Refractive Outcomes After Femtosecond Laser and Intraoperative Aberrometry-Assisted Cataract Surgery in Post-LASIK Eyes
Narrative Responses:
Purpose
The purpose of this study was to assess the feasibility of laser cataract surgery and its effect on refractive outcomes in post-LASIK patients.
Methods
Several studies have investigated the safety and precision of laser-assisted cataract surgery, but no published investigations to date have focused upon the refractive outcomes of laser-assisted cataract surgery in post-LASIK eyes. In this single-center prospective evaluation of 49 eyes of 34 post-LASIK patients, all eyes underwent femtosecond laser-assisted cataract surgery with intraoperative aberrometry to confirm the aphakic refraction and refine IOL power selection. Follow-up visits were at Day 1 and Months 1, 3, and 6.
Results
Forty-nine eyes have completed the 1-month follow-up visit and 26 eyes have completed the 3-month follow-up visit. Absolute mean attempted correction was 2.82 ± 2.8 D. Mean achieved correction at 1 month was 2.9 ± 3.0 D, and at 3 months, 2.51 ± 2.56 D. By Month 3, 77.8% of eyes achieved uncorrected visual acuity of 20/30 or better. Complete 3-month data will be presented.
Conclusion
Laser cataract surgery can be safely and effectively performed in post-LASIK eyes. Intraoperative aberrometry may contribute to more accurate IOL power calculations in these eyes compared to conventional methods.