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Malyugin ring for intraoperative miosis in femtosecond laser phacovitrectomy
Anillo de Malyugin para miosis intraoperatoria en femtofacovitrectomía
J.O. Moya Romeroa,
, G.A. Ochoa Máynezb, M.A. Cantero Vergarac, C.A. Gómez Cortesa
Corresponding author
a Alta Especialidad en Retina y Vítreo, Subsección de Retina, Sección de Oftalmología, Hospital Central Militar, Mexico City, Mexico
b Subsección de Retina, Sección de Oftalmología, Hospital Central Militar, Mexico City, Mexico
c Subsección de Córnea y Segmento Anterior, Sección de Oftalmología, Hospital Central Militar, Mexico City, Mexico
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Moya Romero, G.A. Ochoa Máynez, M.A. Cantero Vergara, C.A. Gómez Cortes" "autores" => array:4 [ 0 => array:4 [ "nombre" => "J.O." "apellidos" => "Moya Romero" "email" => array:1 [ 0 => "moya5339@yahoo.com.mx" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "G.A." "apellidos" => "Ochoa Máynez" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "M.A." "apellidos" => "Cantero Vergara" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] ] ] 3 => array:3 [ "nombre" => "C.A." "apellidos" => "Gómez Cortes" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] ] "afiliaciones" => array:3 [ 0 => array:3 [ "entidad" => "Alta Especialidad en Retina y Vítreo, Subsección de Retina, Sección de Oftalmología, Hospital Central Militar, Mexico City, Mexico" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Subsección de Retina, Sección de Oftalmología, Hospital Central Militar, Mexico City, Mexico" "etiqueta" => "b" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Subsección de Córnea y Segmento Anterior, Sección de Oftalmología, Hospital Central Militar, Mexico City, Mexico" "etiqueta" => "c" "identificador" => "aff0015" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "<span class="elsevierStyleItalic">Corresponding author</span>." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Anillo de Malyugin para miosis intraoperatoria en femtofacovitrectomía" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0015" "etiqueta" => "Fig. 3" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr3.jpeg" "Alto" => 1588 "Ancho" => 1659 "Tamanyo" => 181429 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0055" class="elsevierStyleSimplePara elsevierViewall">Pupil dilation of 7<span class="elsevierStyleHsp" style=""></span>mm before vitrectomy.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0065">Introduction</span><p id="par0005" class="elsevierStylePara elsevierViewall">The presence of miosis after femtosecond (Fs) laser-assisted cataract surgery was observed and attributed to a sudden increase in the temperature of the aqueous humour<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">1</span></a> and the release of inflammatory mediators (prostaglandin E2).<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">2</span></a> The use of preoperative non-steroidal anti-inflammatory agents is recommended: viscoelastic agents, epinephrine and mechanical dilators to maintain an adequate intraoperative mydriasis.<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">3</span></a> Bali et al.<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">4</span></a> conducted the first study that combined a 25-gauge pars plana vitrectomy and an Fs laser-assisted phacoemulsification in 8 patients. In conclusion, this is an alternative that offers potential benefits for the success of the combined procedure, such as a centred and easy-to-replicate capsulotomy, which allows for excellent stability of the intraocular lense, reduced need for ultrasound and, thus, a reduced possibility of corneal oedema to conduct the vitreoretinal surgery. There are no papers describing the use of the Malyugin ring in femtophacovitrectomy for the prevention of transoperative miosis and successful completion of the posterior pole surgery. Thus, the objective of this work is to assess the usefulness of the Malyugin ring for the treatment of transoperative miosis in a patient with poor pupil dilation treated with femtosecond laser-assisted phacoemulsification with 23-gauge pars plana vitrectomy (femtophacovitrectomy).