Refractive outcomes following cataract surgery in patients that have previously undergone laser refractive surgery have traditionally been underwhelming.This is related to several key issues including the preoperative...Refractive outcomes following cataract surgery in patients that have previously undergone laser refractive surgery have traditionally been underwhelming.This is related to several key issues including the preoperative assessment(keratometry)and intraocular lens power calculations.Peer-reviewed literature is overwhelmed by the influx of methodology to manipulate the corneal or intraocular lens(IOL)powers following refractive surgery.This would suggest that the optimal derivative formula has yet been introduced.This review discusses the problems facing surgeons approaching IOL calculations in these post-refractive laser patients,the existing formulae and programs to address these concerns.Prior published outcomes will be reviewed.展开更多
Cataract surgery is one of the most commonly performed surgeries among the elderly today.The volume of cataract surgeries has dramatically increased in the past few decades due to technological advancements leading to...Cataract surgery is one of the most commonly performed surgeries among the elderly today.The volume of cataract surgeries has dramatically increased in the past few decades due to technological advancements leading to decreased morbidity,better overall outcomes,and increased expectation for correction of refractive error and spectacle independence after cataract surgery.The number of cataract surgeries is expected to continue to rise with the increase of the elderly population.Thus,accurate predictions of intraocular lens(IOL)power and the ability to correct for any postoperative refractive errors are critical.Despite the improved ability of cataract surgeons to accurately calculate IOL power,postoperative refractive errors still do occur due to various reasons such as imperfect preoperative measurements,toric-lens misalignment,and existing or surgically-induced astigmatism.The aim of this article is to review the various surgical options,including intraocular and corneal refractive surgical approaches,to correct post-operative refractive errors after cataract surgery.展开更多
文摘Refractive outcomes following cataract surgery in patients that have previously undergone laser refractive surgery have traditionally been underwhelming.This is related to several key issues including the preoperative assessment(keratometry)and intraocular lens power calculations.Peer-reviewed literature is overwhelmed by the influx of methodology to manipulate the corneal or intraocular lens(IOL)powers following refractive surgery.This would suggest that the optimal derivative formula has yet been introduced.This review discusses the problems facing surgeons approaching IOL calculations in these post-refractive laser patients,the existing formulae and programs to address these concerns.Prior published outcomes will be reviewed.
文摘Cataract surgery is one of the most commonly performed surgeries among the elderly today.The volume of cataract surgeries has dramatically increased in the past few decades due to technological advancements leading to decreased morbidity,better overall outcomes,and increased expectation for correction of refractive error and spectacle independence after cataract surgery.The number of cataract surgeries is expected to continue to rise with the increase of the elderly population.Thus,accurate predictions of intraocular lens(IOL)power and the ability to correct for any postoperative refractive errors are critical.Despite the improved ability of cataract surgeons to accurately calculate IOL power,postoperative refractive errors still do occur due to various reasons such as imperfect preoperative measurements,toric-lens misalignment,and existing or surgically-induced astigmatism.The aim of this article is to review the various surgical options,including intraocular and corneal refractive surgical approaches,to correct post-operative refractive errors after cataract surgery.
