Multimodal corneal imaging before refractive cataract surgery

Curr Opin Ophthalmol. 2025 Jan 1;36(1):25-34. doi: 10.1097/ICU.0000000000001102. Epub 2024 Oct 29.

Abstract

Purpose of review: To prospectively review the advances in diagnostics for refractive cataract surgery, focusing on multimodal corneal analysis.

Recent findings: The article explores the considerations related to planning refractive cataract surgery, emphasizing its potential to enhance patients' vision performance and quality of life. This review explores preoperative analysis in cataract surgery, focusing on assessing the cornea and ocular surface using multimodal diagnostics, including Placido disk-based corneal topography, Scheimpflug tomography OCT (optical coherence tomography), and biomechanical assessment. Wavefront technology, gene therapy, and artificial intelligence are also relevant in enhancing surgical precision and outcomes. It highlights the importance of preoperative thorough evaluations and technological advancements in ophthalmology.

Summary: The rapid evolution and advancement of technology enable excellent refractive outcomes in most cases following cataract surgery. Consideration of appropriate preoperative factors is essential for achieving the desired postoperative outcome.

Publication types

  • Review

MeSH terms

  • Cataract Extraction*
  • Cornea* / diagnostic imaging
  • Cornea* / pathology
  • Corneal Topography* / methods
  • Humans
  • Multimodal Imaging / methods
  • Preoperative Care / methods
  • Refractive Surgical Procedures
  • Tomography, Optical Coherence* / methods