<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2604-1227</journal-id>
<journal-title><![CDATA[Revista mexicana de oftalmología]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. mex. oftalmol]]></abbrev-journal-title>
<issn>2604-1227</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Mexicana de Oftalmología A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2604-12272022000300131</article-id>
<article-id pub-id-type="doi">10.24875/rmo.m21000192</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Resultado visual secundario a recambio de lente intraocular trifocal en un paciente con córnea guttata]]></article-title>
<article-title xml:lang="en"><![CDATA[Visual outcome after trifocal intraocular lens exchange in a patient with cornea guttata]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Valdez-García]]></surname>
<given-names><![CDATA[Jorge E.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ortiz-Morales]]></surname>
<given-names><![CDATA[Gustavo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Morales-Mancillas]]></surname>
<given-names><![CDATA[Nallely]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Loya-García]]></surname>
<given-names><![CDATA[Denise]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Nava-García]]></surname>
<given-names><![CDATA[Jose A.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hernández-Camarena]]></surname>
<given-names><![CDATA[Julio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto de Oftalmología y Ciencias Visuales  ]]></institution>
<addr-line><![CDATA[Monterrey ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Escuela de Medicina y Ciencias de la Salud, Tecnológico de Monterrey Programa Multicéntrico de Especialidad Médicas ]]></institution>
<addr-line><![CDATA[Monterrey ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2022</year>
</pub-date>
<volume>96</volume>
<numero>3</numero>
<fpage>131</fpage>
<lpage>134</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2604-12272022000300131&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2604-12272022000300131&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2604-12272022000300131&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Objetivo: Reportar el manejo de un paciente con córnea guttata posterior a cirugía de catarata con implante de lente intraocular (LIO) trifocal.  Caso clínico: Varón de 67 años que acude referido a valoración por presentar visión borrosa y deslumbramiento nocturno persistente 6 meses después de facoemulsificación e implante de LIO trifocal. En la biomicroscopía se observan guttas corneales y cambios en la morfología del endotelio corneal, sugiriendo cornea guttata primaria. Se realiza un recambio a LIO monofocal con el fin de reducir las aberraciones corneales, obteniendo un excelente resultado a los 2 años de seguimiento.  Conclusiones: Las aberraciones de la superficie corneal en combinación con LIO premium pueden resultar en una alta insatisfacción visual. El tamizaje de la disfunción endotelial es un elemento clave para lograr excelentes resultados en la cirugía de catarata.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Purpose: To report the management of a patient with primary cornea guttata symptoms after cataract surgery with a trifocal intraocular lens (IOL) implant.  Case report: A 67-year-old male was referred to our department due to persistent blurred vision and night glare 6 months after phacoemulsification and trifocal IOL implantation. By slit-lamp examination, corneal guttae was observed and changes in corneal endothelium morphology suggested primary cornea guttata. A monofocal IOL exchange was performed in order to reduce corneal aberrations, with an excellent outcome after 2 years of follow up.  Conclusions:  Corneal guttae accent optical aberrations in combination with premium IOLs. Screening for endothelial dysfunction is a key element for successful outcomes in cataract surgery.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Cornea guttata primaria]]></kwd>
<kwd lng="es"><![CDATA[Intercambio de LIO]]></kwd>
<kwd lng="es"><![CDATA[Cirugía de catarata]]></kwd>
<kwd lng="es"><![CDATA[LIO trifocal]]></kwd>
<kwd lng="en"><![CDATA[Primary cornea guttata]]></kwd>
<kwd lng="en"><![CDATA[IOL exchange]]></kwd>
<kwd lng="en"><![CDATA[Cataract surgery]]></kwd>
<kwd lng="en"><![CDATA[Trifocal IOL]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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