-63 d&#237;as&#41;&#46; La AV espont&#225;nea fue registrada en el 1&#46;169 de los pacientes &#40;77&#44;42&#37;&#41;&#46; Y su mediana fue de 0&#44;80 &#40;RI 0&#44;5-0&#44;9&#41;&#46; De estos&#44; 967 pacientes &#40;82&#44;51&#37;&#41; alcanzaron una AV espont&#225;nea &#8805; 0&#44;5 y 282 pacientes &#40;24&#44;06&#37;&#41; &#8805; 1&#44;0&#46; La mediana del EE de la medida realizada con el autorrefract&#243;metro en la visita del alta fue de -0&#44;25 dioptr&#237;as &#40;RI -0&#44;50 a 0&#44;0 dioptr&#237;as&#41;&#46; La AV con correcci&#243;n fue registrada en todos los pacientes y su mediana fue de 1&#44;00 &#40;RI 0&#44;9 a 1&#41;&#59; 1&#46;512 pacientes &#40;95&#44;82&#37;&#41; alcanzaron una AV corregida &#8805; 0&#44;5 y 996 pacientes &#40;63&#44;12&#37;&#41; &#8805; 1&#44;0&#44; siendo la mediana del EE de la graduaci&#243;n subjetiva de -0&#44;25 &#40;RI -0&#44;5 a 0&#41;&#46; La mediana de la variaci&#243;n entre la AV inicial y final fue de 0&#44;5 &#40;RI 0&#44;4 a 0&#44;6&#41;&#44; siendo esta diferencia estad&#237;sticamente significativa &#40;p &#60; 0&#44;001&#41;&#46; Veinti&#250;n pacientes &#40;1&#44;33&#37;&#41; empeoraron su AV con respecto a la inicial&#46; El EE residual final estuvo entre &#177; 0&#44;5 dioptr&#237;as en el 77&#44;82&#37; de los pacientes y entre &#177; 1 dioptr&#237;as en el 94&#44;74&#37; de los pacientes&#59; 968 pacientes presentaron un cilindro residual &#8804; 1 dioptr&#237;a&#44; y en este grupo&#44; el EE residual final qued&#243; entre &#177; 0&#44;5 dioptr&#237;as en el 85&#44;02&#37; de los pacientes y entre &#177; 1 dioptr&#237;as en el 96&#44;32&#37; de los pacientes&#46; La MAE fue de 0&#44;26 &#40;RI 0&#44;12-0&#44;47&#41;&#46;</p><p id="par0080" class="elsevierStylePara elsevierViewall">Se registraron 384 complicaciones postoperatorias &#40;18&#44;00&#37;&#41;&#58; 15 pacientes &#40;0&#44;95&#37;&#41; presentaron edema macular&#44; 145 &#40;9&#44;19&#37;&#41; presentaron PIO mayor de 25 mmHg en alguna de las tres revisiones realizadas&#44; 66 &#40;4&#44;18&#37;&#41; presentaron seidel postoperatorio y 90 pacientes &#40;5&#44;70&#37;&#41; otro tipo de complicaciones&#44; como alteraciones maculares&#44; atrofia de iris&#44; neuropat&#237;as &#243;pticas isqu&#233;micas&#44; entre otras&#46; No se registr&#243; ning&#250;n desprendimiento de retina&#44; ni ninguna endoftalmitis&#59; en cambio&#44; se registr&#243; un s&#237;ndrome t&#243;xico de segmento anterior&#46;</p><p id="par0085" class="elsevierStylePara elsevierViewall">En la <a class="elsevierStyleCrossRef" href="#tbl0010">tabla 2</a> se presentan las relaciones existentes entre pacientes con baja visi&#243;n o ceguera legal&#44; el uso de BUS y la presencia de catarata dura&#47;blanca&#46;</p><elsevierMultimedia ident="tbl0010"></elsevierMultimedia><p id="par0090" class="elsevierStylePara elsevierViewall">En la <a class="elsevierStyleCrossRef" href="#tbl0015">tabla 3</a> se presentan los resultados del an&#225;lisis univariante mediante regresi&#243;n log&#237;stica&#44; realizado con la variable dependiente EE residual final &#8805; &#177; 1 dioptr&#237;as dicotomizada&#46; Los factores de riesgo m&#225;s destacados que condicionan este resultado son la utilizaci&#243;n de BUS&#44; el antecedente de cirug&#237;a de glaucoma&#44; la presencia de catarata blanca o dura y la agudeza visual previa dentro de la ceguera legal&#46;</p><elsevierMultimedia ident="tbl0015"></elsevierMultimedia></span></span><span id="sec0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0095">Discusi&#243;n</span><p id="par0095" class="elsevierStylePara elsevierViewall">Este estudio retrospectivo aporta informaci&#243;n sobre las caracter&#237;sticas basales de los pacientes intervenidos en nuestro hospital&#44; sus caracter&#237;sticas biom&#233;tricas&#44; las circunstancias intraoperatorias&#44; los resultados visuales y refractivos y las complicaciones postoperatorias acaecidas&#46; Toda esta informaci&#243;n recogida&#44; seg&#250;n los est&#225;ndares del ICHOM<a class="elsevierStyleCrossRefs" href="#bib0145"><span class="elsevierStyleSup">7&#44;10&#8211;12</span></a>&#44; permite la comparaci&#243;n con resultados previamente publicados en Espa&#241;a<a class="elsevierStyleCrossRefs" href="#bib0125"><span class="elsevierStyleSup">3&#44;4&#44;8</span></a> o a nivel internacional<a class="elsevierStyleCrossRefs" href="#bib0135"><span class="elsevierStyleSup">5&#44;6&#44;11&#44;13&#44;15&#8211;19</span></a> &#40;<a class="elsevierStyleCrossRef" href="#tbl0020">tabla 4</a>&#41;&#46;</p><elsevierMultimedia ident="tbl0020"></elsevierMultimedia><p id="par0100" class="elsevierStylePara elsevierViewall">El 31&#44;69&#37; de los pacientes incluidos en nuestro estudio presentan