Refractive outcomes after limbal relaxing incisions or femtosecond laser arcuate keratotomy to manage corneal astigmatism at the time of cataract surgery

Journal of Cataract and Refractive Surgery
Harry W RobertsDavid P S O'Brart

Abstract

To compare the results of manual limbal relaxing incisions (LRIs) performed during conventional phacoemulsification surgery with those of nonpenetrating femtosecond laser arcuate keratotomies performed during femtosecond laser-assisted cataract surgery to manage corneal astigmatism. Guy's and St. Thomas' NHS Foundation Trust, London, United Kingdom. Randomized case-controlled trial. This was a secondary outcome of a randomized controlled trial comparing 400 patients treated with conventional phacoemulsification surgery or femtosecond laser-assisted cataract surgery. All patients with corneal astigmatism greater than 0.9 diopter (D) were offered LRIs or femtosecond laser arcuate keratotomy based on the original randomization. Visual acuity, postoperative refraction, and corneal topography were recorded 4 weeks postoperatively. Vector analysis was performed using the Alpins method. Fifty-one eyes of 51 patients received LRIs, and 53 eyes of 53 patients received femtosecond arcuate keratotomies. The mean target induced astigmatism was 1.50 D and 1.38 D, respectively, with 1.02 D and 1.23 D surgically induced astigmatism (P = .21), resulting in the femtosecond arcuate keratotomy group having a smaller difference vector (1.17 D vers...Continue Reading

References

Jul 1, 1993·Journal of Cataract and Refractive Surgery·N A Alpins
Feb 13, 2001·Journal of Cataract and Refractive Surgery·N Alpins
Jan 9, 2004·Survey of Ophthalmology·Noel A Alpins, Michael Goggin
Jul 26, 2005·Journal of Cataract and Refractive Surgery·Abid Qammar, Paul Mullaney
Sep 4, 2008·Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Für Klinische Und Experimentelle Ophthalmologie·C LangeM Bach
Mar 3, 2009·Journal of Cataract and Refractive Surgery·Javier MendicuteRobert Montés-Micó
Nov 27, 2009·The British Journal of Ophthalmology·A AbbeyS H Yoo
Aug 16, 2011·Journal of Cataract and Refractive Surgery·Mohammad I Khan, Mohammed Muhtaseb
Apr 2, 2014·Journal of Cataract and Refractive Surgery·Jeewan S TitiyalBhavana Chawla
Aug 27, 2014·Journal of Cataract and Refractive Surgery·Rongxuan LimLuca Ilari
Mar 8, 2016·Journal of Cataract and Refractive Surgery·Alexander C DayJulian D Stevens
Mar 31, 2016·Journal of Cataract and Refractive Surgery·Alexander C Day, Julian D Stevens
Aug 22, 2017·Journal of Cataract and Refractive Surgery·Chad D HummelRobert J Weinstock

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Citations

Dec 18, 2019·The Cochrane Database of Systematic Reviews·Jonathan C LakeJennifer R Evans
Nov 11, 2018·Journal of Cataract and Refractive Surgery·Harry W RobertsDavid P S O'Brart
Apr 30, 2019·Journal of Cataract and Refractive Surgery·Nick Mamalis
Mar 24, 2020·The Cochrane Database of Systematic Reviews·Aileen Antonio-SantosChristine Powell
Dec 6, 2019·European Journal of Ophthalmology·Harry W RobertsDavid Ps O'Brart
Nov 17, 2020·Current Opinion in Ophthalmology·David R Hardten, Adeline G Hardten
Dec 19, 2020·International Ophthalmology Clinics·David S PortneyShahzad I Mian
Sep 21, 2021·Journal of Cataract and Refractive Surgery·Kamran M RiazDouglas D Koch

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