title: Cataract surgery on the previous corneal refractive surgery patient.
abstract: Cataract surgery in cases with previous corneal refractive surgery may be a major challenge for the ophthalmologist. The refractive outcome of the case deserves special attention in the preoperative planning process, which should be tailored for the type of prior refractive procedure: incisional, ablative under a flap, or on the corneal surface. Avoiding refractive surprise after cataract surgery in these cases is principally dependent on the accuracy of the intraocular lens calculation, together with the selection of the appropriate biometric formula for each case. Modern techniques for cataract surgery help surgeons to move toward the goal of cataract surgery as a refractive procedure free from refractive error. We give practical guidelines for the cataract surgeon in the management of these challenging cases.
authors.affiliation: Vissum Corporación, Alicante, Spain; Division of Ophthalmology, Universidad Miguel Hernández, Alicante, Spain. Electronic address: jlalio@vissum.com.
authors.forename: Jorge L
authors.initials: JL
authors.lastname: Alio
authors.affiliation: Ophthalmology Department, Faculty of Medicine, Minia University, Minia, Egypt.
authors.forename: Ahmed A
authors.initials: AA
authors.lastname: Abdelghany
authors.affiliation: Ophthalmology Department, AUH, Assiut University, Assiut, Egypt.
authors.forename: Ahmed A
authors.initials: AA
authors.lastname: Abdou
authors.affiliation: IOBA-Eye Institute, Valladolid, Spain; Division of Ophthalmology, University of Valladolid, Valladolid, Spain.
authors.forename: M J
authors.initials: MJ
authors.lastname: Maldonado
mesh_terms: D002386:Cataract / Q000150:complications*; D002387:Cataract Extraction; D003315:Cornea / Q000601:surgery*; D006801:Humans; D007910:Lenses, Intraocular; D012029:Refraction, Ocular / Q000502:physiology*; D012030:Refractive Errors / Q000150:complications*; D054140:Refractive Surgical Procedures
keywords: astigmatic keratotomy; cataract; intracorneal ring segments; intraocular lens calculation; laser in situ keratomileusis; microincision cataract surgery; radial keratotomy; refractive corneal surgery