comorbilidad ocular en el ojo a intervenir&#44; siendo el glaucoma &#40;7&#44;03&#37;&#41; y la catarata blanca&#47;dura &#40;4&#44;12&#37;&#41; las patolog&#237;as asociadas m&#225;s frecuentemente&#44; como en otros estudios&#46; La comorbilidad ocular se presenta como un factor de riesgo para la obtenci&#243;n de peores resultados visuales<a class="elsevierStyleCrossRef" href="#bib0140"><span class="elsevierStyleSup">6</span></a> y percibidos por el paciente<a class="elsevierStyleCrossRef" href="#bib0195"><span class="elsevierStyleSup">17</span></a>&#46;</p><p id="par0105" class="elsevierStylePara elsevierViewall">En nuestro estudio presentamos un elevado porcentaje de complicaciones&#44; tanto prequir&#250;rgicas &#40;10&#44;27&#37;&#41; como posquir&#250;rgicas &#40;18&#44;0&#37;&#41;&#44; y esto es debido a que recogemos como complicaciones cualquier incidente acaecido dentro del quir&#243;fano &#40;por ejemplo&#44; 4&#44;82&#37; de alteraciones iridianas&#44; entre las que se incluyen los problemas de dilataci&#243;n&#44; que aun no siendo una complicaci&#243;n <span class="elsevierStyleItalic">per se</span>&#44; podr&#237;a generarla&#41;&#59; y en el caso de las complicaciones posoperatorias&#44; incluimos los picos hipertensivos observados durante las revisiones realizadas&#44; igual que lo realizan Rementer&#237;a et al&#46;<a class="elsevierStyleCrossRef" href="#bib0150"><span class="elsevierStyleSup">8</span></a>&#44; y adem&#225;s realizamos la &#250;ltima revisi&#243;n en una mediana de 59 d&#237;as&#44; que es pr&#225;cticamente el doble de seguimiento que el resto de los estudios&#44; lo que permite diagnosticar e incluir m&#225;s complicaciones&#46;</p><p id="par0110" class="elsevierStylePara elsevierViewall">El 95&#44;82&#37; de nuestros pacientes alcanzan una AV corregida &#8805; 0&#44;5&#44; siendo esta cifra similar a la del informe anual 2018 de EUREQUO<a class="elsevierStyleCrossRef" href="#bib0185"><span class="elsevierStyleSup">15</span></a>&#46; Por el contrario&#44; presentamos un menor porcentaje de pacientes que alcanzan una AV &#8805; 1 &#40;63&#44;12&#37;&#41; que este informe &#40;76&#44;7&#37;&#41; y que el estudio de Rementer&#237;a et al&#46;<a class="elsevierStyleCrossRef" href="#bib0150"><span class="elsevierStyleSup">8</span></a>&#44; pero mejor que el resto de estudios recogidos en la <a class="elsevierStyleCrossRef" href="#tbl0020">tabla 4</a>&#46; El hecho de que no se recojan todas las AV posoperatorias puede constituir un sesgo de selecci&#243;n de los pacientes y&#44; por tanto&#44; de los resultados funcionales visuales posoperatorios&#46; Rementer&#237;a et al&#46;<a class="elsevierStyleCrossRef" href="#bib0150"><span class="elsevierStyleSup">8</span></a> recogen todas los resultados visuales y refractivos postoperatorios como en nuestro estudio&#44; pero en estos apartados hay que tener en cuenta que se trata de actividad privada en la que al 45&#44;6&#37; de los pacientes se les implantan lentes de tipo &#171;premium&#187;&#46;</p><p id="par0115" class="elsevierStylePara elsevierViewall">El 85&#44;02&#37; de nuestros pacientes presentan un EE residual final entre &#177; 0&#44;5 y el 96&#44;32&#37; entre &#177; 1 dioptr&#237;a&#44; siendo similar a los resultados reportados en el informe anual de EUREQUO<a class="elsevierStyleCrossRef" href="#bib0185"><span class="elsevierStyleSup">15</span></a>&#46; El an&#225;lisis de regresi&#243;n log&#237;stica realizado para determinar los factores de riesgo prequir&#250;rgicos que van asociados a la presencia de un EE residual mayor de una dioptr&#237;a nos determina cuatro factores&#58; los asociados a la comorbilidad previa&#44; los relacionados con caracter&#237;sticas biom&#233;tricas&#44; el tipo de lente y el orden del ojo intervenido&#46;</p><p id="par0120" class="elsevierStylePara elsevierViewall">Los segundos ojos intervenidos tienen menos riesgo de presentar este resultado&#44; ya que conocemos los resultados obtenidos en la cirug&#237;a del primer ojo y esto nos permite&#44; o bien realizar una nueva biometr&#237;a en caso de duda con su resultado&#44; o bien ajustar la lente a implantar&#46;</p><p id="par0125" class="elsevierStylePara elsevierViewall">La cirug&#237;a de glaucoma previa a la intervenci&#243;n de catarata<a class="elsevierStyleCrossRefs" href="#bib0210"><span class="elsevierStyleSup">20&#44;21</span></a> ya es conocida como factor de riesgo de sorpresa refractiva mi&#243;pica&#44; debido al cambio en la PIO que genera la cirug&#237;a de la catarata&#46;</p><p id="par0130" class="elsevierStylePara elsevierViewall">Lundstr&#246;m et al&#46;<a class="elsevierStyleCrossRef" href="#bib0175"><span class="elsevierStyleSup">13</span></a> determinaron como factores de riesgo la