Lensa Intraokular Piggyback Sekunder Sebagai Tatalaksana Refractive Surprise
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refractive surprise, myopic surprise, piggyback sekunder
Abstract
Pendahuluan: Refractive surprise merupakan kejadian yang tidak diharapkan pasca operasi katarak. Refractive surprise dapat ditatalaksana baik secara konservatif maupun dengan tindakan operasi berbasis lensa maupun berbasis kornea.
Tujuan: Untuk melaporkan hasil akhir sebuah kasus refractive surprise yang ditatalaksana dengan implantasi lensa intraokular piggyback sekunder.
Ilustrasi Kasus: Pria berusia 54 tahun datang ke unit katarak dan bedah refraktif Rumah Sakit Mata Cicendo dengan keluhan utama mata kanan buram pasca operasi katarak 4 bulan sebelumnya. Tajam penglihatan dasar mata kanan 2/60 dan mata kiri 0.5. Hasil refraktometer mata kanan didapatkan S -6.00 C-1.00 x 96 dan tajam penglihatan terbaik dengan S-6.00 adalah 0.63. Pasien kemudian didiagnosis dengan myopic surprise mata kanan, pseudofakia dengan kekeruhan kapsul posterior grade I-II mata kanan dan katarak subkapsularis posterior mata kiri. Pasien kemudian ditatalaksana dengan implantasi lensa intraokular piggyback menggunakan Sensar AR40 foldabel three-pieces hidrofobik akrilik. Tiga bulan pasca operasi didapatkan tajam penglihatan terbaik pasien adalah 0.8 tidak dapat dikoreksi.
Kesimpulan: Lensa intraokular piggyback sekunder merupakan tatalaksana refractive surprise berbasis lensa yang aman, mudah diprediksi, dan bersifat reversibel.
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References
Sales CS, Manche EE. Managing residual refractive error after cataract surgery. J cataract Refract Surg. 2018;41(1):1289-99.
Gundersen KG, Potvin R. A review of results after implantation of a secondary intraocular lens to correct residual refractive error after cataract surgery. Clin Opthalmol. 2017;11:1791-6.
Alio JL, Abdelghany AA, Buenaga RF. Management of residual refractive error after cataract surgery. Curr Opin Ophthalmol. 2014;25(4):291-7.
Wilner HZ, Barequet IS. Piggyback IOLs. Dalam : Mastering Intraocular lenses (IOLs). Edisi Pertama. New Delhi: Jaypee Brothers Medical Publisher;2007. Hal 283-94.
Jick SL, et al. Evaluation and Management of Cataracts in Adults. Dalam : BSSC Basic and Clinical Science Course Lens and Cataract. American Academy of Opthalmology. 2017. Hal 115-49.
Ladi JS. Prevention and Correction of residual refractive errors after cataract surgery. J Clin Opthalmol Res. 2017;5:45-50.
Portelinha J. Special cases : secondary piggyback lenses. AAO. https://eyewiki.aao.org/Special_cases%3A_sec ondary_piggy-back_lenses. Diunduh : 1 Mei 2019.
Rubenstein JB. Piggyback IOLs for Residual Refractive Error After Cataract Surgery.https://crstoday.com/articles/2012-aug/ piggyback-iols-for-residual-refractive-error-aft er-cataract-surgery/. Diunduh : 1 Mei 2019.
Hill WE. Enhancement with Piggyback or Intraocular Lens Exchanges. Dalam: Premium Cataract Surgery. Thorofare: Slack Incorporate.2012. Hal 127-34.
Hassan AHA, Sayed KM, Elagouz M, Elhawary AM. Refractive Results: Safety and Efficay of Secondary Piggyback Sensar AR40 Intraocular Lens Implantation to Correct Pseudophakic Refractive Error. J Opthalmol. 2016;216:4-9.
V enter JA, Oberholster A, Schallhorn SC, Pelouskova M. Piggyback Intraocular Lens Implantation to Correct Pseudophakic Refractive Error After Segmental Multifocal Intraocular Lens Implantation. J Refract Surg. 2014;30(4):234-9.
Cancado FT. Secondary Piggyback with PMMA IOL for the Correction of Refractive Error after Phacoemulsification. Rev Bras Opthalmol. 2013;72(1):8-11.
Alio JL, Abdelghany AA, Ferna R. Enhancements after Cataract Surgery. Curr Opin Opthalmol. 2015;26(1):50-5.
Pandey SK, Sharma V. Pearls for Piggyback IOL Implantation. Del J Opthalmol. 2014;24(3):178-80.
Roelofs K, Rudnisky C. In the bag Intraocular Lens Exchange 13 Years After Refractive Lens Extraction. Can J Opthalmol. 2016;51(6):161-3.
Moshirfar M, McCaughey MV , Luis SC. Corrective Techniques and Future Directions for Treatment of Residual Refractive Error Following Cataract Surgery. Expert Rev Opthalmol. 2015;9(6):529-37.
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