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Yusef Yu.N.

Krasnov Research Institute of Eye Diseases;
I.M. Sechenov First Moscow State Medical University (Sechenov University)

Osipyan G.A.

Krasnov Research Institute of Eye Diseases

Khraystin Kh.

Krasnov Research Institute of Eye Diseases

Averich V.V.

Krasnov Research Institute of Eye Diseases

Alhumidi K.

Krasnov Research Institute of Eye Diseases

Dzhalili R.A.

Krasnov Research Institute of Eye Diseases

Combined approach to cataract surgery in keratoconus

Authors:

Yusef Yu.N., Osipyan G.A., Khraystin Kh., Averich V.V., Alhumidi K., Dzhalili R.A.

More about the authors

Journal: Russian Annals of Ophthalmology. 2024;140(6): 107‑111

DOI: 10.17116/oftalma2024140061107

Read: 1485 times

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Table of contents

COMBINED APPROACH TO CATARACT SURGERY IN KERATOCONUS
COMBINED APPROACH TO CATARACT SURGERY IN KERATOCONUS

To cite this article:

Yusef YuN, Osipyan GA, Khraystin Kh, Averich VV, Alhumidi K, Dzhalili RA. Combined approach to cataract surgery in keratoconus. Russian Annals of Ophthalmology. 2024;140(6):107‑111. (In Russ.)
https://doi.org/10.17116/oftalma2024140061107

Подписка 2026 Вестник офтальмологии (Russian Annals of Ophthalmology)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

Preparation for cataract surgery in patients with keratoconus (KC) is associated with particular challenges: calculating the optical power of the intraocular lens (IOL), selecting the appropriate IOL model, and considering additional interventions aimed at stabilizing KC and reducing irregular astigmatism. This article presents a fundamentally new approach to combined treatment of KC with cataract, consisting of two stages: first, performing bandage therapeutic-optical keratoplasty (BTOK), followed by cataract phacoemulsification as the second stage.

Keywords:

keratoconus
bandage therapeutic-optical keratoplasty
cataract
phacoemulsification
intraocular lens

Authors:

Yusef Yu.N.

Krasnov Research Institute of Eye Diseases;
I.M. Sechenov First Moscow State Medical University (Sechenov University)

Osipyan G.A.

Krasnov Research Institute of Eye Diseases

Khraystin Kh.

Krasnov Research Institute of Eye Diseases

Averich V.V.

Krasnov Research Institute of Eye Diseases

Alhumidi K.

Krasnov Research Institute of Eye Diseases

Dzhalili R.A.

Krasnov Research Institute of Eye Diseases

Received:

03.04.2024

Accepted:

12.09.2024

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References:

