Journal article
Managing residual refractive error after cataract surgery
Journal of cataract and refractive surgery, Vol.41(6), pp.1289-1299
06/2015
DOI: 10.1016/j.jcrs.2015.05.001
PMID: 26096522
Abstract
We present a review of keratorefractive and intraocular approaches to managing residual astigmatic and spherical refractive error after cataract surgery, including laser in situ keratomileusis (LASIK), photorefractive keratectomy (PRK), arcuate keratotomy, intraocular lens (IOL) exchange, piggyback IOLs, and light-adjustable IOLs. Currently available literature suggests that laser vision correction, whether LASIK or PRK, yields more effective and predictable outcomes than intraocular surgery. Piggyback IOLs with a rounded-edge profile implanted in the sulcus may be superior to IOL exchange, but both options present potential risks that likely outweigh the refractive benefits except in cases with large residual spherical errors. The light-adjustable IOL may provide an ideal treatment to pseudophakic ametropia by obviating the need for secondary invasive procedures after cataract surgery, but it is not widely available nor has it been sufficiently studied.
Details
- Title: Subtitle
- Managing residual refractive error after cataract surgery
- Creators
- Christopher S Sáles - From the Byers Eye Institute (Sáles, Manche), Stanford University, Department of Ophthalmology, Palo Alto, California, and Ophthalmic Consultants of Boston (Sáles), Boston, Massachusetts, USAEdward E Manche - From the Byers Eye Institute (Sáles, Manche), Stanford University, Department of Ophthalmology, Palo Alto, California, and Ophthalmic Consultants of Boston (Sáles), Boston, Massachusetts, USA. Electronic address: edward.manche@stanford.edu
- Resource Type
- Journal article
- Publication Details
- Journal of cataract and refractive surgery, Vol.41(6), pp.1289-1299
- DOI
- 10.1016/j.jcrs.2015.05.001
- PMID
- 26096522
- ISSN
- 0886-3350
- eISSN
- 1873-4502
- Language
- English
- Date published
- 06/2015
- Academic Unit
- Ophthalmology and Visual Sciences
- Record Identifier
- 9984112017602771
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