State of the Art in Cataract and Refractive Surgery

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Ophthalmology".

Deadline for manuscript submissions: 24 September 2024 | Viewed by 506

Special Issue Editor


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Guest Editor
Department of Ophthalmology, Ophthalmiatrion Athinon, Athens, Greece
Interests: cataract surgery; ophthalmology; glaucoma; intraocular pressure; optical coherence tomography; phacoemulsification

Special Issue Information

Dear Colleagues,

Cataract surgery is the most common surgical procedure. It undisputably improves visual functioning dramatically, which in tern gives great improvement in a person’s quality of life. Numerous advances in instrumentation and medical treatment have increased the safety of the procedure, even in complicated cases. Moreover, advances in intraocular lens design and biometry have further increased patients’ and doctors’ expectations of cataract surgery. It is considered not only as an operation that restores vision but also as a refractive procedure that minimizes if not eliminates the use of glasses.

Refractive surgery, likewise, is continuously evolving. New techniques with an improved safety and predictability profile are coming into practice, aiming to provide refractive results that match the increased expectations of the patients.

Accordingly, we would like to announce a Special Issue called “State of the Art in Cataract and Refractive Surgery”. This Special Issue calls for original research and reviews that have investigated new techniques in cataract and refractive surgery.

Dr. Ioannis Halkiadakis
Guest Editor

Manuscript Submission Information

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Keywords

  • cataract
  • refractive surgery
  • biometry
  • laser assisted in situ keratomileusis
  • smile
  • femtosecond laser
  • multifocal intraocular lenses
  • extended depth-of-focus intraocular lenses
  • phakic intraocular lenses

Published Papers (1 paper)

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Research

10 pages, 3704 KiB  
Article
Topographic Keratoconus Incidence in Greece Diagnosed in Routine Consecutive Cataract Procedures: A Consecutive Case Series of 1250 Cases over 5 Years
by Anastasios John Kanellopoulos and Alexander J. Kanellopoulos
J. Clin. Med. 2024, 13(8), 2378; https://doi.org/10.3390/jcm13082378 - 19 Apr 2024
Viewed by 250
Abstract
Background: Scheimpflug tomography has for many years been an integral part of our pre-operative assessment in cataract extraction. We retrospectively reviewed the incidence of topographic keratoconus and keratoconus suspicion in our routine cataract surgery population over 5 years. Setting: The Laservision Clinical [...] Read more.
Background: Scheimpflug tomography has for many years been an integral part of our pre-operative assessment in cataract extraction. We retrospectively reviewed the incidence of topographic keratoconus and keratoconus suspicion in our routine cataract surgery population over 5 years. Setting: The Laservision Clinical and Research Institute, Athens, Greece. Methods: In 1250 consecutive cataract surgery cases in otherwise naïve eyes, accounting for years 2017 to 2021, we retrospectively evaluated preoperative Pentacam HR imaging. The cases already classified as keratoconus were included in group A. The residual cases were assessed by five different experienced evaluators (two ophthalmic surgeons and three optometrists) for topographic and tomographic keratoconus suspicion based on irregular pachymetry distribution, astigmatism truncation, and/or astigmatic imaging irregularity and included in group B. Regular corneas, by this assessment, were included in group C; irregular corneas, as determined by the evaluators but unrelated to keratoconus, were included in group D. Results: Based on the above, 138 cases (11.08%) were classified by Pentacam tomography as keratoconus and by default were included in group A. Of the residual cases, 314 or 25.12% were classified as suspect keratoconus and included in group B; 725 cases (58%) were classified as normal and non-keratoconus and included in group C; and 73 cases or 5.84% were placed in group D as non-keratoconus but abnormal. There was no disagreement between the five evaluators over any of the cases in groups C and D, and little variance among them for cases included in group B (less than 5% by ANOVA). Conclusions: The incidence of keratoconus and corneas suspicious for keratoconus in Greece appears to be much higher than respective reports from other regions: one in ten Greeks appear to have topographic keratoconus, most not diagnosed even by the age of cataract surgery, and almost an additional one in four may have suspicious corneal imaging for keratoconus. These data strongly imply that routine screening for disease should be promoted among Greeks, especially during puberty, to halt possible progression; moreover, careful screening should be performed when laser vision correction is being considered. Full article
(This article belongs to the Special Issue State of the Art in Cataract and Refractive Surgery)
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