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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



Purpose:

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

Setting:

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

Methods:

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

Results:

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.

Conclusions:

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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