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Experience of refractive correction for patients after complicated phacoemulsification cataract surgery

Poster Details

First Author: V.Skvortsov RUSSIA

Co Author(s):    A. Kulikov   E. Kudriashova   N. Haritonova              

Abstract Details


Recent surgical rehabilitation of patients with cataract assumes the receipt in the outcome of surgical treatment of ultimate visual acuity without the application of optical correction means. In complicated cases of phacosurgery, accompanied by secondary anterior chamber intraocular lenses implantation, the refractive result may be unsatisfactory. One of the safest and most effective surgical approaches, including the elimination of induced astigmatism, is LASIK.


To estimate the possibility of using laser in situ keratomileusis (LASIK) for refractive correction of patients undergone complicated phacoemulsification of cataract / Russia. Saint-Petersburg. Military Medical Academy. Department of ophthalmology.


Three patients (81 ± 7.9 years) in our clinic underwent cataract surgical treatment at different times and the operation was complicated by capsular damage with the lens dislocation in the vitreous. In the second stage all the patients underwent subtotal vitrectomy with lens masses removal and implantation of monolithic rigid anterior chamber intraocular lens. Postoperatively the study was conducted thrice with an interval of 1 month. All the patients showed stable corneal astigmatism of 4.95 ± 0.44 D with a best corrected visual acuity from 0.6 to 0.7. All cases underwent the LASIK procedure, that was successful.


In the early postop, the healing process was without any peculiarities and included standard drug therapy. In the long-term postop (more than 6 months), the refraction in the 3-millimeter zone remained myopic within the spherical equivalent of (-)0.37 ± 0.13 D and cylinder of (-)1.3 ± 0.14 D. The visual acuity afar was 0.85 ± 0.05 without correction.


Thus, the LASIK method can be effective to achieve adequate refractive rehabilitation for patients with significant induced astigmatism after secondary implantation of the anterior chamber intraocular lenses.

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