Perioperative assessment for refractive cataract surgery

Kendall Donaldson; Luis Fernández-Vega-Cueto; Richard Davidson; Deepinder Dhaliwal; Rex Hamilton; Mitchell Jackson; Larry Patterson; Karl Stonecipher; ASCRS Refractive–Cataract Surgery Subcommittee

doi:10.1016/j.jcrs.2018.02.022

Perioperative assessment for refractive cataract surgery

J Cataract Refract Surg. 2018 May;44(5):642-653. doi: 10.1016/j.jcrs.2018.02.022.

Authors

Kendall Donaldson¹, Luis Fernández-Vega-Cueto², Richard Davidson², Deepinder Dhaliwal², Rex Hamilton², Mitchell Jackson², Larry Patterson², Karl Stonecipher²; ASCRS Refractive–Cataract Surgery Subcommittee²

Affiliations

¹ From the Bascom Palmer Eye Institute (Donaldson, Fernández-Vega-Cueto), University of Miami, Miami, Florida, Department of Ophthalmology (Davidson), University of Colorado, Aurora, Colorado, Stein Eye Institute (Hamilton), University of California, Los Angeles, Los Angeles, California, and Department of Ophthalmology (Dhaliwal), University of Pittsburgh, Pittsburgh, Pennsylvania, USA. Electronic address: [email protected].
² From the Bascom Palmer Eye Institute (Donaldson, Fernández-Vega-Cueto), University of Miami, Miami, Florida, Department of Ophthalmology (Davidson), University of Colorado, Aurora, Colorado, Stein Eye Institute (Hamilton), University of California, Los Angeles, Los Angeles, California, and Department of Ophthalmology (Dhaliwal), University of Pittsburgh, Pittsburgh, Pennsylvania, USA.

PMID: 29891157
DOI: 10.1016/j.jcrs.2018.02.022

Abstract

As cataract surgery has evolved into lens-based refractive surgery, expectations for refractive outcomes continue to increase. During the past decade, advancements in technology have provided new ways to measure the cornea in preparation for cataract surgery. The increasing ability to accurately estimate corneal power allows determination of the most precise intraocular lens (IOL) for each patient. New equipment measures the anterior and posterior corneal surfaces to most accurately estimate corneal power and corneal aberrations. These measurements help surgeons make the best decisions regarding the power of the IOL to be implanted during cataract surgery. However, with all the available technology, it can be difficult to decipher which of the many technologies is necessary or best for patients and for practices. This article reviews currently available options for topography, tomography, keratometry, and biometry in preparation for cataract surgery. In addition, intraoperative aberrometry and integrated cataract suites are reviewed.

Publication types

Review

MeSH terms

Cornea / diagnostic imaging*
Cornea / physiopathology
Cornea / surgery
Corneal Topography / methods*
Humans
Perioperative Period
Refraction, Ocular / physiology*
Refractive Surgical Procedures*
Reproducibility of Results
Tomography, Optical Coherence / methods*