Rezidualna refraktivna greška nakon ugradnje multifokalnih leća

master's thesis

• Title (english): Residual refractive error after implantation of multifocal lenses
• Author: Ana Monika Šmalcelj Gabrić
• Mentor: Tomislav Kuzman (mentor)
• Committee member: Smiljka Popović-Suić (predsjednik povjerenstva)
• Committee member: Miro Kalauz (član povjerenstva)
• Committee member: Tomislav Kuzman (član povjerenstva)
• Granter: University of Zagreb; School of Medicine; (Department of Ophthalmology and Optometry); Zagreb
• Defense date and country: 2019-07-12, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences; Ophthalmology

Abstract

Kirurgija katarakte je zbog velikog napretka u predoperativnoj dijagnostici, kirurškim tehnikama i napretku materijala za izradu intraokularnih leća, postala najsigurniji i najizvođeniji medicinski zahvat u svijetu s preko 25 milijuna izvedenih zahvata godišnje. Veliko iskustvo kirurga kod izvođenja ovog zahvata dovelo je do razvoja refraktivne kirurgije leće koja se izvodi elektivno u svrhu rješavanja refraktivne greške pacijenta. Refraktivna greška koja najčešće dovodi do odluke na ovaj zahvat je prezbiopija, tj. starosna dalekovidnost. Uz prezbopiju veliki broj pacijenata ima i druge refrakcijske greške oka, bilo miopiju ili hipermetropiju, a često i astigmatizam. Također, dio pacijenata koji se odlučuje na refraktivnu zamjenu leće u ranijim životnim fazama su se podvrgnuli refraktivnoj kirurgiji rožnice što je dodatna varijabla kod pravilnog izbora intraokularne leće. Veliki broj pacijenata iznimno je zadovoljan postignutim vidom nakon refraktivne kirurgije leće, no kod dijela pacijenata javljaju se određene poteškoće koje se mogu odnositi na rezidualnu refraktivnu grešku nakon ugradnje multifokalne intraokularne leće. Diplomski rad prikazuje razvoj refraktivne krirugije leće i moguće komplikacije, načelno rezidualne refraktivne greške koja je najčešći problem koji izaziva
nezadovoljstvo kod pacijenata.

Abstract (english)

Due to advances in preoperative diagnostics, surgical techniques and new materials for production of IOLs, cataract surgery has become the safest and the most performed surgical procedure in the world with over 25 million procedures
performed per year. Growing surgeon experience with cataract surgery has created a new type of lens procedure, refractive lens exchange. The most common refractive error for patients undergoing refractive lens exchange is presbyopia, but some patients suffer from myopia, hyperopia or astigmatism too. Some patients undergoing refractive lens exchange had prior refractive procedures on the cornea, adding a variable for the surgeon in IOL selection. A substantial percentage of patients is satisfied with their refractive results and vision quality after refractive lens exchange, but some patients are dissatisfied. The most common reason of this dissatisfaction is a residual refractive error. This thesis paper will show the evolution of lens surgery, what are the possible complications and what are the most common ways in dealing with residual refractive error after multifocal lens implantation.

• Keywords: katarakta; refraktivna krirugija; multifokalne leće; rezidualna refraktivna greška
• Keywords (english): cataract; refractive surgery; multifocal lenses; residual refractive error
• Language: croatian
• URN:NBN: urn:nbn:hr:105:714020
• Study programme: Title: Medicine; Study programme type: university; Study level: integrated undergraduate and graduate; Academic / professional title: doktor/doktorica medicine (doktor/doktorica medicine)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2021-03-02 10:39:48