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https://www.readbyqxmd.com/read/29084004/astigmatism-evaluation-prior-to-cataract-surgery
#1
Pankaj C Gupta, Jane T Caty
PURPOSE OF REVIEW: To evaluate and summarize literature from the past 18 months reporting advancements and issues in astigmatism assessment prior to cataract surgery. RECENT FINDINGS: New and updated toric calculators and regression formulas offer the opportunity for more accurate lens selection for our patients. Concurrently, improvements in topographic evaluation of corneal keratometry have allowed for a decrease in unplanned residual corneal astigmatism. Measuring posterior corneal astigmatism is especially valuable in eyes with keratoconus when planning to implant toric intraocular lens (IOL) and now allows access to this patient population...
January 2018: Current Opinion in Ophthalmology
https://www.readbyqxmd.com/read/28991336/four-stage-procedure-for-keratoconus-icrs-implantation-corneal-cross-linking-toric-phakic-intraocular-lens-implantation-and-topography-guided-photorefractive-keratectomy
#2
Efekan Coskunseven, Daya Papalkar Sharma, Michael A Grentzelos, Onurcan Sahin, George D Kymionis, Ioannis Pallikaris
PURPOSE: To evaluate a four-stage combined treatment for keratoconus including intrastromal corneal ring segment (ICRS) implantation followed by corneal cross-linking (CXL), toric phakic intraocular lens (IOL) implantation, and topography-guided photorefractive keratectomy (TG-PRK). METHODS: In this retrospective interventional case series, 11 eyes of 7 patients with progressive keratoconus were treated with a four-stage procedure including the following: Keraring ICRS (Mediphacos Ltda, Belo Horizonte, Brazil) implantation followed by CXL, phakic IOL implantation, and TG-PRK (minimum 6 months between each stage)...
October 1, 2017: Journal of Refractive Surgery
https://www.readbyqxmd.com/read/28961565/cataract-surgery-in-eyes-with-keratoconus-a-review-of-the-current-literature
#3
Majid Moshirfar, Brian D Walker, Orry C Birdsong
PURPOSE OF REVIEW: There are an increasing number of keratoconic eyes, requiring cataract surgery. We review the preoperative planning, intraoperative options, and postoperative management that aid in successful outcomes. RECENT FINDINGS: Management of keratoconic eyes requiring cataract surgery requires a multifaceted approach. Preoperatively, corneal crosslinking and intrastromal corneal ring segments can be considered in order to provide stable keratometry values for intraocular lens (IOL) calculations...
January 2018: Current Opinion in Ophthalmology
https://www.readbyqxmd.com/read/28932335/cataract-surgery-in-patients-with-keratoconus-pearls-and-pitfalls
#4
F Aiello, Q J Nasser, C Nucci, R I Angunawela, Z Gatzioufas, V Maurino
BACKGROUND: Keratoconus (KC) is a common ectatic disorder resulting in progressive corneal thinning and irregular astigmatism. It has been observed that patients affected by KC are more likely to develop lens opacities earlier compared to non-keratoconic patients. OBJECTIVE: Intraocular lens (IOL) selection and refractive outcome prediction are among a number of factors that can make cataract surgery in keratoconic patients challenging. Accurate biometry is often difficult to obtain due to unreliable K measurements and lack of dedicated biometric formulae...
2017: Open Ophthalmology Journal
https://www.readbyqxmd.com/read/28880336/toric-icl-implantation-after-sequential-intracorneal-ring-segments-implantation-and-corneal-cross-linking-in-keratoconus-2-year-follow-up
#5
Youssef Abdelmassih, Sylvain El-Khoury, Elias Chelala, Elise Slim, Carole G Cherfan, Elias Jarade
PURPOSE: To evaluate 6-month and 2-year safety and clinical outcomes of Visian toric Implantable Collamer Lens (toric ICL) (STAAR Surgical, Monrovia, CA) implantation for the treatment of residual refractive errors after sequential intracorneal ring segments (ICRS) insertion and cross-linking (CXL) in keratoconus. METHODS: This consecutive case series included the results of a three-step ICRS-CXL-toric ICL procedure in 16 eyes of 13 patients with moderate to severe keratoconus (stages II and III of Amsler-Krumeich classification)...
