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Author Spotlight: Advancements in Refractive Surgical Correction for Presbyopia and Exploring Postoperative Visual Acuity
Published on: September 20, 2024
Refractive result after clear lens extraction in posterior microphthalmos with high hyperopia
Onsiri Thanathanee1, Patharika Navapathanapong2, Orapin Anutarapongpan2
1Department of Ophthalmology, Srinagarind Hospital, Khon Kaen University, Moung, Thailand onsirit@yahoo.com.
Abstract:
A man in his early 20s was referred for refractive surgery evaluation. His best corrected distance visual acuity was 20/60 in both eyes. Preoperative manifest refraction was +13.00 sphere with a 0.75 cylinder in both eyes. Posterior segment examination revealed bilateral pseudopapilloedema with a papillomacular retinal fold and a chorioretinal fold. Numerous formulas for intraocular lens (IOL) power were calculated. Bilateral clear lens extraction was performed, resulting in residual spherical equivalents of +4.50 in the right eye and +3.375 in the left eye. There was no accurate IOL power formula for posterior microphthalmos with extremely high hyperopia; however, the Hoffer Q formula may yield the least error in IOL power.
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