Purpose-To Show That Bilateral Cataract Surgery With Edof Lenses Is Efficacious Safe And Sight Restorative In Megalocornea Patients Previously Operated With Smile. Technique-Phaco With A Ctr And Bilateral Edofs Were Implanted At The Same Sitting

To show that Bilateral cataract surgery with EDOF lenses are sight restorative in Megalocornea patients previously operated with SMILE.

Eye department of the International eye centre ,Mumbai

A 35-years-old male , BCVA of 6/12 N8 RE and 6/9 LE improving to 6/6 N6,BE through a multiple pinhole with bilateral megalocornea (wtw distance 14.8 mm), with post SMILE clear corneas presented for cataract surgery .He had previously been operated by us for SMILE  for moderate myopia on the VisuMax 500 kHz femtosecond laser (Carl Zeiss Meditec,Jena ,Germany)

He had previously been operated for -2.50 D Sph RE and -1.75 D Sph/

-2.25 D Cyl x 155 in left eye, where the VisuMax500 kHz femtosecond laser system (Carl Zeiss Meditec, Jena, Germany) was used.

The patient was 6/6 N8 bilaterally two days post procedure .At 1 year follow up ,the cornea ,vision and refraction are stable with well centred IOL,s and normal IOP.In a exhaustive literature review, bilateral cataract surgery after SMILE for megalocornea has never been attempted any where in the world (4). This is a pioneering effort by Indian ophthalmologists .Bilateral cataract surgery after SMILE in megalocornea can be a viable and safe treatment

Bilateral cataract surgery with EDOF lenses post SMILE in primary megalocornea ,a unique approach ,is safe and effective