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The prediction of refractive outcomes in secondary children’s lens exchange.
To analyse the predictors of refractive outcome in children who have had a previous lens exchange surgery. Retrospective analysis of pre-operative, surgical and post-operative data of consecutive patients who had secondary lens exchange between 1 January, 1995 and 31 December, 2000. Patients under 16 years of age who underwent secondary lens exchange were included in the study. The pre-operative, intra-operative, surgical and post-operative data were analyzed. Outcome measures were refraction, surgical complications and visual outcomes. A total of 25 eyes (19 patients) were analysed. The mean age at the time of lens exchange was 11.8 years (range 4-16 years), and the mean follow-up duration was 4.9 years (range 3-7 years). The mean pre-operative spherical equivalent refraction (SE) was -5.2 +/- 4.4D (D=diopter). Only in patients aged under 12 years were both age and pre-operative SE (t=2.265, p=0.017) found to be significant predictors of post-operative SE. A correlation was found between the cumulative dose and final SE for patients who were older than 12 years of age (r=0.554, p=0.047). No patient had significant complications. Non-contact lens induced astigmatism and persistent keratopathy were the most common complications found. The predictors of refractive outcome of children who have had a previous lens exchange were age and pre-operative SE. Patients older than 12 years with pre-operative SE of -0.5D or more seem to have more chance of achieving a spherical equivalent less than -0.5D.The present invention relates to a method of heat treatment of workpieces such as ceramics, mica, artificial stone, or like materials, and more particularly to a method of heat treatment of workpieces by performing heating and cooling on the workpieces, with a view to suppressing crack generation due to thermal stress to a minimum and further to improve https://felbite.com/wp-content/uploads/2022/06/felbite.com-felbite.com-leaenc.pdf

 

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