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Rocha-de-Lossada C, Rodríguez-Vallejo M, Rodríguez-Calvo-de-Mora M, Ribeiro FJ, Fernández J. Managing low corneal astigmatism in patients with presbyopia correcting intraocular lenses: a narrative review. BMC Ophthalmol 2023; 23:254. [PMID: 37280550 DOI: 10.1186/s12886-023-03003-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2023] [Accepted: 05/31/2023] [Indexed: 06/08/2023] Open
Abstract
Cataract surgery has become a refractive procedure in which emmetropia is the goal, with the implantation of extended depth-of-focus or multifocal intraocular lenses (IOLs) being the commonly selected option to restore vision beyond the far distance. The selection criteria for implanting these lenses can differ from those for monofocal IOLs and even between technologies, as eye characteristics can affect postoperative visual performance. Corneal astigmatism is an eye characteristic that can affect visual performance differently, depending on the implanted IOL. The magnitude of corneal astigmatism, the tolerance of the IOL to this astigmatism, economic aspects, comorbidities, and the efficacy of astigmatism treatment are factors that can make surgeons' doubt as to what astigmatism treatment should be applied to each patient. This review aims to summarize the current evidence related to low astigmatism tolerance in presbyopia-correcting lenses, the efficacy achieved through corneal incisions, and their comparison with the implantation of toric IOLs.
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Affiliation(s)
- Carlos Rocha-de-Lossada
- Qvision, Department of Ophthalmology of VITHAS Almería Hospital, Almería, 04120, Spain
- Ophthalmology Department, VITHAS Málaga, Málaga, 29016, Spain
- Hospital Regional Universitario de Málaga, Plaza del Hospital Civil, S/N, Málaga, 29009, Spain
- Departamento de Cirugía, Universidad de Sevilla, Área de Oftalmología. Doctor Fedriani, S/N, Sevilla, 41009, Spain
| | | | - Marina Rodríguez-Calvo-de-Mora
- Qvision, Department of Ophthalmology of VITHAS Almería Hospital, Almería, 04120, Spain
- Ophthalmology Department, VITHAS Málaga, Málaga, 29016, Spain
- Hospital Regional Universitario de Málaga, Plaza del Hospital Civil, S/N, Málaga, 29009, Spain
| | - Filomena J Ribeiro
- Departamento de Oftalmologia, Hospital da Luz, Lisbon, 1500-650, Portugal
- Faculdade de Medicina, Universidade de Lisboa, Lisbon, 1649-028, Portugal
| | - Joaquín Fernández
- Qvision, Department of Ophthalmology of VITHAS Almería Hospital, Almería, 04120, Spain
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Yan Q, Han B, Ma ZC. Femtosecond Laser-Assisted Ophthalmic Surgery: From Laser Fundamentals to Clinical Applications. MICROMACHINES 2022; 13:1653. [PMID: 36296006 PMCID: PMC9611681 DOI: 10.3390/mi13101653] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 07/27/2022] [Revised: 09/19/2022] [Accepted: 09/28/2022] [Indexed: 06/16/2023]
Abstract
Femtosecond laser (FSL) technology has created an evolution in ophthalmic surgery in the last few decades. With the advantage of high precision, accuracy, and safety, FSLs have helped surgeons overcome surgical limits in refractive surgery, corneal surgery, and cataract surgery. They also open new avenues in ophthalmic areas that are not yet explored. This review focuses on the fundamentals of FSLs, the advantages in interaction between FSLs and tissues, and typical clinical applications of FSLs in ophthalmology. With the rapid progress that has been made in the state of the art research on FSL technologies, their applications in ophthalmic surgery may soon undergo a booming development.
