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Refractive Lensectomy in Non-presbyopic Patients: Just a Psychological Barrier or an Unethical Activity?

Alió Del Barrio, Jorge L ; Alió, Jorge L

Journal of refractive surgery (1995), 2021-12, Vol.37 (12), p.861-862 [Periódico revisado por pares]

United States: Slack, Inc

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  • Título:
    Refractive Lensectomy in Non-presbyopic Patients: Just a Psychological Barrier or an Unethical Activity?
  • Autor: Alió Del Barrio, Jorge L ; Alió, Jorge L
  • Assuntos: Ethics ; Humans ; Lasers ; Presbyopia - surgery ; Refractive Surgical Procedures ; Surgeons
  • É parte de: Journal of refractive surgery (1995), 2021-12, Vol.37 (12), p.861-862
  • Notas: SourceType-Other Sources-1
    content type line 63
    ObjectType-Correspondence-1
  • Descrição: To start with, the authors justify their study by arguing that laser corneal refractive surgery is usually limited to +4.00 diopters (D), referencing an outdated article from 2006 using old excimer laser technology (MEL70; Carl Zeiss Meditec)2 and totally ignoring modern outcomes of excimer laser technology for hyperopia management.3–5 Actually, the latest excimer platforms with cyclotorsion control, fast repetition rate, and optimized aspheric profiles have proven to be safe and effective for the management of hyperopia up to +6.00 to 7.00 D with or without associated astigmatism.3–5 The authors ignored this evidence in their article, precluding any critical discussion among both techniques and leading to the misleading conclusion that for hyperopia of greater than +4.00 D “refractive lens exchange remains the only surgical option.” [...]approximately 14% of their young patients were not satisfied with their far vision. Patients with hyperopia as low as +2.25 D, uncorrected distance visual acuity of 20/20, and age as young as 21.5 years were included in the study for refractive lensectomy. [...]is it ethical to perform lensectomies just for refractive purposes in such young patients with degrees of hyperopia in many cases well managed with modern laser refractive surgery?
  • Editor: United States: Slack, Inc
  • Idioma: Inglês
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  • Realização: ABCD-USP USP   Logos de Redes Sociais: Freepik

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