September 1, 2017: Journal of Refractive Surgery
https://www.readbyqxmd.com/read/28712891/corneo-scleral-contact-lenses-in-an-uncommon-case-of-keratoconus-with-high-hyperopia-and-astigmatism
#6
Esteban Porcar, Juan Carlos Montalt, Enrique España-Gregori, Cristina Peris-Martínez
PURPOSE: To analyse the visual quality achieved by fitting corneo-scleral contact lenses (CScL) in an uncommon case of bilateral keratoconus, high hyperopia and astigmatism. METHODS: A 45-year-old man presented for eye examination due to the unsatisfactory quality of his vision wearing soft toric contact lenses. He presented high hyperopia and astigmatism with bilateral keratoconus. He was fitted with CScL to correct his irregular astigmatism and ocular aberrations...
October 2017: Contact Lens & Anterior Eye: the Journal of the British Contact Lens Association
https://www.readbyqxmd.com/read/28366378/postoperative-rotation-of-supplementary-sulcus-supported-toric-intraocular-lenses
#7
Jay J Meyer, Bia Z Kim, Mohammed Ziaei, Charles N J McGhee
We describe 7 cases in which supplementary sulcus-based toric intraocular lenses (IOLs) rotated postoperatively, requiring surgical realignment. The initial rotation was identified clinically between 3 months and 36 months postoperatively. All eyes had keratoconus, with and without prior keratoplasty, and 6 had longer than average axial lengths. No preceding trauma could be identified for 5 of the eyes. One eye had 3 episodes of postoperative IOL rotation, eventually requiring suture fixation to stabilize the IOL...
February 2017: Journal of Cataract and Refractive Surgery
https://www.readbyqxmd.com/read/28328814/clinical-outcomes-of-new-toric-trifocal-diffractive-intraocular-lens-in-patients-with-cataract-and-stable-keratoconus-six-months-follow-up
#8
Doroodgar Farideh, Sanginabadi Azad, Niazi Feizollah, Niazi Sana, Alinia Cyrus, Ghoreishi Mohammad, Baradaran-Rafii Alireza
PURPOSE: To evaluate the clinical results of toric trifocal diffractive intraocular lens in eyes with cataract and mild keratoconus. METHODS: Five keratoconus patients (10 eyes) that had bilateral AT LISA 939 implantation were selected and had followed in 3-time horizons of 1, 3, and 6 months. Patients were 46 to 65 years old age, corneal astigmatism of (2.00 D at 6.75 D) and cataract that all of them needed cataract surgery. The distance, intermediate and near visual acuities, defocus curve, ocular aberrations, contrast sensitivity, were measured as effectiveness criteria...
March 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28225492/clinical-application-of-ticl-implantation-for-ametropia-following-deep-anterior-lamellar-keratoplasty-for-keratoconus-a-consort-compliant-article
#9
Qin Qin, Liping Yang, Zifang He, Zhenping Huang
BACKGROUND: This study aimed to investigate the clinical application of phakic toric intraocular collamer lens (TICL) implantation in treating ametropia following deep anterior lamellar keratoplasty (DALK) for patients with keratoconus, especially the effectiveness and safety of high astigmatism and indications of TICL implantation after corneal transplantation. METHODS: Using the self-controlled case series observation approach, 9 patients with ametropia (9 eyes) who underwent DALK surgery for keratoconus 1...
February 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28086913/correction-of-irregular-and-induced-regular-corneal-astigmatism-with-toric-iol-after-posterior-segment-surgery-a-case-series
#10
Bence L Kolozsvári, Gergely Losonczy, Dorottya Pásztor, Mariann Fodor
BACKGROUND: Toric intraocular lens (IOL) implantation can be an effective method for correcting corneal astigmatism in patients with vitreoretinal diseases and cataract. Our purpose is to report the outcome of toric IOL implantation in two cases - a patient with scleral-buckle-induced regular corneal astigmatism and a patient with keratoconus following pars plana vitrectomy. As far as we are aware, there are no reported cases of toric IOL implantation in a vitrectomized eye with keratoconus nor of toric IOL implantation in patients with scleral-buckle-induced regular corneal astigmatism...