baja AV y la catarata blanca&#47;dura&#46; En nuestro estudio observamos una relaci&#243;n entre las visiones preoperatorias m&#225;s bajas&#44; ceguera legal y baja visi&#243;n&#44; y la presencia de catarata dura&#47;blanca y a su vez con la utilizaci&#243;n de BUS&#46; Parece razonable pensar que aquellos pacientes con peores AV&#44; se pueda deber a la presencia de catarata dura&#47;blanca a trav&#233;s de la cual no se obtiene una biometr&#237;a &#243;ptica de calidad y se realiza una ultras&#243;nica&#46; El Chehab et al&#46;<a class="elsevierStyleCrossRef" href="#bib0220"><span class="elsevierStyleSup">22</span></a> realizaron estudio comparativo entre los resultados obtenidos con el BUS de contacto Ocuscan RXP y Lenstar 900 y reportaron que el Lenstar 900 fue inefectivo en el 5&#44;8&#37; de los pacientes y que en el 25&#44;9&#37; de los pacientes la diferencia de la potencia de la lente entre los dos bi&#243;metros fue mayor o igual a una dioptr&#237;a&#46; Este dato justifica el resultado de nuestro estudio que incluye a la BUS dentro de los factores de riesgo&#46;</p><p id="par0135" class="elsevierStylePara elsevierViewall">En cuanto al tipo de lente&#44; observamos que el implante de una lente tres piezas era un factor de riesgo para obtener este resultado&#44; pero tambi&#233;n observamos que estaba influenciado por la presencia de complicaciones intraquir&#250;rgicas como factor confusor&#46;</p><p id="par0140" class="elsevierStylePara elsevierViewall">Por &#250;ltimo&#44; en nuestro estudio encontramos datos biom&#233;tricos extremos como ALX menor de 22 mm o mayor de 26 mm&#44; ACD menor de 2&#44;5 mm&#44; distancia blanco-blanco menor de 10 mm y el uso de f&#243;rmulas biom&#233;tricas diferentes a Barrett Universal II como factores de riesgo para obtener un resultado refractivo peor que &#177; 1 dioptr&#237;a que no hab&#237;an sido previamente relacionadas&#46; Debemos tener en cuenta estas caracter&#237;sticas biom&#233;tricas en el momento de la elecci&#243;n de la lente&#46;</p><p id="par0145" class="elsevierStylePara elsevierViewall">Las limitaciones del estudio son su car&#225;cter retrospectivo y la ausencia de recogida de PROM&#44; debido a que no era la pr&#225;ctica habitual de la unidad en los a&#241;os en los que se realiz&#243; el estudio&#46; Debemos implementar los mecanismos necesarios para recoger la percepci&#243;n del paciente sobre su calidad visual antes de operar y dentro de los tres meses siguientes a la intervenci&#243;n<a class="elsevierStyleCrossRefs" href="#bib0140"><span class="elsevierStyleSup">6&#8211;8</span></a>&#44; para conocer el valor que le aporta al paciente esta intervenci&#243;n&#46;</p><p id="par0150" class="elsevierStylePara elsevierViewall">Cabe concluir que es importante establecer sistemas estandarizados de recogida de datos de las intervenciones de catarata&#44; con el objeto de conocer las caracter&#237;sticas basales de nuestros pacientes&#44; las complicaciones pre y posoperatorias&#44; y con ello analizar los resultados visuales y refractivos&#44; compararlos y poder determinar cu&#225;les de estos factores influyen en los resultados refractivos&#46;</p></span><span id="sec0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0100">Financiaci&#243;n</span><p id="par0155" class="elsevierStylePara elsevierViewall">Este trabajo no ha recibido ning&#250;n tipo de financiaci&#243;n&#46;</p></span><span id="sec0045" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0105">Conflicto de intereses</span><p id="par0160" class="elsevierStylePara elsevierViewall">Los autores declaran no tener ning&#250;n conflicto de intereses&#46;</p></span></span>"
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        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Objetivos</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Describir las caracter&#237;sticas preoperatorias de la poblaci&#243;n intervenida de cataratas en nuestro hospital&#44; determinar los resultados visuales y refractivos finales y determinar las caracter&#237;sticas previas a la intervenci&#243;n que condicionan la presencia de un error refractivo residual &#40;ERR&#41; mayor de una dioptr&#237;a&#46;</p></span> <span id="abst0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">M&#233;todos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Estudio retrospectivo de cirug&#237;as de catarata realizadas en el Hospital Universitario Araba&#44; entre febrero de 2017 y diciembre de 2019&#46; Se recogieron caracter&#237;sticas sociodemogr&#225;ficas&#44; de comorbilidad ocular&#44; biom&#233;tricas&#44; quir&#250;rgicas y postquir&#250;rgicas&#46;</p></span> <span id="abst0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Se incluyeron 1&#46;419 