</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0070">Surgical technique</span><p id="par0010" class="elsevierStylePara elsevierViewall">A 57-year old female patient with cataract and dense vitreous haemorrhage in the right eye, with best-corrected visual acuity 20/800 (1.6<span class="elsevierStyleHsp" style=""></span>logMAR), secondary to diabetic retinopathy, with preoperative pupil dilation of 5.5<span class="elsevierStyleHsp" style=""></span>mm, was selected. This patient underwent a femtophacovitrectomy. The following aspects were assessed: transoperative pupil dilation, surgery easiness and postoperative pupil anatomy. An Fs laser platform LenSx V2.2 was used (wavelength 1030<span class="elsevierStyleHsp" style=""></span>nm of 50<span class="elsevierStyleHsp" style=""></span>kHz, 600–800<span class="elsevierStyleHsp" style=""></span>fs pulsated laser; Alcon Laboratories, Fort Worth, TX, USA) for the programming of corneal incisions (primary incision of 2.8<span class="elsevierStyleHsp" style=""></span>mm, at 135, spot of 5<span class="elsevierStyleHsp" style=""></span>μm, layer separation of 4<span class="elsevierStyleHsp" style=""></span>μm, energy of 6<span class="elsevierStyleHsp" style=""></span>μJ), capsulotomy (5<span class="elsevierStyleHsp" style=""></span>mm with spot separation of 5<span class="elsevierStyleHsp" style=""></span>μm, layer separation of 5<span class="elsevierStyleHsp" style=""></span>μm, energy of 8<span class="elsevierStyleHsp" style=""></span>μJ) and crystalline fracture (2 cuts, diameter of 5.4<span class="elsevierStyleHsp" style=""></span>mm, spot separation of 10<span class="elsevierStyleHsp" style=""></span>μm, layer separation of 10<span class="elsevierStyleHsp" style=""></span>μm, energy of 10<span class="elsevierStyleHsp" style=""></span>μJ). A topical/intracameral anaesthesia with 0.75% ropivacaine (<span class="elsevierStyleItalic">Naropin</span> 7.5<span class="elsevierStyleHsp" style=""></span>mg/ml, AstraZeneca, S.A. de C.V. Naucalpan de Juárez, Mexico) was used, achieving corneal flattening using a SoftFit sterile interphase (docking) and suction when adequate corneal docking was achieved. Optical coherence tomography images of the anterior segment were observed in the monitor (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>). Following this, the patient was located under a surgical microscope in the same operating theatre and on the same stretcher and underwent a sterile surgical preparation. Blefarostate and 23-gauge transconjuntival trocars were placed at an angle of 30–45 of the inferior temporal for infusion and at the meridians of 10 and 2 (in relation to the clock hands) for vitrectomy equipment and endoilluminator at 4<span class="elsevierStyleHsp" style=""></span>mm of the limbus with trocar plugs. A blunt dissection of corneal incisions created with laser using a Slade spatula (Asico, Westmont, IL, USA) was performed, injecting trypan blue (Vision Blue, 0.06% D.O.R.C, Zuidland, Holland) and viscoelastic agents (Discovisc, 4% chondroitin sulphate, 1.65% sodium hyaluronate, Alcon; Arlington, TX, USA) in the anterior camera. The anterior capsule was removed with an Utrata pinch using a napkin technique, followed by the placement of the Malyugin ring (MST, Redmond, WA, USA), with a 7<span class="elsevierStyleHsp" style=""></span>mm expansion, inserted in the pupil border (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>). The segmentation of the crystalline was completed using a Prechopper Akahoshi Splitter (Terao femtosecond chopper, Asico, Westmont, IL, USA), with aspiration of CO<span class="elsevierStyleInf">2</span> bubbles generated by the laser using a 27-gauge cannula, with hydrodissection and rotation of the crystalline. For the quadrant extraction, the platform Constellation<span class="elsevierStyleSup">®</span> Vision System (Alcon, Arlington, TX, USA) was used. The intraocular lense was implanted (a hydrophobic acrylic piece–Acrysof IQ, Alcon, Arlington, TX, USA), and viscoelastic agents were maintained during retinal surgery (<a class="elsevierStyleCrossRef" href="#fig0015">Fig. 3</a>). Central and peripheral <span class="elsevierStyleItalic">vitrectomy</span> was conducted using a BIOM II non-contact broad field visualisation system (Oculus, Wetzlar, Germany), with excellent visualisation (<a class="elsevierStyleCrossRef" href="#fig0020">Fig. 4</a>). Posterior vitreous detachment was induced, as well as endophotocoagulation