학술논문

Cataract surgery in patients with underlying keratoconus: focused review.
Document Type
Article
Source
Journal of Cataract & Refractive Surgery. Jan2023, Vol. 49 Issue 1, p97-102. 6p.
Subject
*CATARACT surgery
*KERATOCONUS
*CORNEAL transplantation
*INTRAOCULAR lenses
*SURGERY
*POPULATION policy
Language
ISSN
0886-3350
Abstract
We review the literature pertaining to cataract surgery in patients with KCN, with special focus on particularities that may arise with IOL power calculation and surgical planning in this population. An underlying diagnosis of keratoconus (KC) can complicate cataract surgery. In this study, the results of a focused review of the literature pertaining to cataract surgery in patients with KC are detailed. Topics essential for the appropriate management of this patient population are discussed. First, the individual and shared epidemiology and pathophysiology of cataract and KC are reviewed. Then, the theory and approach to intraocular lens power calculation are discussed, highlighting particularities and pitfalls of this exercise when performed in patients with KC. Finally, several special—although not uncommon—management scenarios and questions are addressed, such as surgical planning in cases where corneal stabilization or tissue replacement interventions are also necessitated. [ABSTRACT FROM AUTHOR]