pacientes y 1&#46;578 cirug&#237;as para su an&#225;lisis&#46; El 9&#44;07&#37; presentaron ceguera legal preoperatoria&#44; el 31&#44;69&#37; comorbilidad ocular y el 4&#44;18&#37; hab&#237;a sido previamente intervenido&#46; El 95&#44;82&#37; de los pacientes alcanzaron una agudeza visual &#40;AV&#41; final corregida &#8805; 0&#44;5 Snellen decimal y el 63&#44;12&#37; &#8805; 1&#46; El 96&#44;70&#37; de los pacientes mejoraron la agudeza visual &#40;AV&#41; tras la intervenci&#243;n&#46; El ERR estuvo entre &#177; 0&#44;5 dioptr&#237;as en el 77&#44;82&#37; de los pacientes y entre &#177; 1 dioptr&#237;a en el 94&#44;74&#37;&#46; Los factores de riesgo m&#225;s destacados que condicionan la presencia de ERR mayor de una dioptr&#237;a fueron la utilizaci&#243;n de bi&#243;metro ultras&#243;nico de contacto&#44; el antecedente de cirug&#237;a de glaucoma&#44; la presencia de catarata blanca o dura y una AV previa de ceguera legal&#46;</p></span> <span id="abst0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Los resultados visuales de la cirug&#237;a de cataratas fueron excelentes&#44; alcanzando el 63&#44;12&#37; de los pacientes una AV corregida &#8805; 1 y quedando un ERR entre &#177; 1 dioptr&#237;a en el 94&#44;74&#37;&#46; Diferentes factores de riesgo influyen en la consecuci&#243;n de peores resultados refractivos&#58; condiciones preoperatorias &#40;intervenci&#243;n previa&#44; catarata blanca&#47;dura&#44; AV previa&#41; y biom&#233;tricas&#46;</p></span>"
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            "titulo" => "M&#233;todos"
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            "titulo" => "Resultados"
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        "resumen" => "<span id="abst0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0035">Objectives</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">To describe the preoperative characteristics of patients undergoing cataract surgery in our hospital&#44; to determine the final visual and refractive results and to determine the preoperative characteristics that conditioned the presence of a residual refractive error &#40;RRE&#41; greater than one diopter&#46;</p></span> <span id="abst0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0040">Methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Retrospective analysis of cataract surgeries performed at Araba University Hospital between February 2017 and December 2019&#46; Sociodemographic&#44; eye comorbidity&#44; biometric&#44; surgical and post-surgical characteristics were collected&#46;</p></span> <span id="abst0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0045">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">A total of 1&#44;419 patients and 1&#44;578 surgeries were included for analysis&#46; Of these&#44; 9&#46;07&#37; had preoperative legal blindness&#44; 31&#46;69&#37; eye comorbidity and 4&#46;18&#37; had previous surgery&#46; Overall&#44; 95&#46;82&#37; of patients achieved a corrected final visual acuity &#40;VA&#41; &#8805; 0&#46;5 Snellen decimal and 63&#46;12&#37; &#8805; 1&#44; and 96&#46;70&#37; of patients improved VA after surgery&#46; RRE was between &#177; 0&#46;5 diopters in 77&#46;82&#37; of patients and between &#177; 1 diopter in 94&#46;74&#37;&#46; The most prominent risk factors that conditioned the presence of RRE greater than 1 diopter were the use of ultrasonic contact biometer&#44; a history of glaucoma surgery&#44; the presence of white or hard cataract&#44; and prior legal blindness&#46;</p></span> <span id="abst0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0050">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">The visual results of cataract surgery were excellent&#44; with 63&#46;12&#37; of patients obtaining corrected VA &#8805; 1 and an RRE of &#177; 1 diopter in 94&#46;74&#37;&#46; Different risk factors influenced the achievement of poor refractive outcomes&#58; preoperative conditions &#40;previous surgeries&#44; white&#47;hard cataract&#44; previous VA&#41; and biometrics&#46;</p></span>"
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                  \t\t\t\t\ttop\n
