Management of cataract in keratoconus: early visual outcomes of different treatment modalities.
algorithm
cataract surgery
keratoconus
residual ametropia
Journal
International journal of ophthalmology
ISSN: 2222-3959
Titre abrégé: Int J Ophthalmol
Pays: China
ID NLM: 101553860
Informations de publication
Date de publication:
2019
2019
Historique:
received:
17
10
2018
accepted:
08
04
2019
entrez:
23
10
2019
pubmed:
23
10
2019
medline:
23
10
2019
Statut:
epublish
Résumé
A review of 31 eyes with keratoconus who developed cataract and underwent phacoemulsification. Visual acuities were measured 1mo postoperatively. Six eyes with a history of good corrected distance visual acuity (CDVA) and a similar refractive and topographic astigmatic axis were implanted with toric intraocular lenses (IOLs). The mean postoperative uncorrected distance visual acuity (UDVA) was 0.2 logMAR with a spherical equivalent (SE): 0.75D. Eleven eyes with a history of good CDVA and different refractive and topographic axis were implanted with monofocal IOL+/-Toric implantable collamer lenses to treat anisometropia and ametropia; mean UDVA was 0.25 logMAR with a mean SE: -0.51 D postoperatively. Six eyes with poor CDVA were first treated with intra-corneal ring segments, followed by phacoemulsification, the mean postoperative UDVA was 0.82 logMAR with an SE: 0.22 D. Eight eyes had advanced ectesia and received combined phacoemulsification and penetrating keratoplasty. Our approach is efficient in addressing ametropia after cataract surgery in keratoconic eyes.
Identifiants
pubmed: 31637205
doi: 10.18240/ijo.2019.10.21
pii: ijo-12-10-1654
pmc: PMC6796079
doi:
Types de publication
Journal Article
Langues
eng
Pagination
1654-1658Informations de copyright
International Journal of Ophthalmology Press.
Références
Am J Ophthalmol. 2003 May;135(5):620-7
pubmed: 12719068
Mech Ageing Dev. 2017 Jul;165(Pt B):59-67
pubmed: 28315698
Int J Ophthalmol. 2017 Mar 18;10(3):348-354
pubmed: 28393023
Clin Ophthalmol. 2016 Jun 21;10:1153-9
pubmed: 27382249
Int Ophthalmol. 2018 Jun;38(3):985-992
pubmed: 28534231
Am J Ophthalmol. 2017 Sep;181:183-184
pubmed: 28784238
J Refract Surg. 2013 Jul;29(7):444
pubmed: 23820225
Klin Monbl Augenheilkd. 2003 May;220(5):326-9
pubmed: 12766821
Curr Opin Ophthalmol. 2018 Jan;29(1):75-80
pubmed: 28961565
J Cataract Refract Surg. 2014 Mar;40(3):345-8
pubmed: 24491385
Cornea. 2011 Jun;30(6):720-3
pubmed: 21562460
J Cataract Refract Surg. 2017 Feb;43(2):246-254
pubmed: 28366374
J Cataract Refract Surg. 2017 Jan;43(1):115-130
pubmed: 28317664
Cornea. 2017 May;36(5):530-534
pubmed: 27984365
J Ophthalmol. 2015;2015:514834
pubmed: 25874116
Jpn J Ophthalmol. 2016 Jul;60(4):302-8
pubmed: 27165708
Eye Contact Lens. 2007 Sep;33(5):244-6
pubmed: 17873627
Semin Ophthalmol. 2014 Sep-Nov;29(5-6):376-9
pubmed: 25325863
J Cataract Refract Surg. 1998 Apr;24(4):456-63
pubmed: 9584238
J Refract Surg. 2006 Jan-Feb;22(1):75-80
pubmed: 16447940
Surv Ophthalmol. 2017 Nov - Dec;62(6):770-783
pubmed: 28688894
Indian J Ophthalmol. 2013 Aug;61(8):456-60
pubmed: 23925337