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March 1986

Extracapsular Cataract Extraction With Posterior Chamber Intraocular Lens Implantation in a Postradial Keratotomy Patient

Author Affiliations

Pensacola, Fla

Arch Ophthalmol. 1986;104(3):329-331. doi:10.1001/archopht.1986.01050150023002

To the Editor.  —This letter reports the first published case, to my knowledge, of intraocular lens implantation with cataract extraction in a patient who had previously undergone radial keratotomy (RK); one previous case of cataract formation and extraction following RK has been reported, but no intraocular lens implantation was performed1; and one other cataract extraction with intraocular lens implantation has apparently been performed, but not published (D. O'Day, verbal communication, October, 1985). Unusual features of this case include the following: (1) variation in lens power calculations due primarily to variation in axial length measurements, (2) apparently very low corneal rigidity causing some problems with nuclear expression, and (3) not only fluctuating but also very poor postoperative visual acuity for three months. However, the final result was gratifying.

Report of a Case.  —In August 1982, a 49-year-old woman sought RK for myopia. Results of her examination disclosed the following values:

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