                  \t\t\t\t">694 &#40;43&#44;98&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Pseudoexfoliaci&#243;n&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">42 &#40;2&#44;66&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Retinopat&#237;a diab&#233;tica&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">27 &#40;1&#44;71&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Oclusi&#243;n retiniana&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">4 &#40;0&#44;25&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Cirug&#237;a refractiva&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">13 &#40;0&#44;82&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Cirug&#237;a retina&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">18 &#40;1&#44;14&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Cirug&#237;a glaucoma&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">8 &#40;0&#44;51&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Injecciones intrav&#237;treas&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">16 &#40;1&#44;01&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="5" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleBold">Datos biom&#233;tricos</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Longitud axial&#44; mm&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;578&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">23&#44;3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">22&#44;7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
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                  \t\t\t\t">23&#44;98&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>ACD&#44; mm&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;344&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&#44;13&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#44;87&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&#44;4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Espesor cristalino&#44; mm&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;280&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">4&#44;57&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">4&#44;29&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">4&#44;84&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Blanco-Blanco&#44; mm&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;148&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">11&#44;90&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">11&#44;63&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">12&#44;2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>K media&#44; dioptr&#237;as&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;578&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">44&#44;06&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">43&#44;09&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">45&#44;10&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Potencia lente&#44; dioptr&#237;as&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;578&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">22&#44;00&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">20&#44;00&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">23&#44;50&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>EE buscado&#44; dioptr&#237;as&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;578&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">-0&#44;24&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Simult&#225;neos n &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
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          "leyenda" => "<p id="spar0075" class="elsevierStyleSimplePara elsevierViewall">Regresi&#243;n log&#237;stica con el error en la predicci&#243;n del equivalente esf&#233;rico final mayor de una dioptr&#237;a como variable dependiente&#46; Las variables categ&#243;ricas se codifican como 1 para la presencia del factor de riesgo y 0 para la ausencia&#46; Se analizaron las siguientes variables&#58; edad mayor de 84 a&#241;os&#44; genero&#44; lateralidad&#44; miop&#237;a magna&#44; hipermetrop&#237;a previa mayor 2 dioptr&#237;as&#44; presencia de ceguera legal o baja visi&#243;n previa&#44; comorbilidad previa &#40;catarata blanca o dura&#44; DMAE&#44; glaucoma&#44; <span class="elsevierStyleItalic">guttas</span>&#44; leucoma&#44; membrana epirretiniana&#44; ambliop&#237;a&#44; pseudoexfoliaci&#243;n&#41;&#44; cirug&#237;as previas &#40;glaucoma&#44; retina&#44; refractiva o intrav&#237;treas&#44; retinopat&#237;a diab&#233;tica&#44; oclusi&#243;n vascular&#41;&#44; resultados biom&#233;tricos &#40;biometr&#237;a ultras&#243;nica&#44; longitud axial &#60; 22 mm o mayor 26 mm&#44; ACD menor o igual de 2&#44;5 mm&#44; uso de formula diferente de Barret Universal II o de SRK&#47;T&#44; blanco-blanco menor de 10 o mayor de 12&#44;5 mm&#44; K media menor de 42 dioptr&#237;as o mayor de 46 dioptr&#237;as&#44; antig&#252;edad de la biometr&#237;a mayor de 90 o 180 d&#237;as&#41;&#44; complicaciones intraquir&#250;rgicas &#40;capsulares&#44; iridianas&#44; sutura corneal&#41; y complicaciones posquir&#250;rgicas &#40;edema macular qu&#237;stico&#44; seidel&#44; hipertensi&#243;n ocular&#41;&#46;</p><p id="spar0080" class="elsevierStyleSimplePara elsevierViewall">ACD&#58; profundidad de c&#225;mara anterior&#59; ALX&#58; longitud axial&#59; DMAE&#58; degeneraci&#243;n macular asociada a la edad&#59; IC&#58; intervalo de confianza&#59; Exp &#40;B&#41;&#58; exponencial de b &#40;<span class="elsevierStyleItalic">odds ratio</span>&#41;&#59; mm&#58; mil&#237;metros&#59; Sig&#58; valor p de significancia&#46;</p>"