January 13, 2017: BMC Ophthalmology
https://www.readbyqxmd.com/read/28073689/corneo-scleral-contact-lens-in-a-piggyback-system-for-keratoconus-a-case-report
#11
Esteban Porcar, Juan Carlos Montalt, Enrique España-Gregori, Cristina Peris-Martínez
PURPOSE: We describe a case of fitting a corneo-scleral contact lens with a multi-aspheric geometry design (MAGD CScL) on top of a daily silicone hydrogel lens (piggyback system) for keratoconus management. METHODS: A 48-year-old man using soft toric contact lenses required an improvement in the unsatisfactory quality of his vision. He presented with bilateral asymmetric keratoconus with high myopia in the right eye (RE) and severe myopia in the left eye (LE). In addition, he had low vision in his LE because of a maculopathy...
June 2017: Contact Lens & Anterior Eye: the Journal of the British Contact Lens Association
https://www.readbyqxmd.com/read/27805532/visual-rehabilitation-after-penetrating-keratoplasty
#12
Leyla Asena, Dilek D Altınörs
OBJECTIVES: Here, our aim was to report our treatment strategies and their results performed for visual rehabilitation after penetrating keratoplasty. MATERIALS AND METHODS: The medical records of 98 patients (54 male/44 female), with results from 104 eyes, who underwent penetrating keratoplasty between January 2013 and January 2015 at the Baskent University Faculty of Medicine, Department of Ophthalmology were reviewed. Patient age, indication for penetrating keratoplasty, interventions performed for visual rehabilitation, follow-up duration, topographic and refractive astigmatism at the end of follow-up, and final best corrected visual acuity results were recorded...
November 2016: Experimental and Clinical Transplantation
https://www.readbyqxmd.com/read/27749500/objective-and-subjective-outcome-of-clear-lensectomy-with-toric-iol-implantation-after-corneal-collagen-cross-linking-in-selected-cases-of-keratoconus
#13
Waleed Ali Abou Samra, Eman Azmy Awad, Amr Hassan El Kannishy
AIM: To evaluate the visual and topographic outcomes of a two-stage approach treatment for selected cases of progressive keratoconus (KC); corneal collagen cross-linking (CXL) followed by phacoemulsification with toric intraocular lens (IOL) implantation. METHODS: The study included 9 eyes of 6 patients diagnosed with progressive KC, aged from 35 to 47 years (41.6±11.2 years). All studied eyes underwent a two-stage approach treatment: first corneal collagen CXL followed after at least 6 months by phacoemulsification with foldable toric IOL implantation in both eyes of three patients and only one eye of the other three patients...
October 3, 2016: Eye & Contact Lens
https://www.readbyqxmd.com/read/27387567/influence-of-posterior-corneal-astigmatism-on-total-corneal-astigmatism-in-eyes-with-keratoconus
#14
Giacomo Savini, Kristian Næser, Domenico Schiano-Lomoriello, Alessandro Mularoni
PURPOSE: To measure posterior corneal astigmatism (PCA) and investigate its influence on total corneal astigmatism (TCA) in eyes with keratoconus. METHODS: Keratometric astigmatism (KA), PCA, and TCA were investigated by means of a dual Scheimpflug analyzer in patients with keratoconus. Vector analysis was carried out with the Næser polar value method. RESULTS: We enrolled 119 eyes. PCA magnitude averaged 0.77 ± 0.43 diopters (D) and exceeded 0...
November 2016: Cornea
https://www.readbyqxmd.com/read/27382249/toric-intraocular-lenses-for-correction-of-astigmatism-in-keratoconus-and-after-corneal-surgery
#15
Ilse Ema Mol, Bart Th Van Dooren
PURPOSE: To describe the results of cataract extraction with toric intraocular lens (IOL) implantation in patients with preexisting astigmatism from three corneal conditions (keratoconus, postkeratoplasty, and postpterygium surgery). METHODS: Cataract patients with topographically stable, fairly regular (although sometimes very high) corneal astigmatism underwent phacoemulsification with implantation of a toric IOL (Zeiss AT TORBI 709, Alcon Acrysof IQ toric SN6AT, AMO Tecnis ZCT)...
