Determination of Corneal Power After Refractive Surgery with Excimer Laser: A Concise Review Article Swipe

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Virgilio Galvis , Alejandro Tello , Valeria Otoya , Samuel Arba‐Mosquera , Sylvia Juliana Villamizar Portilla , Amir Translateur , Ruby Morales ·

YOU? · · 2023 · Open Access · · DOI: https://doi.org/10.31348/2023/8

Refractive surgery with excimer laser has been a very common surgical procedure worldwide during the last decades. Currently, patients who underwent refractive surgery years ago are older, with a growing number of them now needing cataract surgery. To establish the power of the intraocular lens to be implanted in these patients, it is essential to define the true corneal power. However, since the refractive surgery modified the anterior, but not the posterior surface of the cornea, the determination of the corneal power in this group of patients is challenging. This article reviews the different sources of error in finding the true corneal power in these cases, and comments on several approaches, including the clinical history method as described originally by Holladay, and a modified version of it, as well as new alternatives based on corneal tomography, using devices that are able to measure the actual anterior and posterior corneal curvatures, which have emerged in recent years to address this issue.

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Concepts

Refractive surgery Excimer laser Cornea Cataract surgery Medicine Intraocular lens power calculation Intraocular lens Ophthalmology Optometry Refractive error Corneal Diseases Surgery Visual acuity Laser Optics Keratometer Physics

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Type: review
Language: en
Landing Page: https://doi.org/10.31348/2023/8
PDF: https://www.cs-ophthalmology.cz/en/journal/5/articles/272/dl/997
OA Status: bronze
Cited By: 3
References: 17
Related Works: 10
OpenAlex ID: https://openalex.org/W4322758131

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OpenAlex ID: https://openalex.org/W4322758131

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DOI: https://doi.org/10.31348/2023/8

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Title: Determination of Corneal Power After Refractive Surgery with Excimer Laser: A Concise Review

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Type: review

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Language: en

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Publication year: 2023

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Publication date: 2023-09-20

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Authors: Virgilio Galvis, Alejandro Tello, Valeria Otoya, Samuel Arba‐Mosquera, Sylvia Juliana Villamizar Portilla, Amir Translateur, Ruby Morales

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Landing page: https://doi.org/10.31348/2023/8

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PDF URL: https://www.cs-ophthalmology.cz/en/journal/5/articles/272/dl/997

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OA status: bronze

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Concepts: Refractive surgery, Excimer laser, Cornea, Cataract surgery, Medicine, Intraocular lens power calculation, Intraocular lens, Ophthalmology, Optometry, Refractive error, Corneal Diseases, Surgery, Visual acuity, Laser, Optics, Keratometer, Physics

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Cited by: 3

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Citations by year (recent): 2024: 3

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References (count): 17

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