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">IC 95&#37; para Exp &#40;B&#41;</th></tr><tr title="table-row"><th class="td" title="\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Exp &#40;B&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Superior&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">1&#44;262&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">3&#44;064&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t">Ceguera legal previa&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">&#60; 0&#44;001&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">3&#44;990&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">1&#44;986&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
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                  \t\t\t\t">5&#44;787&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t">Catarata blanca&#47;dura&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;003&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">3&#44;125&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">1&#44;489&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">6&#44;561&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t">Biometr&#237;a ultras&#243;nica&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t">&#60; 0&#44;001&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">2&#44;632&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t">ALX &#60; 22&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t">4&#44;389&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t">2&#44;369&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t">1&#44;141&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
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                  \t\t\t\t">4&#44;920&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">ACD estrecha&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="center" valign="\n
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                  \t\t\t\t">0&#44;016&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#44;142&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;156&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&#44;969&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Formula no Barrett&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#60; 0&#44;001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#44;804&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;791&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">4&#44;390&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Blanco-blanco &#60; 10 mm&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#60; 0&#44;001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
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                  \t\t\t\t">2&#44;484&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;533&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">4&#44;024&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Cirug&#237;a glaucoma previa&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;028&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">6&#44;128&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;218&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">36&#44;835&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Primer ojo intervenido&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;010&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;957&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;178&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Pseudoexfoliaci&#243;n&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Retinopat&#237;a diab&#233;tica&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Oclusi&#243;n retiniana&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Cirug&#237;a refractiva&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;4&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Cirug&#237;a retina&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;9&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Cirug&#237;a glaucoma&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Injecciones intrav&#237;treas&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Miop&#237;a magna&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">2&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Uve&#237;tis&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;85&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Complicaciones