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Cataract surgery peculiarities in patients after incision keratotomy

Poster Details

First Author: A.Haddad BELARUS

Co Author(s):    V. Krasilnikova   O. Dudich   D. Abelski        

Abstract Details


To study factors influencing on refractive and visual outcomes after cataract surgery in patients after incision keratotomy.


Republican Ophthalmological center, 10th State Hospital, Belarus, Minsk.


30 patients with different types of corneal incisions after cataract surgery were included in retrospective research. Standard phacoemulsification procedure was performed


During the research following factors which significantly can influence on the postoperative result were revealed: the amount of incisions on a cornea, and as following the cornea condition; The chosen operation technique access (scleral or a corneal incision); Decision about optimal method of IOL power calculation Patient's refractive history. From 30 patients, only the two had refraction history, 10 patients had 8 corneal incisions, 15 patients had 16 corneal incisions, 5-more than corneal incisions. Preoperative uncorrected visual acuity (UCVA) averaged 0,06 +/-0,02, BCVA 0,2+/-0,06. In 15 patients the IOL power was calculated with the help formulas, at remained 15 - empirically adding quantity of dioptries to settlement size depending on amount of corneal incisions. UCVA postoperative averaged 0,3+/-0,04 Decimal; and CVA - 0,65 +/-0,1.


Forecasting refractive outcomes in patients with corneal incisions requiring cataract surgery is a complex challenge where each element is important, both as preoperative examination of the patient, as far as surgical tactics decision. FINANCIAL INTEREST: NONE

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