Multimodal corneal imaging before refractive cataract surgery

Karolyna Andrade de Carvalho; Louise Pellegrino G Esporcatte; Rachel L R Gomes; Renato Ambrósio Jr

doi:10.1097/ICU.0000000000001102

Multimodal corneal imaging before refractive cataract surgery

Curr Opin Ophthalmol. 2024 Oct 30. doi: 10.1097/ICU.0000000000001102. Online ahead of print.

Authors

Karolyna Andrade de Carvalho^{1

2}, Louise Pellegrino G Esporcatte^{1

2

3

4}, Rachel L R Gomes^{1

3}, Renato Ambrósio Jr^{1

2

3

4

5}

Affiliations

¹ Rio de Janeiro Corneal Tomography and Biomechanics Study Group.
² Instituto de Olhos Renato Ambrósio.
³ Rio Vision Hospital, Rio de Janeiro.
⁴ Department of Ophthalmology, Federal University of São Paulo, São Paulo.
⁵ Department of Ophthalmology, Federal University the State of Rio de Janeiro (UNIRIO), Rio de Janeiro, Brazil.

PMID: 39470459
DOI: 10.1097/ICU.0000000000001102

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.