Rigid gas-permeable contact lens-assisted cataract surgery in patients with severe keratoconus

Yoshinori Oie, Motohiro Kamei, Nagakazu Matsumura, Hisataka Fujimoto, Takeshi Soma, Shizuka Koh, Motokazu Tsujikawa, Naoyuki Maeda, Kohji Nishida

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6 Citations (Scopus)

Abstract

We describe rigid gas-permeable (RGP) contact lens-assisted cataract surgery in patients with severe keratoconus. During cataract surgery in cases with severe keratoconus, the intraocular images are distorted and visual perspective is lost because of irregular corneal astigmatism. Poor visibility can lead to complications, including posterior capsule rupture and corneal endothelial cell damage. To overcome these problems, an RGP contact lens was placed on the cornea in 2 cases. The image distortion decreased markedly, and the visual perspective improved. Intraocular manipulations such as irrigation/aspiration were performed safely. Improvement in transillumination led to good visualization of the anterior and posterior capsules. No intraoperative or postoperative complications developed in either case. This technique provided excellent visualization during cataract surgery in patients with severe keratoconus. Financial Disclosure No author has a financial or proprietary interest in any material or method mentioned.

Original languageEnglish
Pages (from-to)345-348
Number of pages4
JournalJournal of Cataract and Refractive Surgery
Volume40
Issue number3
DOIs
Publication statusPublished - Mar 1 2014

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All Science Journal Classification (ASJC) codes

  • Surgery
  • Ophthalmology
  • Sensory Systems

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