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Radial keratotomy for pseudophakic myopia.

H J Plesner1, J Andersen, T Olsen

  • 1Department of Ophthalmology, Arhus University Hospital, Denmark.

Acta Ophthalmologica
|February 1, 1988
PubMed
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Standard cataract surgery can cause significant myopia. This study explores managing myopia in the second eye after cataract surgery, using radial keratotomy and predicted IOL power to achieve isometropia.

Area of Science:

  • Ophthalmology
  • Refractive Surgery
  • Intraocular Lens (IOL) Implantation

Background:

  • Cataract extraction with standard intraocular lens (IOL) implantation can lead to significant postoperative myopia.
  • Managing refractive outcomes in the second eye presents challenges, including patient choice between bilateral myopia, anisometropia, or IOL exchange.

Observation:

  • This report details three patients who underwent radial keratotomy in a myopic pseudophakic eye.
  • Subsequently, cataract extraction and IOL implantation with predicted power were performed on the second eye.

Findings:

  • The combined approach of radial keratotomy and predicted IOL power successfully rendered the patients isometropic and low-grade myopic.
  • This strategy addressed the refractive challenges following initial cataract surgery.

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Implications:

  • Radial keratotomy followed by predicted IOL power implantation offers a viable strategy for managing refractive asymmetry after cataract surgery.
  • This approach can help achieve desired refractive outcomes and patient satisfaction in complex cases.