and diathermic haemostasis. Viscoelastic agents were suctioned from the anterior camera, and the ring was extracted and removed from the iris using a Sinskey hook (<a class="elsevierStyleCrossRef" href="#fig0025">Fig. 5</a>). A fluid/air exchange was performed, thus removing the trocar and verifying that the sclerotomies were sealed. Antibiotic/steroidal eye drops were instilled (Sophixin Dx Ofteno, dexamethasone phosphate/ciprofloxacin hydrochloride, Laboratorios Sophia S.A. de C.V., Zapopan, Jalisco, Mexico). One month after the surgery, the visual acuity was 20/40 (0.3<span class="elsevierStyleHsp" style=""></span>logMAR), with preserved pupil anatomy and good reaction to light (<a class="elsevierStyleCrossRef" href="#fig0030">Fig. 6</a>).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><elsevierMultimedia ident="fig0015"></elsevierMultimedia><elsevierMultimedia ident="fig0020"></elsevierMultimedia><elsevierMultimedia ident="fig0025"></elsevierMultimedia><elsevierMultimedia ident="fig0030"></elsevierMultimedia></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0075">Conclusion</span><p id="par0015" class="elsevierStylePara elsevierViewall">The use of the Malyugin ring may be a useful and safe alternative for patients with poor pupil dilation during femtophacovitrectomy, since it prevents additional incisions made for other devices, such as iris retractors, it reduces the risk of hyphema due to pupillary <span class="elsevierStyleItalic">stretching</span> or sphincterotomies, and it maintains the anatomical and functional integrity of the pupillary sphincter. In addition, it does not increase the risk of complications nor the technical difficulty for surgeons.</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0080">Conflict of interest</span><p id="par0020" class="elsevierStylePara elsevierViewall">The authors declare that there are no conflicts of interest.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:10 [ 0 => array:3 [ "identificador" => "xres584992" "titulo" => "Abstract" "secciones" => array:4 [ 0 => array:2 [ "identificador" => "abst0005" "titulo" => "Objective" ] 1 => array:2 [ "identificador" => "abst0010" "titulo" => "Method" ] 2 => array:2 [ "identificador" => "abst0015" "titulo" => "Results" ] 3 => array:2 [ "identificador" => "abst0020" "titulo" => "Conclusions" ] ] ] 1 => array:2 [ "identificador" => "xpalclavsec600912" "titulo" => "Keywords" ] 2 => array:3 [ "identificador" => "xres584993" "titulo" => "Resumen" "secciones" => array:4 [ 0 => array:2 [ "identificador" => "abst0025" "titulo" => "Objetivo" ] 1 => array:2 [ "identificador" => "abst0030" "titulo" => "Método" ] 2 => array:2 [ "identificador" => "abst0035" "titulo" => "Resultados" ] 3 => array:2 [ "identificador" => "abst0040" "titulo" => "Conclusiones" ] ] ] 3 => array:2 [ "identificador" => "xpalclavsec600913" "titulo" => "Palabras clave" ] 4 => array:2 [ "identificador" => "sec0005" "titulo" => "Introduction" ] 5 => array:2 [ "identificador" => "sec0010" "titulo" => "Surgical technique" ] 6 => array:2 [ "identificador" => "sec0015" "titulo" => "Conclusion" ] 7 => array:2 [ "identificador" => "sec0020" "titulo" => "Conflict of interest" ] 8 => array:2 [ "identificador" => "xack196755" "titulo" => "Acknowledgements" ] 9 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2014-11-04" "fechaAceptado" => "2015-02-05" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec600912" "palabras" => array:4 [ 0 => "Femtosecond laser-assisted cataract surgery" 1 => "Pars plana vitrectomy" 2 => "Intraoperative miosis" 3 => "Malyugin ring" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec600913" "palabras" => array:4 [ 0 => "Cirugía de catarata asistida con láser de femtosegundo" 1 => "Vitrectomía pars plana" 2 => "Miosis intraoperatoria" 3 => "Anillo de Malyugin" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:3 [ "titulo" => "Abstract" "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Objective</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">To evaluate the usefulness of the Malyugin ring in poor pupil dilation during phacoemulsification assisted with femtosecond laser with 23 gauge pars plana vitrectomy.