abstract
- Radial keratotomy (RK) was a popular refractive procedure in the 90s. However, more reproducible laser¿assisted surgeries are currently preferred. Furthermore, RK patients who undergo cataract surgery experience variable refractive and keratometric changes during the early postoperatory period. Unfortunately, those post¿RK patients currently require cataract surgery. A 58¿year¿old male with a history of RK in both eyes (OU) presented with a 2¿year history of night glare and progressive vision loss due to a subcapsular cataract in OU. Using the double¿K Holladay formula, bilateral phacoemulsification was performed. At 1 week, refraction was + 2.25/¿1.00/27° (power [Pwr]: 39.25D) in oculus dextrus (OD) and + 3.00/¿0.75/171° in oculus sinister (OS) (Pwr: 37.41D), achieving a best¿corrected visual acuity (BCVA) of 20/30 OU. At 6 weeks, refraction was + 0.75/¿0.75/18° (Pwr: 39.71D) in OD and + 1.00/¿0.25/180° (Pwr: 38.33) in OS. BCVA remained 20/30 OU. The resulting transitory hyperopic shift after surgery demands a careful and comprehensive intraocular lens calculation preferably aiming toward myopic overcorrection. © 2022 The Pan-American Journal of Ophthalmology.