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    Overcoming cataract surgery challenges with a corneal comorbidity

    Dr. GangadharWichita, KS—Achieving the desired refractive outcome after cataract surgery can be a challenge in eyes with corneal disease. However, excellent results are possible with careful preoperative evaluation coupled with attention to IOL selection and surgical technique, according to Dasa V. Gangadhar, MD.These are all examples of disease processes that cause irregular astigmatism: BMD, Salzmann nodules, Dry eye, Pterygium

    Dr. Gangadhar—a cornea specialist, Grene Vision Group, Wichita, KS, and assistant clinical professor of surgery, University of Kansas School of Medicine, Kansas City—provided pearls for performing cataract surgery in eyes with irregular astigmatism, Fuchs corneal endothelial dystrophy/endothelial compromise, keratoconus, a history of penetrating keratoplasty (PK), and prior keratorefractive surgery.

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    “These are special situations that often require a change in technique,” Dr. Gangadhar said. “It is important for surgeons to tailor their approach to the circumstance and not use a cookie-cutter approach for all procedures.”

    Next: Irregular astigmatism

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