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Hemphill, TX
A 60-year-old male asked:

i had rk surgery in the 80, s and now need catarac surgery how will that go ?

3 doctor answers8 doctors weighed in
Dr. Tim Conrad
Ophthalmology 34 years experience
Okay: Previous rk surgery makes predicting the implant powers difficult. This means it is possible that you may need more than just one surgery to get your eye where it need to be. Work with your eye surgeon and good luck!
Dr. Harold Peltan
Ophthalmology 28 years experience
Your cataract surgeon can adjust the surgical technique to work around the weak spots caused by the RK.
Sep 5, 2013
Dr. Alice Epitropoulos
Ophthalmology 32 years experience
ORA: You may want to ask your surgeon about the ora (intraoperative aberrometer) which allows for intraoperative measurements for the implant after the cataract is removed. This may help to confirm the iol power, especially beneficial in patients with previous refractive surgery.
Dr. Alan Jackson
Addiction Medicine 30 years experience
Great suggestion, these are not readily available or accessible in privte practice
Sep 5, 2013
Dr. Harvey Fishman
Ophthalmology 21 years experience
Also ask your surgeon about total corneal power using Optovue 's anterior segment oct.
Sep 5, 2013
Dr. Lloyd Williams
Ophthalmology 13 years experience
RK makes a challenge: Rk makes calculating the right lens to put in your eye after cataract surgery more challenging. In other words, there is a greater chance that you will need glasses after cataract surgery. Also, depending on how many cuts were in your rk, making the incisions for cataract surgery can be more difficult. Overall, though cataract surgery after rk is very similar to cataract surgery without rk.

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Last updated Mar 31, 2014

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