Clinical Outcomes Of Sequential Corneal Wavefront‐Guided Tprk And Edof Iol Implantation In Patients With Significantly Aberrated Corneas.

To evaluate visual and refractive outcomes following sequential corneal wavefront‐guided TPRK and subsequent implantation of an extended depth of focus (EDOF) intraocular lens (IOL) in patients with pronounced corneal higher‐order aberrations secondary to prior laser vision correction (LVC).

Retrospective case series.

Twelve cataract patients were retrospectively enrolled, with 7 having a history of LASIK and 5 having undergone TPRK. Corneal wavefront‐guided TPRK was performed to reduce higher‐order aberrations, and cataract surgery was scheduled 3 to 4 months later. Visual and refractive outcomes—including uncorrected binocular distance (UDVA) and near (UNVA) visual acuities, corrected distance visual acuity (CDVA), and both corneal and ocular higher‐order aberrations (HOA)—were evaluated 3 months after cataract surgery.

Mean logMAR values for UDVA, UNVA, and CDVA were 0.01 ± 0.12, 0.08 ± 0.34, and -0.02 ± 0.15, respectively. Postoperative corneal measurements showed coma of 0.30 ± 0.35 µm, spherical aberration of 0.10 ± 0.21 µm, and RMS total corneal HOA of 0.37 ± 0.30 µm. Ocular assessments revealed coma of 0.18 ± 0.24 µm, spherical aberration of -0.19 ± 0.23 µm, and RMS total ocular HOA of 0.35 ± 0.28 µm. No cases of dysphotopsia were observed.

Sequential EDOF IOL implantation following corneal wavefront‐guided TPRK in patients with markedly aberrated corneas due to prior LVC proved safe and effective, with no instances of dysphotopsia.