June consultation #4

This is an interesting case of an active surgeon, who had LASIK in both eyes for high myopia 17 years ago at the age of 45, and now has increased aberrations and has developed cataracts. His pupils are approximately 2.0 mm in both eyes, and although the scan lighting conditions are not mentioned, the relatively small pupils might have contributed to the patient being reasonably satisfied with his vision and having had an active lifestyle for many years. Therefore, I would not consider regularizing the cornea before cataract surgery.
Source: Journal of Cataract and Refractive Surgery - Category: Opthalmology Authors: Tags: Consultation Section: Refractive Source Type: research