Angel Pineda-Fernández¹* and Yan Chen^1,2

¹Centro Oftalmológico de Valencia CEOVAL, Valencia, Venezuela
²Oftalmosalud, Lima, Peru

*Corresponding Author: Angel Pineda-Fernández, Centro Oftalmológico de Valencia CEOVAL, Valencia, Venezuela.

Received: June 06, 2022; Published: July 14, 2022

Abstract

Introduction: This report describes a case involving photorefractive keratectomy (PRK) for correction of residual astigmatism after bilateral cataract surgery with implantation of a new range of presbyopia-correcting intraocular lenses (TECNIS Synergy).

Patient and Clinical Findings: A 68-year-old man who underwent cataract surgery with implantation of TECNIS Synergy IOL in both eyes presented 3 months after surgery with an uncorrected distance visual acuity (UDVA) of 20/50 in the right eye and 20/40 in the left eye. In addition, a corrected distance visual acuity (CDVA) of 20/20 in the right eye (+0.50 -1.25 × 180) and 20/20 in the left eye (+0.50 -1.00 × 180).

Diagnosis, Intervention, and Outcomes: The patient was diagnosed with residual astigmatism after cataract surgery in both eyes. Thus, PRK was planned for correction of the residual astigmatism in both eyes. The patient showed good postoperative outcomes with an uncorrected visual acuity of 20/20 at distance, 20/30+ at intermediate, and 20/20 at near in both eyes. He reported high satisfaction with the outcome.

Conclusions: PRK was safe and effective for correction of residual astigmatism after cataract surgery with TECNIS Synergy. Correction of small astigmatic and spherical errors with PRK is a reasonable approach for pseudophakic refractive errors.

Keywords: Photorefractive Keratectomy (PRK); Cataract Surgery; Corrected Distance Visual Acuity (CDVA)

References

1. Macsai MS and Fontes BM. “Refractive enhancement following presbyopia- correcting intraocular lens implantation”. Current Opinion in Ophthalmology 19 (2008): 18-21.
2. de Ortueta D. “Transepithelial photorefractive keratektomy after a clear lens exchange”. Vision 5 (2021): 8.
3. Sáles CS and Manche EE. “Managing residual refractive error after cataract surgery”. Journal of Cataract and Refractive Surgery 41 (2015): 1289‐1299.
4. Moshirfar M., et al. “Corrective techniques and future directions for treatment of residual refractive error following cataract surgery”. Expert Review of Ophthalmology 9 (2014): 529‐537.
5. Ribeiro FJ., et al. “Visual outcomes and patient satisfaction after implantation of a presbyopia-correcting intraocular lens that combines extended depth-of-focus and multifocal profiles”. Journal of Cataract and Refractive Surgery 11 (2021): 1448-1453.
6. Woodward M., et al. “Dissatisfaction after multifocal intraocular lens implantation”. Journal of Cataract and Refractive Surgery 35 (2009): 992-997.
7. Seiler TG., et al. “Dissatisfaction after trifocal IOL implantation and its improvement by selective wavefront-guided LASIK”. Journal of Refractive Surgery 35 (2019): 346-352.
8. Muftuoglu O., et al. “Laser in situ keratomileusis for residual refractive errors after apodized diffractive multifocal intraocular lens implantation”. Journal of Cataract and Refractive Surgery 35 (2009): 1063-1071.
9. Cao K., et al. “Multifocal versus monofocal intraocular lenses for age-related cataract patients: a system review and meta-analysis based on randomized controlled trials”. Survey on Ophthalmology 64 (2019): 647-658.
10. Montes-Micó R and Charman WN. “Mesopic contrast sensitivity function after excimer laser photorefractive keratectomy”. Journal of Refractive Surgery 18 (2002): 9-13.
11. Kieval JZ., et al. “Prevention and management of refractive prediction errors following cataract surgery”. Journal of Cataract and Refractive Surgery 46 (2020): 1189-1197.

Citation

Citation: Angel Pineda-Fernández and Yan Chen. “Photorefractive Keratectomy for Correction of Residual Astigmatism After Cataract Surgery with a Presbyopia-correcting Intraocular Lens that Combines Extended Depth-of-focus and Multifocal Profiles". Acta Scientific Clinical Case Reports 3.8 (2022): 12-15.

Copyright

Copyright: © 2022 Angel Pineda-Fernández and Yan Chen. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.