Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2023 Jan 1;49(1):97-102.
doi: 10.1097/j.jcrs.0000000000001069.

Cataract surgery in patients with underlying keratoconus: focused review

Roberto Gonzalez-Salinas  1 , Jovany Jeomar Franco, José Luis Reyes-Luis, Valeria Sánchez-Huerta, Guillermo de Wit-Carter, Everardo Hernández-Quintela, Roberto Pineda 2nd
Affiliations
Review

Cataract surgery in patients with underlying keratoconus: focused review

Roberto Gonzalez-Salinas et al. J Cataract Refract Surg. .

Abstract

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.

PubMed Disclaimer

References

    1. Hashemi H, Pakzad R, Yekta A, Aghamirsalim M, Pakbin M, Ramin S, Khabazkhoob M. Global and regional prevalence of age-related cataract: a comprehensive systematic review and meta-analysis. Eye 2020;34:1357–1370
    1. Hashemi H, Heydarian S, Hooshmand E, Saatchi M, Yekta A, Aghamirsalim M, Valadkhan M, Mortazavi M, Hashemi A, Khabazkhoob M. The prevalence and risk factors for keratoconus: a systematic review and meta-analysis. Cornea 2020;39:263–270
    1. Leccisotti A. Refractive lens exchange in keratoconus. J Cataract Refract Surg 2006;32:742–746
    1. Thebpatiphat N, Hammersmith KM, Rapuano CJ, Ayres BD, Cohen EJ. Cataract surgery in keratoconus. Eye Contact Lens 2007;33:244–246
    1. Davidson AE, Hayes S, Hardcastle AJ, Tuft SJ. The pathogenesis of keratoconus. Eye 2014;28:189–195

LinkOut - more resources