Rigid gas-permeable contact lens-assisted cataract surgery in patients with severe keratoconus.
We describe rigid gas-permeable (RGP) contact lens-assisted cataract surgery in patients with severe keratoconus. During cataract surgery in cases with severe keratoconus, the intraocular images are distorted and visual perspective is lost because of irregular corneal astigmatism. Poor visibility can lead to complications, including posterior capsule rupture and corneal endothelial cell damage. To overcome these problems, an RGP contact lens was placed on the cornea in 2 cases. The image distortion decreased markedly, and the visual perspective improved. Intraocular manipulations such as irrigation/aspiration were performed safely. Improvement in transillumination led to good visualization of the anterior and posterior capsules. No intraoperative or postoperative complications developed in either case. This technique provided excellent visualization during cataract surgery in patients with severe keratoconus.
From the Department of Ophthalmology, Osaka University Graduate School of Medicine, Osaka, Japan. Electronic address: yoie@ophthal.med.osaka-u.ac.jp.
Yoshinori
Y
Oie
From the Department of Ophthalmology, Osaka University Graduate School of Medicine, Osaka, Japan.
Motohiro
M
Kamei
From the Department of Ophthalmology, Osaka University Graduate School of Medicine, Osaka, Japan.
Nagakazu
N
Matsumura
From the Department of Ophthalmology, Osaka University Graduate School of Medicine, Osaka, Japan.
Hisataka
H
Fujimoto
From the Department of Ophthalmology, Osaka University Graduate School of Medicine, Osaka, Japan.
Takeshi
T
Soma
From the Department of Ophthalmology, Osaka University Graduate School of Medicine, Osaka, Japan.
Shizuka
S
Koh
From the Department of Ophthalmology, Osaka University Graduate School of Medicine, Osaka, Japan.
Motokazu
M
Tsujikawa
From the Department of Ophthalmology, Osaka University Graduate School of Medicine, Osaka, Japan.
Naoyuki
N
Maeda
From the Department of Ophthalmology, Osaka University Graduate School of Medicine, Osaka, Japan.
Kohji
K
Nishida
D002386:Cataract / Q000150:complications*; D003261:Contact Lenses; D006801:Humans; D007640:Keratoconus / Q000150:complications*; D019654:Lens Implantation, Intraocular; D018918:Phacoemulsification / Q000379:methods*; D016896:Treatment Outcome; D014792:Visual Acuity / Q000502:physiology