perop&#46;</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">10&#44;27&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">4&#44;64&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Rotura capsular&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;26&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;04&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&#44;8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;33&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;92&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Alteraciones iris&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">4&#44;82&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;19&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;55&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Desinserci&#243;n zonular&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;19&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;46&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Retenci&#243;n fragmentos&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;26&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;11&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;18&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;04&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Otros&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&#44;93&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;28&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;14&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Orden ojo intervenido</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Primero&#44; &#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">59&#44;51&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">54&#44;61&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">58&#44;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Segundo&#44; &#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">39&#44;48&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">45&#44;39&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">41&#46;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Simult&#225;neo&#44; &#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;01&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
              ]
              "imagenFichero" => array:1 [
                0 => "xTab2847722.png"
              ]
            ]
            1 => array:2 [
              "tabla" => array:1 [
                0 => """
                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Variable&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">HUA&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">HCUV&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">C&#225;diz&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Rementer&#237;a&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">CDN&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">EUREQUO&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Complicaciones post &#37;</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">18&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Hipertensi&#243;n ocular&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Corneales&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Edema macular&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Desprend&#46; de retina&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Endoftalmitis&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">AV postop&#46; media</span><span class="elsevierStyleItalic">&#40;Snellen decimal&#41;</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#44;5<a class="elsevierStyleCrossRef" href="#tblfn0005">&#42;</a><span class="elsevierStyleSup">LogMAR</span><span class="elsevierStyleSup">0&#44;28</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">1<a class="elsevierStyleCrossRef" href="#tblfn0005">&#42;</a><span class="elsevierStyleSup">LogMAR0&#44;04</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Revisi&#243;n d&#237;as &#40;media&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Revisados&#44; &#37;&nbsp;\t\t\t\t\t\t\n
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              "identificador" => "tblfn0005"
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              "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Se presenta el dato como LogMAR&#59; &#167;se presenta el dato como mediana&#46;</p> <p class="elsevierStyleNotepara" id="npar0010">AV&#58; agudeza visual&#59; Desprend&#46;&#58; desprendimiento&#59; CND&#58; <span class="elsevierStyleItalic">Cataract National Database</span>&#59; DMAE&#58; degeneraci&#243;n macular asociada a la edad&#59; EE&#58; equivalente esf&#233;rico&#59; HCUV&#58; Hospital Cl&#237;nico Universitario de Valladolid&#59; perop&#46;&#58; peroperatorias&#59; postop&#46;&#58; postoperatorias&#59; predic&#46;&#58; predicci&#243;n&#59; HUA&#58; Hospital Universitario Araba&#59; EUREQUO&#58; Registro Europeo de Resultados de Calidad para las Cirug&#237;as de Catarata y Refractiva&#46;</p>"
