To Report The First Experience Of Performing The Laser-Assisted Cataract Surgery On Post-Radial Keratotomy Eye
Published 2024 - 42nd Congress of the ESCRS
Reference: PO523 | Type: Poster | DOI: 10.82333/nj2p-ge07
Authors: Maksim Solomatin 1 , Igors Solomatins 1 , Andrei Solomatin* 1 , Jana Gertnere 1
1The Dr Solomatin eye center,Riga,Latvia
Purpose
To report a first experience of performing the femtosecond-laser assisted cataract surgery on an eye with previously performed radial keratotomy procedure.
Setting
Female patient, 71 YO, complained about the poor vision acuity in left eye. A radial keratotomy was performed on both eyes in 2000. A cataract surgery was performed on right eye 2 years ago. A 2.type of diabetes was diagnosed 3 years ago. BCVA OD 0.9 OS 0.05 nk. A brunescent cataract and pseidoexfoliative syndrome were diagnosed during slit lamp examination.
Ziemer z8 femtosecond laser and Alcon Centurion phaco machine were implemented. Zeiss IOL master was used to calculate the IOL.
Methods
The femtosecond-laser assisted cataract surgery was performed on the left eye. The main incision was performed directly in the keratomy scar. An mathematical average was chosen during the IOL calculation between Barrett True-K (making sure that LVC RK mode is switched on and Myopic settings are choses) and emperical SRK-T +2.5 D , Hoffer Q +1.5 D.
Results
Surgery was performed uneventfully.
BCVA 3 months post op: OD 1.0 OS 1.0 (ADD +3.0)
Conclusions
No leakage was noticed from the keratotomy scars after the femtosecond laser vacuum application
The main incision directly in the keratotomy scar doesn't induce the leakage
The mathematical average between different IOL calculation models provide precise result for reaching the plano target.
Femtosecond-laser assisted procedure is safe and predictible technique for performing cataract surgery on previously RK-treated eyes