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  <front>
    <journal-meta>
      <journal-title-group>
        <journal-title>British Journal of Medical and Health Research</journal-title>
        <abbrev-journal-title abbrev-type="publisher">BJMHR</abbrev-journal-title>
      </journal-title-group>
      <issn pub-type="epub">2394-2967</issn>
    </journal-meta>
    <article-meta>
      <article-id pub-id-type="doi">10.46624/bjmhr.2019.v6.i06.002</article-id>
      <article-id pub-id-type="publisher-id">BJMHR0606002</article-id>
      <title-group>
        <article-title>GLYCEROL TO PREVENT CORNEAL HAZE POST PHOTOREFRACTIVE KERATECTOMY SURGERY IN HIGH DIOPTERS: BIOCHEMICAL AND PHYSIOLOGICAL BASIS.</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author">
          <name>
            <surname>Fuente</surname>
            <given-names>Isabel De la</given-names>
          </name>
          <xref ref-type="aff" rid="aff1"/>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Vieyra</surname>
            <given-names>Leopoldo GarduÃ±o</given-names>
          </name>
          <xref ref-type="aff" rid="aff2"/>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Abril</surname>
            <given-names>Luis Antonio Rivera</given-names>
          </name>
          <xref ref-type="aff" rid="aff2"/>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Cornejo</surname>
            <given-names>Luis Manuel Zamora y</given-names>
          </name>
          <xref ref-type="aff" rid="aff2"/>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>RamÃ­rez</surname>
            <given-names>Francisco J RodrÃ­guez</given-names>
          </name>
          <xref ref-type="aff" rid="aff2"/>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>MartÃ­nez</surname>
            <given-names>Maria Teresa Zavala</given-names>
          </name>
          <xref ref-type="aff" rid="aff2"/>
        </contrib>
      </contrib-group>
      <aff id="aff1">Universidad de Guanajuato</aff>
      <aff id="aff2">Ophthalmologist</aff>
      <pub-date pub-type="epub" iso-8601-date="2019-06-01">
        <month>06</month>
        <day>01</day>
        <year>2019</year>
      </pub-date>
      <volume>6</volume>
      <issue>6</issue>
      <abstract>
        <p>The purpose of this study is to find an effective treatment without corneal haze in patients with high diopters and/or thin corneas; the idea is to offer them a safe surgical refractive treatment to improve their visual acuity (VA) without the use of intraocular implants for higher diopters avoiding therefore any associated risk.  A retrospective, observational and descriptive case series included 75 eyes with ametropias with spherical equivalents the lowest -5.00 Diopters, the highest -22.00 Diopters who underwent photorefractive keratectomy. They were treated additionally with mitomycin 0.02%, contact lens, tobramycin/dexamethasone, and sodium hyaluronate for seven days. Upon removal of the contact lens, they were treated with glycerol 0.9% and sodium hyaluronate three times a day for two months. The 75 eyes included had a preoperative visual capacity was of 1.57 logMAR (SD 0.5), and postoperative of 0.1 logMAR (SD .12) (T test for paired samples, p=000) (FIGURE 2). Preoperative pachymetry was of 564.7 (SD 43.3) and postoperative of 449.1 micra (SD 55.9), (T test for paired samples, p=0.000). There were 5 cases of haze at the first postoperative month, no case of haze was presented at 3, 6 and 12 months of follow-up. This study shows that the use of glycerol is an effective treatment as an adjuvant to prevent haze; based on its osmolarity, hygroscopic capacity and its protein stabilizing properties.</p>
      </abstract>
      <kwd-group kwd-group-type="author">
        <kwd>Glycerol</kwd>
        <kwd>Hygroscopic</kwd>
        <kwd>Haze</kwd>
        <kwd>Keratocytes</kwd>
        <kwd>Ametropia</kwd>
      </kwd-group>
    </article-meta>
  </front>
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