  1. Mas Tur V, MacGregor C, Jayaswal R, O’Brart D, Maycock N. A review of keratoconus: diagnosis, pathophysiology, and genetics. Surv Ophthalmol. 2017;62(6):770-783.  https://doi.org/10.1016/j.survophthal.2017.06.009
  2. Avetisov SE, Averich VV, Pateyuk LS. Keratoconus: main lines of research. Russian Annals of Ophthalmology=Vestnik oftal’mologii. 2023;139(3.2):11-20 (In Russ.). https://doi.org/10.17116/oftalma202313903211
  3. Averich VV, Avetisov KS, Alkhumidi K, Avetisov SE. Phacosurgery features in keratoconus. Russian Annals of Ophthalmology=Vestnik oftal’mologii. 2020;136(5):296-300 (In Russ.). https://doi.org/10.17116/oftalma2020136052296
  4. Zare Mehrjerdi MA, Hashemi H, Kalantari F, Rajabi MB, Fallah Tafti MR. Comparison of refractive outcomes of different intraocular lens power calculation formulas in keratoconic patients undergoing phacoemulsification. Iran J Ophthalmol. 2014;26(2):66-71. 
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  6. Wollensak G. Crosslinking treatment of progressive keratoconus: new hope. Curr Opin Ophthalmol. 2006;17(4):356-360. 
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  8. Wang KM, Jun AS, Ladas JG, Siddiqui AA, Woreta F, Srikumaran D. Accuracy of Intraocular Lens Formulas in Eyes with Keratoconus. Am J Ophthalmol. 2020;212:26-33.  https://doi.org/10.1016/j.ajo.2019.11.019
  9. Lanier JD, Bullington JR, Prager TC. Axial length in keratoconus. Cornea. 1992;11(3):250-254. 
  10. Hashemi H, Yekta A, Khabazkhoob M. Effect of keratoconus grades on repeatability of keratometry readings: Comparison of 5 devices. J Cataract Refract Surg. 2015;41(5):1065-1072. https://doi.org/10.1016/j.jcrs.2014.08.043
  11. Visser N. Toric intraocular lenses: Historical overview patient selection, IOL calculation, surgical technigues, clinical outcomes, and complications. J Cataract Refract Surg. 2013;39:624-637.  https://doi.org/10.1016/j.jcrs.2013.02.020
  12. Visser N, Gast ST, Bauer NJ, Nuijts RM. Cataract surgery with toric intraocular lens implantation in keratoconus: a case report. Cornea. 2011;30(6): 720-723.  https://doi.org/10.1097/ICO.0b013e31820009d4
  13. Rodov L, Kleinmann G. Toric IOLs in Keratoconus Patients with Cataract. In: Barbara A. (ed.). Controversies in the Management of Keratoconus. Springer, Cham; 2019. P. 281-296.  https://doi.org/10.1007/978-3-319-98032-4_24
  14. Arej N, Chanbour W, Zaarour K, Amro M, El-Rami H, Harb F, Jarade E. Management of cataract in keratoconus: early visual outcomes of different treatment modalities. Int J Ophthalmol. 2019;12(10):1654-1658. https://doi.org/10.18240/ijo.2019.10.21
  15. Pershin KB, Gurmizov EP. Cataract and progressing keratoconus — solution? Oftal’mologiya. 2015;12(3):36-43 (In Russ.). https://doi.org/10.18008/1816-5095-2015-3-36-43
  16. Alfonso JF, Lisa C, Cueto LFV, Poo-López A, Madrid-Costa D, Fernández-Vega L. Sequential intrastromal corneal ring segment and monofocal intraocular lens implantation for keratoconus and cataract: long-term follow-up. J Cataract Refract Surg. 2017;43(2):246-254. https://doi.org/10.1016/j.jcrs.2016.11.044
  17. Malyugin BE, Izmailova SB, Bessarabov AN, Semykin AYu. Toric intraocular lens implantation outcomes in patients with stable keratoconus. Oftal’mokhirurgiya. 2018;(3):7-12 (In Russ.). https://doi.org/10.25276/0235-4160-2018-3-7-12
  18. Seitz B, Langenbucher A, Viestenz A, Dietrich T, Küchle M, Naumann GO. Cataract and keratoplasty: simultaneous or sequential surgery? Klin Monbl Augenheilkd. 2003;220(5):326-329.  https://doi.org/10.1055/s-2003-39429
  19. Sheludchenko VM, Osipian GA, Yusef YuN, Khraystin Kh, Alkharki L, Dzhalili RA. Bandage lamellar-optical keratoplasty for post-excimer laser keratectasia. Russian Annals of Ophthalmology=Vestnik oftal’mologii. 2019; 135(5):171-176 (In Russ.). https://doi.org/10.17116/oftalma2019135052171
  20. Sheludchenko VM, Voronin GV, Osipyan GA, Djalili RA. Methods of surgical treatment of keratectasia and analysis of postsurgical quality of vision. Russian Annals of Ophthalmology=Vestnik oftal’mologii. 2020;136(5):308-316 (In Russ.). https://doi.org/10.17116/oftalma2020136052308
  21. Osipyan GA, Khraystin Kh. Possibilities of Intralamellar Keratoplasty in Rehabilitation of Keratoconus Patients. Ophthalmology in Russia. 2019;16(2):169-173 (In Russ.). https://doi.org/10.18008/1816-5095-2019-2-169-173
  22. Avetisov SE, Sheludchenko VM, Osipyan GA, Khraystin Kh, Abukerimova AK, Dzhalili RA. Long-term outcomes of bandage therapeutic- optical keratoplasty in the treatment of keratoconus. Russian Annals of Ophthalmology=Vestnik oftal’mologii. 2022;138(5):39-46 (In Russ.). https://doi.org/10.17116/oftalma202213805139
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