Cataract Surgery on the Previous Corneal Refractive Surgery Patient

Abstract Cataract surgery in cases with previous corneal refractive surgery may be a major challenge for the ophthalmologist. The refractive outcome of the case deserves special attention in the preoperative planning process, which should be tailored for the type of prior refractive procedure: incis...

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Veröffentlicht in:Survey of ophthalmology 2016-11, Vol.61 (6), p.769-777
Hauptverfasser: Alio, Jorge L., MD, PhD, FEBO, Abdelghany, Ahmed A., MD, PhD, Abdou, Ahmed A., MD, PhD, Maldonado, M.J., MD, PhD
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container_end_page 777
container_issue 6
container_start_page 769
container_title Survey of ophthalmology
container_volume 61
creator Alio, Jorge L., MD, PhD, FEBO
Abdelghany, Ahmed A., MD, PhD
Abdou, Ahmed A., MD, PhD
Maldonado, M.J., MD, PhD
description Abstract Cataract surgery in cases with previous corneal refractive surgery may be a major challenge for the ophthalmologist. The refractive outcome of the case deserves special attention in the preoperative planning process, which should be tailored for the type of prior refractive procedure: incisional, ablative under a flap, or on the corneal surface. Avoiding refractive surprise after cataract surgery in these cases is principally dependent upon the accuracy of the IOL calculation, together with the selection of the appropriate biometric formula for each case. Modern techniques for cataract surgery help surgeons to move towards the goal of cataract surgery as a refractive procedure free from refractive error. We give practical guidelines for the cataract surgeon in the management of these challenging cases.
doi_str_mv 10.1016/j.survophthal.2016.07.001
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The refractive outcome of the case deserves special attention in the preoperative planning process, which should be tailored for the type of prior refractive procedure: incisional, ablative under a flap, or on the corneal surface. Avoiding refractive surprise after cataract surgery in these cases is principally dependent upon the accuracy of the IOL calculation, together with the selection of the appropriate biometric formula for each case. Modern techniques for cataract surgery help surgeons to move towards the goal of cataract surgery as a refractive procedure free from refractive error. 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subjects astigmatic keratotomy
cataract
Cataract - complications
Cataract Extraction
Cornea - surgery
Humans
intracorneal ring segments
intraocular lens calculation
laser in situ keratomileusis
Lenses, Intraocular
microincision cataract surgery
Ophthalmology
radial keratotomy
Refraction, Ocular - physiology
refractive corneal surgery
Refractive Errors - complications
Refractive Surgical Procedures
title Cataract Surgery on the Previous Corneal Refractive Surgery Patient
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