ESCRS - PO0317 - Features Of Management Of Patients With Keratokonus During Cataract Surgery

Features Of Management Of Patients With Keratokonus During Cataract Surgery

Published 2023 - 41st Congress of the ESCRS

Reference: PO0317 | DOI: 10.82333/7pmd-mf51

Authors: Botagoz ISSERGEPOVA B.I. 1 , Aidana Sutbayeva* 1

1Department of Ophthalmology,KAZAKH RESEARCH INSTITUTE OF EYE DISEASES, ALMATY,Almaty,Kazakhstan

The purpose is to analyze the data of patients with keratoconus in combination with cataract surgery, conducted on the basis of the Kazakh Research Institute of Eye Diseases for 2021-2022 years.

   The article presents an analysis of data from patients with keratoconus after cataract surgery. The main approaches in the choice of tactics and stages of surgical treatment, as well as the features of the choice of IOL are highlighted.

 

     A study was made of 17 patients (20 eyes) with keratoconus after cataract surgery aged 52 to 59 years, including 4 men, 12 women and two children aged 3 and 7 years. All patients underwent a standard ophthalmological examination, which included: visometry, measurement of intraocular pressure (IOP), biomicroscopy, keratorefractometry, and an additional study - Pentakam keratotopography. The postoperative follow-up period ranged from 1 to 12 months.

       In total, 10 thousand cataract phacoemulsifications were performed at the Kazakh Research Institute of eye diseases in 2021-2022, of which 17 were performed in patients with keratoconus, which corresponded to 0.17%. All adult patients underwent cataract phacoemulsification with IOL implantation, 9 patients with аge-related cataract. The children underwent cataract phaco-aspiration with IOL implantation.

          The biomicroscopic picture is without features, in 4 patients with advanced stages of keratoconus there was a Fleischer ring in both eyes, in 3 patients with Vogt's striae in 1 eye, in one patient there was central corneal opacity,

       

The analysis of cataract surgery in patients with keratoconus showed:

  1. Lack of unified approaches to the sequence of surgical interventions. Each case must be dealt with on an individual basis.
  2. It is necessary to follow up a patient with keratoconus for at least 2 years prior to the planned cataract surgery.
  3. Cataract surgery in children with keratoconus is one of the stages in an integrated approach to their rehabilitation, requiring further dynamic monitoring with the correction of existing refractive disorders and the fight against amblyopia.