{"id":1828,"date":"2025-08-04T16:04:00","date_gmt":"2025-08-04T16:04:00","guid":{"rendered":"https:\/\/enfoca.com.mx\/?p=1828"},"modified":"2026-10-08T19:01:05","modified_gmt":"2026-10-08T19:01:05","slug":"sorpresa-refractiva-vitrectomia-calculo-lio","status":"publish","type":"post","link":"https:\/\/enfoca.com.mx\/eng\/sorpresa-refractiva-vitrectomia-calculo-lio\/","title":{"rendered":"SamurEye #11 | Refractive Surprise After Vitrectomy: IOL Formulas, Biometry and Managing the \u201cMyopic Shift\u201d"},"content":{"rendered":"<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe title=\"SamurEye #11: La sorpresa. Resultado Refractivo Post-vitrectom\u00eda.\" width=\"500\" height=\"281\" src=\"https:\/\/www.youtube.com\/embed\/MJfa33MxIIw?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n\n\n\n<p class=\"wp-block-paragraph translation-block\">This episode is essential for <strong>ophthalmologists<\/strong> and <strong>retina surgeons<\/strong>. It covers <strong>refractive surprise<\/strong> and <strong>IOL calculation<\/strong> after <strong>vitrectomy<\/strong>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph translation-block\">We review a real case from Dr. Riquelme and Dr. Maldonado, specialists at <a href=\"https:\/\/enfoca.com.mx\/eng\/\">ENFOCA<\/a>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph translation-block\">Treatment with vitrectomy and gas (C3F8) caused an unexpected <strong>myopic shift<\/strong>. This resulted in functional <strong>monovision<\/strong> that left the patient very satisfied.<\/p>\n\n\n\n<h2 class=\"wp-block-heading enfoca-tam-h3\">Technical Keys for Practice<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li class=\"translation-block\"><strong>Cause of the myopic shift:<\/strong> It occurs because of gas pressure in the eye. The <strong>IOL<\/strong> shifts forward, altering the final refraction.<\/li>\n\n\n\n<li class=\"translation-block\"><strong>Biometric strategy:<\/strong> Strategy is crucial to offset the error. In uncomplicated eyes, aim for the <strong>first hyperopic<\/strong> value (positive target). This minimizes residual <strong>myopia<\/strong> after surgery.<\/li>\n\n\n\n<li class=\"translation-block\"><strong>Advanced formulas:<\/strong> Use advanced formulas such as <strong>Barrett II<\/strong> or <strong>Kane<\/strong>. This gives you maximum precision in the <strong>biometry<\/strong> of vitrectomized eyes.<\/li>\n\n\n\n<li class=\"translation-block\"><strong>Functional focus:<\/strong> The goal is functional success, not just anatomical success. Consider <em>premium<\/em> options, such as a <strong>monofocal plus<\/strong> lens, for the fellow eye.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">#Ophthalmology #RetinaSurgery #Vitrectomy #RefractiveSurprise #IOLCalculation #Biometry #RetinaAndVitreous #MyopicShift #IOL #HealthcareProfessionals<\/p>\n\n\n\n<h2 class=\"wp-block-heading enfoca-tam-h3\">Where can you find us?<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li class=\"translation-block\"><strong>YouTube:<\/strong> Subscribe to our channel for full episodes and exclusive content: <a href=\"https:\/\/www.youtube.com\/@SamurEyePodcast\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/www.youtube.com\/@SamurEyePodcast<\/a><\/li>\n\n\n\n<li class=\"translation-block\"><strong>Instagram:<\/strong> Follow us on Instagram to hear about upcoming topics, guests and highlights: <a href=\"https:\/\/www.instagram.com\/samureyepodcast\/\" target=\"_blank\" rel=\"noreferrer noopener\">@samureyepodcast<\/a><\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>","protected":false},"excerpt":{"rendered":"<p>Este episodio es clave para Oftalm\u00f3logos y Cirujanos de Retina. Aborda la sorpresa refractiva y el c\u00e1lculo LIO post-vitrectom\u00eda. Analizamos [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":1829,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[11],"tags":[155,144,145,150,152,153,157,156,154,14,151,148,158,149,111,146,147,37],"class_list":["post-1828","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-samureye","tag-barrett-ii","tag-biometria","tag-calculo-lio","tag-cirugia-de-retina","tag-faco-vitrectomia","tag-formulas-de-biometria","tag-gas-c3f8","tag-lio-post-vitrectomia","tag-manejo-lio","tag-oftalmologia","tag-oftalmologos-profesionales","tag-ojo-pseudofaquico","tag-resultados-refractivos","tag-retinologo","tag-samureye-podcast","tag-shift-miopico","tag-sorpresa-refractiva","tag-vitrectomia"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Sorpresa refractiva tras vitrectom\u00eda | SamurEye #11<\/title>\n<meta name=\"description\" content=\"El cirujano de retina debe predecir el shift mi\u00f3pico post-vitrectom\u00eda. 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