2018, Number 3
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Rev Mex Oftalmol 2018; 92 (3)
Intraocular lens power calculation after bilateral myopic LASIK and monocular corneal inlay for presbyopia surgery
Camacho-Cano F, Sámano-Guerrero A, Castillo-Gómez F, Enríquez-Huerta A, Villarreal-Villarreal R
Language: Spanish
References: 14
Page: 160-164
PDF size: 127.65 Kb.
ABSTRACT
A 55-year old male with history of bilateral LASIK surgery for myopia, left eye LASIK enhancement and right eye corneal
inlay for presbyopia correction presents with diminished visual acuity. Bilateral cataract is diagnosed and phacoemulsification
surgery is performed after calculating intraocular lens power with Mackool’s aphakic technique. This technique was compared
with the results of four corneal evaluation platforms and two intraocular lens calculation formulas. Two months after bilateral
surgery, uncorrected binocular distance vision was 20/25 and uncorrected binocular near vision was J6, the postoperative
refractive error was within the expected range for the aphakic technique (± 0.75 dpt). The Mackool’s aphakic technique
is more unpractical but the results are reliable. We recommend it in these difficult cases where several surgical procedures
alter the structure of the cornea.
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