Preview

Ophthalmology in Russia

Advanced search

Phacoemulsification of Cataract with IOL Implantation after Multiple Keratorefractive Surgeries. Clinical observation

https://doi.org/10.18008/1816-5095-2025-4-908-913

Abstract

Phacoemulsification after keratorefractive surgery always requires an individual approach. In addition to choose the optimal surgical access site, it is important to calculate the optical power of the IOL in conditions of changing corneal topography. To date, certain formulas have been proposed for calculating IOLs in this category. However, none of them can guarantee an accurate result. The presented clinical case demonstrates the successful use of the Barrett True-K formula, which allowed us to obtain satisfactory refraction data and subjectively high visual acuity at a distance and up close without correction. The use of magnetic laser therapy in the early postoperative period helped to level out the signs of developing bullous keratopathy.

About the Authors

G. V. Voronin
Krasnov Research Institute of Eye Diseases
Russian Federation

Voronin Grigory V. - MD, leading researcher.

Rossolimo str., 11A, B, Moscow, 119021



E. A. Budnikova
Krasnov Research Institute of Eye Diseases
Russian Federation

Budnikova Ekaterina A. - PhD, junior researcher.

Rossolimo str., 11A, B, Moscow, 119021



N. V. Kulagina
Krasnov Research Institute of Eye Diseases
Russian Federation

Kulagina Nadezhda V. - postgraduate

Rossolimo str., 11A, B, Moscow, 119021



S. R. Zelimkhanov
Krasnov Research Institute of Eye Diseases
Russian Federation

Zelimkhanov Shamil R. – postgraduate.

Rossolimo str., 11A, B, Moscow, 119021



References

1. Avetisov SE. Radial keratotomy: history and current state. Russian Annals of Ophthalmology. 2021;137(2):123–131 (In Russ.). doi: 10.17116/oftalma2021137021123.

2. Kim TI, Alió Del Barrio JL, Wilkins M, Cochener B, Ang M. Refractive surgery. Lancet. 2019 May 18;393(10185):2085–2098. doi: 10.1016/S0140-6736(18)33209-4.

3. Lyle WA, Jin GJ. Laser in situ keratomileusis for consecutive hyperopia after myopic LASIK and radial keratotomy. J Cataract Refract Surg. 2003 May;29(5):879–888. doi: 10.1016/s0886-3350(03)00051-8.

4. Koosha N, Riazi MS, Janfaza P, Mohammadbeigy I, Rahimi A, Khoshali M, Pourazizi M, Peyman A. Laser vision correction after radial keratotomy: systematic review and meta-analysis. J Cataract Refract Surg. 2024 Jul 1;50(7):767–776. doi: 10.1097/j.jcrs.0000000000001426.

5. Avetisov SE, Mamikonyan VR, Kas’yanov AA. Calculation of IOL optical power in patients with radial keratotomy in the medical history. Ophthalmology in Russia. 2004;1(4):15–24 (In Russ.).

6. Voytsekhivskyy OV. The VRF-L and VRF-GL IOL power calculation methods after radial keratotomy. Eye (Lond). 2024 Oct;38(15):2947–2954. doi: 10.1038/s41433-024-03195-x.

7. Moshirfar M, Ayesha A, Jaafar M, Han K, Omidvarnia S, Altaf A, Stoakes IM, Hoopes PC. Precision in IOL Calculation for Cataract Patients with Prior History of Combined RK and LASIK Histories. Clin Ophthalmol. 2024 May 9;18:1277–1286. doi: 10.2147/OPTH.S461988.

8. Ioshin IE. Phacoemulsification and calculation of intraocular lenses in patients given keratorefractive surgery. Part 1. Russian ophthalmological journal. 2021;14(2):55–58 (In Russ.). doi: 10.21516/2072-0076-2021-14-2-55-58.

9. Khoroshilova-Maslova IP, Andreeva VP, Ilatovskaya LV, Kuznetsova IA. Clinical and histopathological investigation of enucleated eyes with contusion corneal rupture after radial keratotomy. Annals of Ophthalmology. 1998;114(4):3–8 (In Russ.).

10. Volkov VV, Dal’ GA, Tulina VM, Kulikov BC, Gavrilova NK, Nikolaenko VP. Contusion ruptures of the eye capsule along the postoperative corneal-limbal scars. Annals of Ophthalmology. 1998;114(2):17–20 (In Russ.).

11. Baudot A, Perone JM, Agapie A, Lacusteanu M, Lasota P, Kurun S, Mnasri H, Bertaux PJ. Rupture of two radial keratotomy incisions 19 years later, during a clear corneal cataract surgery. Investigative Ophthalmology & Visual Science. 2011;52(14):6221.

12. Behl S, Kothari K. Rupture of a radial keratotomy incision after 11 years during clear corneal phacoemulsification. J Cataract Refract Surg. 2001 Jul;27(7):1132–1134. doi: 10.1016/s0886-3350(01)00763-5.

13. Abulafia A, Hill WE, Koch DD, Wang L, Barrett GD. Accuracy of the Barrett True-K formula for intraocular lens power prediction after laser in situ keratomileusis or photorefractive keratectomy for myopia. J Cataract Refract Surg. 2016 Mar;42(3):363–369. doi: 10.1016/j.jcrs.2015.11.039.

14. Ferguson TJ, Downes RA, Randleman JB. IOL power calculations after LASIK or PRK: Barrett True-K biometer-only calculation strategy yields equivalent outcomes as a multiple formula approach. J Cataract Refract Surg. 2022 Jul 1;48(7):784–789. doi: 10.1097/j.jcrs.0000000000000883.

15. Skrinnik AV, Moiseeva NN. On the use of magnetic fields in ophthalmology. Ophthalmological Journal. 1990;8:492–496 (In Russ.).

16. Egorov VV, Smolyakova GP, Gohua TI, Evstifeev MV. Evaluation of the effectiveness of Derinat photophoresis for the treatment postoperative corneal edema. Modern technologies in ophthalmology. 2014;2:121–123 (In Russ.).


Review

For citations:


Voronin G.V., Budnikova E.A., Kulagina N.V., Zelimkhanov S.R. Phacoemulsification of Cataract with IOL Implantation after Multiple Keratorefractive Surgeries. Clinical observation. Ophthalmology in Russia. 2025;22(4):908-913. (In Russ.) https://doi.org/10.18008/1816-5095-2025-4-908-913

Views: 32


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 1816-5095 (Print)
ISSN 2500-0845 (Online)