Analysis of Posterior Corneal Surgically Induced Astigmatism Following Cataract Surgery With a 1.8-mm Temporal Clear Corneal Incision. 2023

Jack X Kane, and Benjamin R LaHood, and Michael Goggin

OBJECTIVE To determine posterior corneal surgically induced astigmatism (SIA) when using a temporal clear corneal incision and the IOLMaster 700 (Carl Zeiss Meditec AG) for biometric measurements and to determine whether posterior corneal SIA can be predicted from preoperative data. METHODS A total of 258 consecutive eyes of 258 patients underwent cataract surgery with a 1.8-mm temporal clear corneal incision. Biometry measurements were taken preoperatively and 6 weeks postoperatively using the IOLMaster 700. Using vector analysis, the SIA of the posterior cornea was calculated. RESULTS The centroid of posterior corneal SIA was 0.01 diopters (D) @159 ± 0.14 D. The mean posterior corneal SIA was 0.12 D ± 0.07 D. Posterior corneal SIA magnitude was 0.25 D or less in 95% of patients. There was no correlation found between posterior corneal SIA magnitude and any preoperative measurement. CONCLUSIONS The authors suggest not adjusting for posterior corneal SIA if using a small caliber, temporal incision. It was not possible to predict posterior corneal SIA from preoperative biometric measurements. [.

UI MeSH Term Description Entries
D009885 Ophthalmology A surgical specialty concerned with the structure and function of the eye and the medical and surgical treatment of its defects and diseases. Ocular Surgery,Ocular Surgeries,Surgery, Ocular
D002386 Cataract Partial or complete opacity on or in the lens or capsule of one or both eyes, impairing vision or causing blindness. The many kinds of cataract are classified by their morphology (size, shape, location) or etiology (cause and time of occurrence). (Dorland, 27th ed) Cataract, Membranous,Lens Opacities,Pseudoaphakia,Cataracts,Cataracts, Membranous,Lens Opacity,Membranous Cataract,Membranous Cataracts,Opacities, Lens,Opacity, Lens,Pseudoaphakias
D002387 Cataract Extraction The removal of a cataractous CRYSTALLINE LENS from the eye. Enzymatic Zonulolysis,Phakectomy,Cataract Extractions,Enzymatic Zonulolyses,Extraction, Cataract,Extractions, Cataract,Phakectomies,Zonulolyses, Enzymatic,Zonulolysis, Enzymatic
D003315 Cornea The transparent anterior portion of the fibrous coat of the eye consisting of five layers: stratified squamous CORNEAL EPITHELIUM; BOWMAN MEMBRANE; CORNEAL STROMA; DESCEMET MEMBRANE; and mesenchymal CORNEAL ENDOTHELIUM. It serves as the first refracting medium of the eye. It is structurally continuous with the SCLERA, avascular, receiving its nourishment by permeation through spaces between the lamellae, and is innervated by the ophthalmic division of the TRIGEMINAL NERVE via the ciliary nerves and those of the surrounding conjunctiva which together form plexuses. (Cline et al., Dictionary of Visual Science, 4th ed) Corneas
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D001251 Astigmatism Unequal or irregular curvature of the CORNEA (Corneal astigmatism) and/or the EYE LENS (Lenticular astigmatism) resulting in REFRACTIVE ERROR. Corneal Astigmatism,Hyperopic Astigmatism,Lenticular Astigmatism,Mixed Astigmatism,Myopic Astigmatism,Oblique Astigmatism,Astigmatism, Corneal,Astigmatism, Hyperopic,Astigmatism, Lenticular,Astigmatism, Mixed,Astigmatism, Myopic,Astigmatism, Oblique,Hyperopic Astigmatisms,Mixed Astigmatisms,Myopic Astigmatisms,Oblique Astigmatisms

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