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        "descripcion" => array:1 [
          "es" => "<p id="spar0085" class="elsevierStyleSimplePara elsevierViewall">Comparaci&#243;n datos previos&#44; intraoperatorios y resultados entre nuestro estudio y estudios previos</p>"
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                      "titulo" => "Cataract Surgery Volumes and Complications per Surgeon and Clinical Unit&#58; Data from the Swedish National Cataract Register 2007 to 2016"
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                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "M&#46; Zetterberg"
                            1 => "P&#46; Montan"
                            2 => "M&#46; Kugelberg"
                            3 => "I&#46; Nilsson"
                            4 => "M&#46; Lundstr&#246;m"
                            5 => "A&#46; Behndig"
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                    0 => array:2 [
                      "doi" => "10.1016/j.ophtha.2019.10.007"
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                        "tituloSerie" => "Ophthalmology&#46;"
                        "fecha" => "2020"
                        "volumen" => "127"
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                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/31767438"
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              "identificador" => "bib0120"
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                0 => array:1 [
                  "referenciaCompleta" => "Gobierno de Espa&#241;a&#47;Ministerio de Sanidad&#46; Portal estad&#237;stico&#46; &#193;rea de inteligencia de gesti&#243;n&#46; &#91;consultado 1 Ene 2021&#93;&#46; Disponible en&#58; https&#58;&#47;&#47;pestadistico&#46;inteligenciadegestion&#46;mscbs&#46;es&#47;publicoSNS&#47;C&#47;rae-cmbd&#47;rae-cmbd&#47;procedimientos&#47;procedimientos-hospitalizacion-y-cma"
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                      "titulo" => "Results of cataract surgery in a third-level teaching hospital More than just a simple number"
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                          "etal" => false
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                            0 => "N&#46; Artells de Jorge"
                            1 => "J&#46; Foncubierta Villama&#241;&#225;n"
                            2 => "L&#46; Garc&#237;a Onrubia"
                            3 => "G&#46;E&#46; Pacheco Callirgos"
                            4 => "C&#46; Meneses Galicia"
                            5 => "J&#46;C&#46; Pastor Jimeno"
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                    0 => array:2 [
                      "doi" => "10.1016/j.oftal.2019.05.014"
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                        "tituloSerie" => "Arch Soc Esp Oftalmol&#46;"
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                        "volumen" => "94"
                        "paginaInicial" => "523"
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                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/31337520"
                            "web" => "Medline"
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              "identificador" => "bib0130"
              "etiqueta" => "4"
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Audit of cataract surgery in Cadiz&#58; visual outcomes and complications"
                      "autores" => array:1 [
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                          "etal" => false
                          "autores" => array:4 [
                            0 => "L&#46; Royo-Dujardin"
                            1 => "E&#46; Alcalde-V&#237;lchez"
                            2 => "E&#46; Rodr&#237;guez-de la R&#250;a"
                            3 => "J&#46;P&#46; Novalbos-Ruiz"
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                      "doi" => "10.1016/j.oftal.2017.12.005"
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ISSN: 03656691
Idioma original: Español
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es en pt

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?

Você é um profissional de saúde habilitado a prescrever ou dispensar medicamentos