TY - JOUR
T1 - Cataract surgery in patients with underlying keratoconus
T2 - Focused review
AU - Gonzalez-Salinas, Roberto
AU - Franco, Jovany Jeomar
AU - Reyes-Luis, José Luis
AU - Sánchez-Huerta, Valeria
AU - De Wit-Carter, Guillermo
AU - Hernández-Quintela, Everardo
AU - Pineda, Roberto
N1 - Publisher Copyright:
© 2023 Elsevier Inc.. All rights reserved.
PY - 2023/1/1
Y1 - 2023/1/1
N2 - 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.
AB - 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.
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U2 - 10.1097/j.jcrs.0000000000001069
DO - 10.1097/j.jcrs.0000000000001069
M3 - Review article
C2 - 36194107
AN - SCOPUS:85144638112
SN - 0886-3350
VL - 49
SP - 97
EP - 102
JO - Journal of cataract and refractive surgery
JF - Journal of cataract and refractive surgery
IS - 1
ER -