Keratoconus Cataract Surgery //

May 15, 2013 · Cataract surgery in patients with keratoconus requires special considerations with respect to wound construction, IOL calculations, and the choice of implant. Baltimore—Good outcomes are possible with cataract surgery in patients with keratoconus—even without corneal transplantation. Jun 16, 2015 · If you have cataracts and Keratoconus, it is important to get the best care possible in order to protect your vision. Treatment options include: Intraocular Lenses IOLs – IOLs substitute the eye’s natural lenses that are detached during cataract surgery.

Early KC can be managed in a similar manner to normal cataract surgery; however, severe KC with steep meridians and possible corneal scars can be troublesome. In modern cataract surgery the astigmatism induced by the single main clear corneal incision has become negligible. Performing cataract surgery in patients with keratoconus presents many challenges. In order to select the strategy that will lead to the best outcome, several factors must be considered. These include whether the patient has progressive or nonprogressive keratoconus.

Purpose of review There are an increasing number of keratoconic eyes, requiring cataract surgery. We review the preoperative planning, intraoperative options, and postoperative management that aid in successful outcomes. Recent findings Management of keratoconic eyes requiring cataract surgery requires a multifaceted approach. Preoperatively, corneal crosslinking and intrastromal corneal ring. Background To review the refractive outcome of cataract surgery in eyes with keratoconus. Methods We retrospectively reviewed the medical records of 64 consecutive patients 92 eyes who underwent cataract surgery with implantation of a spherical intraocular lens IOL. Apr 24, 2014 · In this study, Watson and colleagues reviewed their results after cataract surgery in eyes with keratoconus. They excluded eyes that had previously undergone or had concurrent corneal. “Most keratoconus patients with cataracts are older and their keratoconus is stable; therefore, they will not need cross-linking,” Dr. McDonald said. “If they are younger and the keratoconus is still changing, it is best to do cross-linking first, let the cornea stabilize, and then do the cataract surgery.”.

The cornea is the clear layer on the front of your eye that helps focus light so you can see clearly. If it gets damaged, you might need to have it replaced. The surgeon will remove all or part of. Laser vision correction surgery -- LASIK - is dangerous for people with keratoconus, because it can further weaken the cornea and make vision worse. Anyone with even a small degree of keratoconus. Cataract surgery can improve BCVA in all severities of keratoconus without significant corneal change. IOL calculation is more predictable in mild keratoconus than in moderate and severe disease. Cataract Surgery in Keratoconus with Irregular Astigmatism 97 3. Toric intraocular lens IOL implantation Although the indication of toric intraocular lens T IOL implantation in keratoconus is still not fully admitted, and does not belong to laboratory recommendations because of the. Mar 08, 2012 · Answer: Your situation of requiring Cataract Surgery and Lens Implants, when you have Keratoconus for which you are becoming contact lens intolerant, is indeed a complex surgical challenge. The single most important factor is that you have realistic expectations regarding the expected outcome which is NOT likely to eliminate the need for glasses or contact lenses.

Keratoconus is a disease of the cornea characterized by its progressive thinning, which then causes the cornea to assume a cone-like shape. As keratoconus advances, the abnormally shaped cornea distorts light as it enters the eye, thereby causing blurred vision..

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