<?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>S2604-12272021000400157</article-id>
<article-id pub-id-type="doi">10.24875/rmo.m21000171</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Impacto de la valoración cardiovascular preoperatoria sobre las complicaciones cardiovasculares intraoperatorias y posoperatorias en cirugía de catarata]]></article-title>
<article-title xml:lang="en"><![CDATA[Impact of preoperative cardiovascular assessment on intraoperative and postoperative cardiovascular complications in cataract surgery]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González-De la Mora]]></surname>
<given-names><![CDATA[Dolores A.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Terán-Martínez]]></surname>
<given-names><![CDATA[Ernesto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García Leonardo]]></surname>
<given-names><![CDATA[Jazmín I.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ponce-Martínez]]></surname>
<given-names><![CDATA[José R.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital General de México Dr. Eduardo Liceaga Departamento de Microcirugía del Segmento Anterior del Ojo ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán Departamento de Anestesiología ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital General de México Dr. Eduardo Liceaga Departamento de Oftalmología ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2021</year>
</pub-date>
<volume>95</volume>
<numero>4</numero>
<fpage>157</fpage>
<lpage>160</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2604-12272021000400157&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2604-12272021000400157&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2604-12272021000400157&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Antecedentes: La catarata es la principal causa de ceguera reversible en todo el mundo; no obstante, en México, la tasa de cirugías realizadas se encuentra muy por debajo del ideal debido a la falta de acceso a servicios médicos y al precio del procedimiento quirúrgico. Aunque los exámenes prequirúrgicos se realizan siempre, no hay evidencia científica de que disminuyan los riesgos de complicaciones intraoperatorias y posoperatorias.  Objetivo: Evaluar si existe relación entre las complicaciones cardiovasculares intraoperatorias y postoperatorias y la valoración cardiovascular preoperatoria sistemática en pacientes programados para cirugía de catarata en población mexicana.  Método: Se incluyeron 327 pacientes operados de catarata en el servicio de oftalmología del Hospital General de México, en los que se buscó la presencia de complicaciones cardiovasculares y cerebrovasculares.  Resultados: En el intraoperatorio no hubo ningún evento vascular mayor (infarto agudo al miocardio, accidente cerebrovascular o arritmias letales) independientemente de la presencia de comorbilidad, del tipo de anestesia y del tiempo de cirugía para pacientes con clasificación cardiovascular Goldman I y II. Tampoco se presentaron eventos cardiovasculares mayores en los siguientes 7 días.  Conclusiones: La valoración cardiovascular preoperatoria tiene nula relación con la morbimortalidad intraoperatoria y posoperatoria de la cirugía de catarata.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Background: Cataract is the leading cause of reversible blindness worldwide; however, in Mexico, the rate of surgeries performed is far below ideal due to the lack of access to medical services and the price of the surgical procedure. Although preoperative examinations are always performed, there is no scientific evidence that they reduce the risks of intraoperative and postoperative complications.  Objective: To assess whether there is a relationship between intraoperative and postoperative cardiovascular complications and routine preoperative cardiovascular assessments in patients scheduled for cataract surgery in a Mexican population.  Method: 327 patients undergoing cataract surgery were included in the ophthalmology service of the Hospital General de México, in which the presence of cardiovascular and/or cerebrovascular complications was evaluated.  Results: During the intraoperative period, there were no major vascular events (acute myocardial infarction, cerebrovascular accident, or lethal arrhythmias) regardless of the presence of comorbidity, the type of anesthesia, and the time of surgery for patients with Goldman I and II cardiovascular classification. There were also no major cardiovascular events in the next 7 days.  Conclusions: Preoperative cardiovascular assessment has no relationship with intraoperative and postoperative morbidity and mortality of cataract surgery.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Catarata]]></kwd>
<kwd lng="es"><![CDATA[Valoración preoperatoria]]></kwd>
<kwd lng="es"><![CDATA[Riesgo cardiovascular]]></kwd>
<kwd lng="es"><![CDATA[Infarto agudo de miocardio]]></kwd>
<kwd lng="es"><![CDATA[Accidente cerebrovascular]]></kwd>
<kwd lng="es"><![CDATA[Arritmias]]></kwd>
<kwd lng="en"><![CDATA[Cataract]]></kwd>
<kwd lng="en"><![CDATA[Preoperative testing]]></kwd>
<kwd lng="en"><![CDATA[Cardiovascular risk]]></kwd>
<kwd lng="en"><![CDATA[Acute myocardial infarction]]></kwd>
<kwd lng="en"><![CDATA[Stroke]]></kwd>
<kwd lng="en"><![CDATA[Arrhythmia]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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