Femtosecond Laser-Assisted Cataract Surgery After Radial Keratotomy

Abstract

Purpose: To determine the efficacy of femtosecond laser-assisted cataract surgery in eyes with radial keratometry.

Methods: Femtosecond laser-assisted cataract surgery was performed in 3 patients (6 eyes) who had six to eight radial keratotomy incisions.

Results: In all cases, the anterior segment of the eye was visualized with integrated three-dimensional optical coherence tomography and it was possible to position the laser corneal incisions between the radial keratotomy incisions. No intraoperative complications occurred. In particular, no corneal perforation, anterior capsular tears, or discontinuities could be detected. No corneal leakage or other postoperative complications were noted on follow-up after 6 weeks and 6 months.

Conclusions: Femtosecond laser-assisted cataract surgery presents a new, feasible, and safe surgical technique for patients with cataract who had previous radial keratotomy. [J Refract Surg. 2016;32(6):426-428.].