<?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>2709-7927</journal-id>
<journal-title><![CDATA[Acta Médica del Centro]]></journal-title>
<abbrev-journal-title><![CDATA[Acta méd centro]]></abbrev-journal-title>
<issn>2709-7927</issn>
<publisher>
<publisher-name><![CDATA[Hospital Provincial Clínico Quirúrgico Universitario Arnaldo Milián Castro]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2709-79272024000200002</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Facoemulsificación e implante de lente intraocular de polimetilmetacrilato. Prevención del astigmatismo postquirúrgico mediante abordaje escleral]]></article-title>
<article-title xml:lang="en"><![CDATA[Phacoemulsification and polymethylmethacrylate intraocular lens implantation. Prevention of postsurgical astigmatism through scleral approach]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martínez Urbay]]></surname>
<given-names><![CDATA[José Guillermo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Artiles Martínez]]></surname>
<given-names><![CDATA[Keilym]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González Pérez]]></surname>
<given-names><![CDATA[Neyda Alina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lascaiba Rojas]]></surname>
<given-names><![CDATA[Noel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Provincial Clínico Quirúrgico Universitario &#8220;Arnaldo Milián Castro&#8221;  ]]></institution>
<addr-line><![CDATA[Santa Clara, Villa Clara ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2024</year>
</pub-date>
<volume>18</volume>
<numero>2</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S2709-79272024000200002&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S2709-79272024000200002&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S2709-79272024000200002&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  la catarata es la afección ocular más frecuente en todo el mundo y se considera una causa de disminución de la agudeza visual remediable mediante una intervención quirúrgica relativamente fácil y segura. La facoemulsificación es la técnica quirúrgica preferida entre los Especialistas en Cirugía oftalmológica de segmento anterior en todo el mundo.  Objetivo:  encontrar una opción viable para realizar la cirugía de cataratas mediante la técnica de facoemulsificación ante la carencia de lentes intraoculares plegables y evaluar la inducción del astigmatismo tras esta variación.  Métodos:  se realizó un estudio cuasiexperimental, con evaluación antes/después, en un grupo de pacientes a los que se les realizó facoemulsificación e implante de lente intraocular de lente intraocular de polimetilmetacrilato en el Centro Oftalmológico del Hospital &#8220;Arnaldo Milián Castro&#8221;.  Resultados:  la edad promedio de los pacientes fue de 62,88 (±8,93) años, con un rango entre los 45 y los 76 años de edad, 12 de los 23 pacientes (52,17%) pertenecían al sexo femenino y 11 (47,83%) al masculino. El tiempo requerido para las variaciones propuestas y los pasos añadidos a la técnica estándar de facoemulsificación para colocar una lente intraocular no representan un incremento sustancial con respecto a ella de alrededor de 20 minutos como promedio.  Conclusiones:  esta opción puede ser empleada cuando se disponga solo de lentes intraoculares rígidos de polimetilmetacrilato. Se recomienda para las situaciones en las que se desaconseja la inserción de un lente plegable por opérculos en la cápsula posterior.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  cataract is the most common eye condition worldwide and is considered a cause of decreased visual acuity that can be remedied through a relatively easy and safe surgical intervention. Phacoemulsification is the preferred surgical technique among Anterior Segment Ophthalmic Surgery Specialists worldwide.  Objective:  to find a viable option to perform cataract surgery using the phacoemulsification technique in the absence of foldable intraocular lenses and to evaluate the induction of astigmatism after this variation.  Methods:  a quasi-experimental study was carried out, with before/after evaluation, in a group of patients who underwent phacoemulsification and intraocular lens implantation of a polymethylmethacrylate intraocular lens at the Ophthalmological Center of the &#8220;Arnaldo Milián Castro&#8221; Hospital.  Results:  the average age of the patients was 62.88 (±8.93) years, with a range between 45 and 76 years of age, 12 of the 23 patients (52.17%) belonged to the female sex and 11 (47.83%) to the male. The time required for the proposed variations and the steps added to the standard phacoemulsification technique to place an intraocular lens do not represent a substantial increase over it of about 20 minutes on average.  Conclusions:  this option can be used when only rigid polymethylmethacrylate intraocular lenses are available. It is recommended for situations in which the insertion of a folding lens through opercula in the posterior capsule is not recommended.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[facoemulsificación]]></kwd>
<kwd lng="es"><![CDATA[implantación de lentes intraoculares]]></kwd>
<kwd lng="es"><![CDATA[polimetil metacrilato]]></kwd>
<kwd lng="es"><![CDATA[astigmatismo postquirúrgico]]></kwd>
<kwd lng="es"><![CDATA[abordaje escleral]]></kwd>
<kwd lng="es"><![CDATA[prevención]]></kwd>
<kwd lng="en"><![CDATA[phacoemulsification]]></kwd>
<kwd lng="en"><![CDATA[lens implantation, intraocular]]></kwd>
<kwd lng="en"><![CDATA[polymethyl methacrylate]]></kwd>
<kwd lng="en"><![CDATA[postsurgical astigmatism]]></kwd>
<kwd lng="en"><![CDATA[scleral approach]]></kwd>
<kwd lng="en"><![CDATA[prevention]]></kwd>
</kwd-group>
</article-meta>
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