Abstract

 Cataract surgery is no more a visual rehabilitation surgery. Today along with cataract removal, astigmatism correction has become a routine procedure. Patients want a spectacle free life at any stage of life. 10 years before it was still impressive to have a residual of +2.0 D astigmatism following cataract surgery. But in last 10 years, a lot of technological advancement has happened. The residual astigmatism following cataract surgery has come down from 1.5D to 0.75D, even 0.5D when a premium IOL is implanted. Here we are going to discuss in short the journey of astigmatism correction from choosing the incision in steep axis to Toric IOL implantation and so on.

Keywords: Astigmatism; Surgery; Limbal relaxing incisions (LRI)

References

1. Ferrer-Blasco T., et al. “Prevalence of corneal astigmatism before cataract surgery”. Journal of Cataract and Refractive Surgery1 (2009): 70-75.
2. Michelitsch M., et al. “Prevalence of agr-related changes of corneal astigmatism in patients before cataract surgery”. Ophthalmologe 3 (2017): 247-251.
3. Khan MI and Muhtaseb M. “Prevalence of corneal astigmatism in patients having routine cataract surgery at a teaching hospital in the United Kingdom”. Journal of Cataract and Refractive Surgery10 (2011)1:1751-1755.
4. Armeniades CD., et al. “Effect of incision length, location, and shape on local corneoscleral deformation during cataract surgery”. Journal of Cataract and Refractive Surgery1 (1990): 83-87.
5. Gills JP and Rowsey JJ. “Managing coupling in secondary astigmatic keratotomy”. International Ophthalmology Clinics 3 (2003): 29-41.
6. Amesbury EC and Miller KM. “Correction of astigmatism at the time of cataract surgery”. Current Opinion in Ophthalmology1 (2009): 19-24.
7. Masket S., et al. “Induced astigmatism with 2.2 and 3.0 mm coaxial phacoemulcification incisions”. Journal of Refractive Surgery1 (2009): 21-24.
8. Hashemi H., et al. “The location of incision in cataract surgery and its impact on induced astigmatism”. Current Opinion in Ophthalmology1 (2016): 58-64.
9. Alpins N., et al. “Asymmetric corneal flattening effect after small incision cataract surgery”. Journal of Refractive Surgery9 (2016): 598-603.
10. F Ttindade., et al. “Benefit of against -the-rule astigmatism to uncorrected near acuity”. Journal of Cataract and Refractive Surgery 23 (1997): 83-85.
11. Gokhale NS and Sawhney S. “Reduction in astigmatism in mannual small incision cataract surgery through change of incision site”. Indian Journal of Ophthalmology 53 (2005): 201-203.
12. Nichamin LD. “Management of astigmatism in conjunction with lens surgery”. In: Tasman WM, ed. Duane’s Ophthalmology. Philadelphia: Lippincott Wilkins (2006).
13. Gills JP. Nomogram for Limbal Relaxing Incisions with cataract surgery. Tapron Springs, FL: St. Luke’s Cataract and Laser Institute 199.
14. Wang L., et al. “Peripheral corneal relaxing incisions combined with cataract surgery”. Journal of Cataract and Refractive Surgery 29 (2003): 712-722.
15. Cristobal JA., et al. “Effect of limbal relaxing incisions during phacoemulcification surgery based on nomogram review and numerical simulation”. Cornea9 (2009): 1042-1049.
16. Carvalho MJ., et al. “Limbal relaxing incisions to correct corneal astigmatism during phacoemulcification”. Journal of Refractive Surgery5 (2007): 499-504.
17. Mozayan E and Lee JK. “Update on astigmatism management”. Current Opinion in Ophthalmology4 (2014): 286-290.
18. Ruckl T., et al. “Femtosecond laser - assisted intrastromal arcuate keratotomy to reduce corneal astigmatism”. Journal of Cataract and Refractive Surgery4 (2013): 528-538.
19. Hirnschall N., et al. “Correction of moderate corneal astigmatism during cataract surgery: toric intraocular lens versus peripheral corneal relaxing incisions”. Journal of Cataract and Refractive Surgery 2014 40 (3): 354-361.
20. Lever J and Dahan E. “Opposite clear corneal incisions to correct pre-existing astigmatism in cataract surgery”. Journal of Cataract And Refractive Surgery 26 (2000): 803-805.
21. Bazzazi N., et al. “Opposite clear corneal incisions versus steep Meridian incision phacoemulcification for correction of pre-existing astigmatism”. Journal of Ophthalmic and Vision Research2 (2008): 87-90.
22. Alfonso JF., et al. “Clinical outcomes after bilateral implantation of an apodized +3.0 D toric diffractive multifocal lens”. Journal of Cataract and Refractive Surgery1 (2014): 51059.
23. Agresta B., et al. “Visual acuity improvement after implantation of toric IOL lenses in cataract patients with astigmatism: a systemic review”. BMC Ophthalmology 12 (2012): 41.
24. Leyland M., et al. “Prospective evaluation of a plate heptic toric intraocular lens”. Eye 2 (2001): 202-205.
25. Sun XY., et al. “Toric intraocular lenses for correcting astigmatism in 130 eyes”. Ophthalmology9 (2000): 1776-1781.
26. Maria X., et al. “Consensus on the management of astigmatism in cataract surgery”. Clinical Ophthalmology 13 (2019): 311-324.
27. Mukesh T. “Management of astigmatism in cataract”. DJO 7 (2015).

Citation

Citation: Mohammed Abdulkarem and Mustafa Ali Shata. “Managing Postoperative Astigmatism in Cataract Surgery: A Short Review". Acta Scientific Paediatrics 3.8 (2020): .

Copyright

Copyright: © 2020 Mohammed Abdulkarem and Mustafa Ali Shata. 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.