The Pan-American Journal of Ophthalmology

CASE REPORT
Year
: 2022  |  Volume : 4  |  Issue : 1  |  Page : 39-

Hyperopic shift after refractive lens surgery in a patient with prior history of radial keratotomy


Julio C Hernandez-Camarena, Raul E Ruiz-Lozano, Brandon Rodriguez-Pinzon, Jorge E Valdez-Garcia 
 Tecnologico de Monterrey, Escuela de Medicina y Ciencias de la Salud, Monterrey, Mexico

Correspondence Address:
Julio C Hernandez-Camarena
Instituto de Oftalmologia y Ciencias Visuales, Centro Medico Zambrano Hellion, Av. Batallon de San Patricio No. 112. Col. Real de San Agustín, N.L. CP. 66278, Monterrey
Mexico

Radial keratotomy (RK) was a popular refractive procedure in the 90s. However, more reproducible laser-assisted surgeries are currently preferred. Furthermore, RK patients who undergo cataract surgery experience variable refractive and keratometric changes during the early postoperatory period. Unfortunately, those post-RK patients currently require cataract surgery. A 58-year-old male with a history of RK in both eyes (OU) presented with a 2-year history of night glare and progressive vision loss due to a subcapsular cataract in OU. Using the double-K Holladay formula, bilateral phacoemulsification was performed. At 1 week, refraction was + 2.25/-1.00/27° (power [Pwr]: 39.25D) in oculus dextrus (OD) and + 3.00/−0.75/171° in oculus sinister (OS) (Pwr: 37.41D), achieving a best-corrected visual acuity (BCVA) of 20/30 OU. At 6 weeks, refraction was + 0.75/−0.75/18° (Pwr: 39.71D) in OD and + 1.00/−0.25/180° (Pwr: 38.33) in OS. BCVA remained 20/30 OU. The resulting transitory hyperopic shift after surgery demands a careful and comprehensive intraocular lens calculation preferably aiming toward myopic overcorrection.


How to cite this article:
Hernandez-Camarena JC, Ruiz-Lozano RE, Rodriguez-Pinzon B, Valdez-Garcia JE. Hyperopic shift after refractive lens surgery in a patient with prior history of radial keratotomy.Pan Am J Ophthalmol 2022;4:39-39


How to cite this URL:
Hernandez-Camarena JC, Ruiz-Lozano RE, Rodriguez-Pinzon B, Valdez-Garcia JE. Hyperopic shift after refractive lens surgery in a patient with prior history of radial keratotomy. Pan Am J Ophthalmol [serial online] 2022 [cited 2022 Aug 11 ];4:39-39
Available from: https://www.thepajo.org/article.asp?issn=2666-4909;year=2022;volume=4;issue=1;spage=39;epage=39;aulast=Hernandez-Camarena;type=0