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Staged Cataract Post Scar Removal: A Case Report.

Aaishwariya Gulani1, Arun C Gulani2

  • 1Medicine, University of Central Florida, Orlando, USA.

Cureus
|August 14, 2020
PubMed
Summary
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This case study highlights a successful treatment for severe vision loss caused by advanced keratoconus and cataract. Innovative laser procedures restored unaided 20/20 vision in a patient with a scarred cornea.

Area of Science:

  • Ophthalmology
  • Corneal Surgery
  • Refractive Surgery

Background:

  • A 62-year-old male presented with severe visual impairment (20/200) due to advanced keratoconus and posterior subcapsular cataract.
  • The patient had a history of 12 prior ocular procedures, including implantable contact lens (ICL) surgery, Intacs corneal implants, corneal Cross Linking, and multiple photorefractive surgeries (PTK, PRK).
  • Despite previous interventions, the cornea remained irregular and scarred, significantly limiting vision.

Observation:

  • The patient underwent a novel treatment approach involving Laser Corneoplastique followed by staged cataract surgery.
  • These advanced surgical techniques were performed on a cornea previously subjected to numerous complex procedures.

Findings:

  • The combined surgical intervention successfully corrected the visual deficit.
Keywords:
cataractcorneacorneal scarkeratoconus

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  • The patient achieved unaided 20/20 vision in the affected eye post-treatment.

    • Implications:

    • This case demonstrates the potential efficacy of Laser Corneoplastique and staged cataract surgery in managing complex cases of vision loss from keratoconus and cataract.
    • The findings suggest that even eyes with extensively scarred corneas and a history of multiple failed interventions may achieve significant visual rehabilitation.
    • This approach offers a potential alternative for patients with severe visual impairment refractory to conventional treatments.