2016: Clinical Ophthalmology
https://www.readbyqxmd.com/read/27165708/changes-in-astigmatism-and-corneal-higher-order-aberrations-after-phacoemulsification-with-toric-intraocular-lens-implantation-for-mild-keratoconus-with-cataract
#16
Kazutaka Kamiya, Kimiya Shimizu, Toshiyuki Miyake
PURPOSE: To assess the changes in astigmatism and higher-order aberrations (HOAs) after toric intraocular lens (IOL) implantation for mild non-progressive keratoconus with cataract. METHODS: We prospectively examined 19 eyes of 19 consecutive keratoconic patients (mean age ± standard deviation, 63.1 ± 9.1 years) who underwent phacoemulsification with toric IOL implantation. We determined uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), refractive astigmatism, corneal astigmatism, corneal HOAs and astigmatic axis rotation both preoperatively and 3 months postoperatively...
July 2016: Japanese Journal of Ophthalmology
https://www.readbyqxmd.com/read/26299537/assessment-of-anterior-posterior-and-total-central-corneal-astigmatism-in-eyes-with-keratoconus
#17
Kazutaka Kamiya, Kimiya Shimizu, Akihito Igarashi, Toshiyuki Miyake
PURPOSE: To investigate the magnitudes and the axis orientations of anterior, posterior, and total central corneal astigmatism in eyes with keratoconus. DESIGN: Retrospective case series. METHODS: This study comprised 137 eyes of 137 keratoconic patients (97 men and 40 women; mean age ± standard deviation, 36.9 ± 12.2 years). The magnitude and the axis orientation of each corneal astigmatism were determined with a rotating Scheimpflug system...
November 2015: American Journal of Ophthalmology
https://www.readbyqxmd.com/read/26058024/recent-advances-in-the-treatment-of-corneal-ectasia-with-intrastromal-corneal-ring-segments
#18
REVIEW
David M Poulsen, Joann J Kang
PURPOSE OF REVIEW: To review the recent advances and reported outcomes in the use of intrastromal corneal ring segments (ICRS) for the treatment of corneal ectasia. RECENT FINDINGS: ICRS are a well-tolerated and effective treatment for patients with corneal ectasia, particularly keratoconus, offering long-term improvement in visual, refractive, and keratometric measures. ICRS do not consistently decrease corneal aberrations. Patients with mild-to-moderate keratoconus, known to have less predictable outcomes with ICRS, may be better selected and treated with the use of customized nomograms, accounting for factors such as internal astigmatism...
July 2015: Current Opinion in Ophthalmology
https://www.readbyqxmd.com/read/26044373/variability-of-different-reference-bodies-in-normal-keratoconus-and-collagen-crosslinked-corneas
#19
Georgios Labiris, Athanassios Giarmoukakis, Alexandros Rampotas, Maria Symeou, Panagiota Bougatsou, Haris Sideroudi, Vassilios P Kozobolis
PURPOSE: To evaluate the reproducibility of different Scheimpflug imaging-derived reference bodies in normal, keratoconus (KC), and crosslinked (CXL) eyes. METHODS: In this prospective, observational study, 40 participants populated the control group (CG), while 33 and 34 patients formed the KC group and the CXL group, respectively. One eye was randomly selected when both were eligible. Elevation measurements were obtained using Scheimpflug camera, by applying the following reference bodies: the best fit sphere (BFS), the best fit toric ellipsoid (BFTE), the best fit toric ellipsoid with fixed eccentricity of 0...
November 2015: European Journal of Ophthalmology
https://www.readbyqxmd.com/read/25946379/evaluation-of-the-results-of-using-toric-iol-in-the-cataract-surgery-of-keratoconus-patients
#20
Hassan Hashemi, Shahab Heidarian, Mohammad A Seyedian, Abbasali Yekta, Mehdi Khabazkhoob
PURPOSE: To evaluate the results of using AcrySof toric intraocular lenses (IOLs) in the cataract surgery of patients with keratoconus (KCN). METHODS: In this study, 23 eyes of 17 patients with KCN who underwent cataract surgery using the toric IOL were evaluated. The amount and axis of the corneal astigmatism were measured by manual keratometry, corneal topography, refractive map of the Pentacam, and equivalent K reading of the Pentacam in all patients. RESULTS: The mean uncorrected visual acuity increased significantly 3 months after the surgery (P<0...
November 2015: Eye & Contact Lens
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