</p></span> <span id="abst0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Method</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">A 57-year-old female with cataract and vitreous haemorrhage, and poor pupil dilation (5.5<span class="elsevierStyleHsp" style=""></span>mm). The phacoemulsification assisted with femtosecond laser, using Malyugin ring after capsulorrhexis, followed by pars plana vitrectomy, and removing at the end without complications.</p></span> <span id="abst0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Results</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">A successful intraoperative pupil dilation was achieved without complications, with a final BCVA of 20/40.</p></span> <span id="abst0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Conclusions</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">The Malyugin ring is an effective alternative in cases with poor pupil dilation in femtophacovitrectomy, preserving the anatomical and functional integrity.</p></span>" "secciones" => array:4 [ 0 => array:2 [ "identificador" => "abst0005" "titulo" => "Objective" ] 1 => array:2 [ "identificador" => "abst0010" "titulo" => "Method" ] 2 => array:2 [ "identificador" => "abst0015" "titulo" => "Results" ] 3 => array:2 [ "identificador" => "abst0020" "titulo" => "Conclusions" ] ] ] "es" => array:3 [ "titulo" => "Resumen" "resumen" => "<span id="abst0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0035">Objetivo</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Evaluar la utilidad del anillo de Malyugin transoperatorio en escasa dilatación pupi-lar durante facoemulsificación asistida con láser de Fs combinado con vitrectomía pars plana 23 G (femtofacovitrectomía).</p></span> <span id="abst0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0040">Método</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Se presenta una mujer de 57 años con catarata y hemorragia vítrea, dilatación pupilar de 5,5<span class="elsevierStyleHsp" style=""></span>mm. Se realiza facoemulsificación asistida con láser de femtosegundo, colocando anillo de Malyugin posterior a extracción de cápsula anterior, seguido de vitrectomía parsplana y retirándolo al final.</p></span> <span id="abst0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0045">Resultados</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Se logró una dilatación pupilar transoperatoria adecuada, sin complicaciones, con una agudeza visual posoperatoria de 20/40.</p></span> <span id="abst0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0050">Conclusiones</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">El uso del anillo de Malyugin puede ser una alternativa útil en casos con escasa dilatación pupilar en femtofacovitrectomía, conservando la integridad anatómica-funcional pupilar.</p></span>" "secciones" => array:4 [ 0 => array:2 [ "identificador" => "abst0025" "titulo" => "Objetivo" ] 1 => array:2 [ "identificador" => "abst0030" "titulo" => "Método" ] 2 => array:2 [ "identificador" => "abst0035" "titulo" => "Resultados" ] 3 => array:2 [ "identificador" => "abst0040" "titulo" => "Conclusiones" ] ] ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Moya Romero JO, Ochoa Máynez GA, Cantero Vergara MA, Gómez Cortes CA. Anillo de Malyugin para miosis intraoperatoria en femtofacovitrectomía. Arch Soc Esp Oftalmol. 2015;90:435–438.</p>" ] ] "multimedia" => array:6 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1519 "Ancho" => 1656 "Tamanyo" => 177500 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Malyugin ring for the prevention of transoperative miosis in femtophacovitrectomy (technique): fs laser programming (incisions, capsulotomy, crystalline fragmentation).</p>" ] ] 1 => array:7 [ "identificador" => "fig0010" "etiqueta" => "Fig. 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 1633 "Ancho" => 1659 "Tamanyo" => 174043 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">Insertion of the Malyugin ring after removing anterior capsule of the crystalline.</p>" ] ] 2 => array:7 [ "identificador" => "fig0015" "etiqueta" => "Fig. 3" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr3.jpeg" "Alto" => 1588 "Ancho" => 1659 "Tamanyo" => 181429 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0055" class="elsevierStyleSimplePara elsevierViewall">Pupil dilation of 7<span class="elsevierStyleHsp" style=""></span>mm before vitrectomy.