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Affiliation(s)
- Quan Yan
- Department of Ophthalmology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200080, China
- National Clinical Research Center for Eye Diseases, Shanghai 200080, China
- Shanghai Engineering Center for Visual Science and Photomedicine, Shanghai 200080, China
| | - Bing Han
- Institute of Medical Robotics, Shanghai Jiao Tong University, Shanghai 200240, China
| | - Zhuo-Chen Ma
- Institute of Medical Robotics, Shanghai Jiao Tong University, Shanghai 200240, China
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Biswas P, Chatterjee S, Batra S, Ginodia A, Biswas P. Arcuate keratotomy infiltration following uneventful femtosecond laser assisted cataract surgery. Indian J Ophthalmol 2019; 67:1742-1744. [PMID: 31546549 PMCID: PMC6786192 DOI: 10.4103/ijo.ijo_72_19] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
An 84-year-old gentleman underwent uneventful femtolaser-assisted cataract surgery (FLACS) with an arcuate keratotomy (AK) in the left eye. On the 18th post-operative day, a corneal infiltrate developed involving the AK. Staphylococcus epidermidis was the organism isolated on culture. The infiltrate resolved with topical fortified vancomycin and amikacin eyedrops, and the patient regained a visual acuity of 6/6 after 12 weeks. This is the first case from south-east Asia reported in the literature of an infective infiltrate along a femtosecond laser AK. We propose strict peri-operative recommendations to be followed to prevent and treat such infections.
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Affiliation(s)
- Partha Biswas
- Director, B B Eye Foundation, Kolkata, West Bengal, India
| | - Sumana Chatterjee
- Consultant, Cornea Services, B B Eye Foundation, Kolkata, West Bengal, India
| | - Sneha Batra
- Associate Consultant, B B Eye Foundation, Kolkata, West Bengal, India
| | | | - Preeyam Biswas
- Ophthalmology Resident, Dr. D Y Patil Medical College, Hospital and Research Centre, Pune, Maharashtra, India
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Grillo LM, Epstein IJ, Donnenfeld ED, Perry HD. Late-Onset Microsporidial Keratitis in Femtosecond Astigmatic Keratotomy After Laser-Assisted Phacoemulsification. Cornea 2018; 37:1471-1473. [PMID: 30161056 DOI: 10.1097/ico.0000000000001743] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
PURPOSE To present a case of microsporidial keratitis in a femtosecond laser-created astigmatic keratotomy (AK) incision. METHODS Case report. RESULTS A 65-year-old Middle Eastern man presented 2 months after uncomplicated femtosecond laser-assisted cataract surgery (FLACS) and AK with mildly decreased vision and corneal edema in the operative eye. Shortly after treatment with topical corticosteroids, a fulminant corneal infiltrate manifested along the temporal arcuate incision. Multiple corneal scrapings sent for laboratory analysis were inconclusive. Two weeks after the initial presentation, a deep tissue sample was obtained using a 27-gauge cannula passed within the arcuate incision. The gram stain was directly observed, revealing intracellular microsporidial spores. The patient was treated with oral albendazole 400 mg once daily over 2 weeks and topical voriconazole 1% and fumagillin 3 mg/mL eye drops over 10 weeks. During this course, visual function steadily recovered as the infiltrate coalesced and ocular inflammation subsided. CONCLUSIONS This is the first reported case of microsporidial keratitis presenting as a late-onset infection after femtosecond laser-assisted AK.
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Affiliation(s)
- Lola M Grillo
- Nassau University Medical Center, Ophthalmology department, East Meadow, NY
| | - Ilan J Epstein
- Ophthalmic Consultants of Long Island, Rockville Centre, NY
| | - Eric D Donnenfeld
- Nassau University Medical Center, Ophthalmology department, East Meadow, NY.,Ophthalmic Consultants of Long Island, Rockville Centre, NY
| | - Henry D Perry
- Nassau University Medical Center, Ophthalmology department, East Meadow, NY.,Ophthalmic Consultants of Long Island, Rockville Centre, NY
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Serrao S, Giannini D, Schiano-Lomoriello D, Lombardo G, Lombardo M. New technique for femtosecond laser creation of clear corneal incisions for cataract surgery. J Cataract Refract Surg 2017; 43:80-86. [DOI: 10.1016/j.jcrs.2016.08.038] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2016] [Revised: 08/13/2016] [Accepted: 08/30/2016] [Indexed: 11/30/2022]
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