</p>" ] ] 3 => array:7 [ "identificador" => "fig0020" "etiqueta" => "Fig. 4" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr4.jpeg" "Alto" => 1472 "Ancho" => 1659 "Tamanyo" => 100340 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0060" class="elsevierStyleSimplePara elsevierViewall">Pupil dilation during 23-gauge pars plana vitrectomy.</p>" ] ] 4 => array:7 [ "identificador" => "fig0025" "etiqueta" => "Fig. 5" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr5.jpeg" "Alto" => 1474 "Ancho" => 1659 "Tamanyo" => 146808 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0065" class="elsevierStyleSimplePara elsevierViewall">Removal of the Malyugin ring.</p>" ] ] 5 => array:7 [ "identificador" => "fig0030" "etiqueta" => "Fig. 6" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr6.jpeg" "Alto" => 1446 "Ancho" => 1659 "Tamanyo" => 140871 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0070" class="elsevierStyleSimplePara elsevierViewall">Pupil anatomy one month after surgery.</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:4 [ 0 => array:3 [ "identificador" => "bib0025" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Femtosecond laser-assisted cataract surgery in eye with a small pupil" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "I. Conrad-Henger" 1 => "F.H. Hengerer" 2 => "T. Shultz" 3 => "H.B. Dick" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.jcrs.2013.05.034" "Revista" => array:5 [ "tituloSerie" => "J Cataract Refract Surg" "fecha" => "2013" "paginaInicial" => "1314" "paginaFinal" => "1320" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/23988243" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0030" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Changes in prostaglandin levels in patients undergoing femtosecond laser-assisted cataract surgery" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "T. Schultz" 1 => "S.C. Joachim" 2 => "M. Kuehn" 3 => "B. Dick" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.3928/1081597X-20131021-03" "Revista" => array:7 [ "tituloSerie" => "J Refract Surg" "fecha" => "2013" "volumen" => "29" "paginaInicial" => "742" "paginaFinal" => "747" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/24203805" "web" => "Medline" ] ] "itemHostRev" => array:3 [ "pii" => "S0735109703009409" "estado" => "S300" "issn" => "07351097" ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0035" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Laser-assisted cataract surgery following insertion of a pupil expander for management of complex cataract and small irregular pupil" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "T.V. Roberts" 1 => "M. Lawless" 2 => "C. Hodge" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.jcrs.2013.08.041" "Revista" => array:6 [ "tituloSerie" => "J Cataract Refract Surg" "fecha" => "2013" "volumen" => "39" "paginaInicial" => "1921" "paginaFinal" => "1924" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/24140373" "web" => "Medline" ] ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0040" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Femtosecond laser assisted cataract surgery in phacovitrectomy" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "S. Jindal Bali" 1 => "C. Hodge" 2 => "S. Chen" 3 => "G. Sutton" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1007/s00417-012-2080-y" "Revista" => array:6 [ "tituloSerie" => "Graefes Arch Clin Exp Ophthalmol" "fecha" => "2012" "volumen" => "250" "paginaInicial" => "1549" "paginaFinal" => "1551" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22695937" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] "agradecimientos" => array:1 [ 0 => array:4 [ "identificador" => "xack196755" "titulo" => "Acknowledgements" "texto" => "<p id="par0025" class="elsevierStylePara elsevierViewall">To the Ophthalmology Department of the Hospital Central Militar, México, DF.</p>" "vista" => "all" ] ] ] "idiomaDefecto" => "en" "url" => "/21735794/0000009000000009/v1_201512030104/S2173579415001814/v1_201512030104/en/main.assets" "Apartado" => array:4 [ "identificador" => "5812" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Short communications" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/21735794/0000009000000009/v1_201512030104/S2173579415001814/v1_201512030104/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173579415001814?idApp=UINPBA00004N" ]
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