Refractive surprise after routine cataract surgery with multifocal IOLs attributable to corneal epithelial basement membrane dystrophy

We describe two patients in whom postsurgical refractive error occurred after routine refractive lens exchange cataract surgery with multifocal intraocular lens insertion most likely attributable to the presence of underlying corneal epithelial basement membrane dystrophy (EBMD). In Case 1, there wa...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Journal of cataract and refractive surgery Jg. 45; H. 5; S. 685
Hauptverfasser: Ho, Vivian W M, Stanojcic, Nick, O'Brart, Naomi A L, O'Brart, David P S
Format: Journal Article
Sprache:Englisch
Veröffentlicht: United States 01.05.2019
ISSN:1873-4502, 1873-4502
Online-Zugang:Weitere Angaben
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
Abstract We describe two patients in whom postsurgical refractive error occurred after routine refractive lens exchange cataract surgery with multifocal intraocular lens insertion most likely attributable to the presence of underlying corneal epithelial basement membrane dystrophy (EBMD). In Case 1, there was an unexpected hyperopic postoperative spherical equivalent refractive error of +1.50 diopters and in Case 2, a cylindrical refractive error of 2.75 diopter cylinder. We examine the possible causes of error and discuss potential management strategies to prevent and address these unpredictable postoperative outcomes. The importance of comprehensive and careful ocular surface assessment before cataract or refractive surgery as part of the presurgical workup is reemphasized. EBMD can be subtle and if overlooked, can affect the validity of biometric keratometric measurements preoperatively, resulting in an inaccurate biometry measurement, incorrect IOL selection, and reduced visual performance and patient satisfaction.
AbstractList We describe two patients in whom postsurgical refractive error occurred after routine refractive lens exchange cataract surgery with multifocal intraocular lens insertion most likely attributable to the presence of underlying corneal epithelial basement membrane dystrophy (EBMD). In Case 1, there was an unexpected hyperopic postoperative spherical equivalent refractive error of +1.50 diopters and in Case 2, a cylindrical refractive error of 2.75 diopter cylinder. We examine the possible causes of error and discuss potential management strategies to prevent and address these unpredictable postoperative outcomes. The importance of comprehensive and careful ocular surface assessment before cataract or refractive surgery as part of the presurgical workup is reemphasized. EBMD can be subtle and if overlooked, can affect the validity of biometric keratometric measurements preoperatively, resulting in an inaccurate biometry measurement, incorrect IOL selection, and reduced visual performance and patient satisfaction.We describe two patients in whom postsurgical refractive error occurred after routine refractive lens exchange cataract surgery with multifocal intraocular lens insertion most likely attributable to the presence of underlying corneal epithelial basement membrane dystrophy (EBMD). In Case 1, there was an unexpected hyperopic postoperative spherical equivalent refractive error of +1.50 diopters and in Case 2, a cylindrical refractive error of 2.75 diopter cylinder. We examine the possible causes of error and discuss potential management strategies to prevent and address these unpredictable postoperative outcomes. The importance of comprehensive and careful ocular surface assessment before cataract or refractive surgery as part of the presurgical workup is reemphasized. EBMD can be subtle and if overlooked, can affect the validity of biometric keratometric measurements preoperatively, resulting in an inaccurate biometry measurement, incorrect IOL selection, and reduced visual performance and patient satisfaction.
We describe two patients in whom postsurgical refractive error occurred after routine refractive lens exchange cataract surgery with multifocal intraocular lens insertion most likely attributable to the presence of underlying corneal epithelial basement membrane dystrophy (EBMD). In Case 1, there was an unexpected hyperopic postoperative spherical equivalent refractive error of +1.50 diopters and in Case 2, a cylindrical refractive error of 2.75 diopter cylinder. We examine the possible causes of error and discuss potential management strategies to prevent and address these unpredictable postoperative outcomes. The importance of comprehensive and careful ocular surface assessment before cataract or refractive surgery as part of the presurgical workup is reemphasized. EBMD can be subtle and if overlooked, can affect the validity of biometric keratometric measurements preoperatively, resulting in an inaccurate biometry measurement, incorrect IOL selection, and reduced visual performance and patient satisfaction.
Author O'Brart, David P S
Stanojcic, Nick
Ho, Vivian W M
O'Brart, Naomi A L
Author_xml – sequence: 1
  givenname: Vivian W M
  surname: Ho
  fullname: Ho, Vivian W M
  email: Vivian.ho@gstt.nhs.uk
  organization: Guy's and St. Thomas' NHS Foundation NHS Trust, London, England. Electronic address: Vivian.ho@gstt.nhs.uk
– sequence: 2
  givenname: Nick
  surname: Stanojcic
  fullname: Stanojcic, Nick
  organization: Guy's and St. Thomas' NHS Foundation NHS Trust, London, England; King's College, London, England
– sequence: 3
  givenname: Naomi A L
  surname: O'Brart
  fullname: O'Brart, Naomi A L
  organization: Moorfield Eye Hospital, London, England
– sequence: 4
  givenname: David P S
  surname: O'Brart
  fullname: O'Brart, David P S
  organization: Guy's and St. Thomas' NHS Foundation NHS Trust, London, England; King's College, London, England
BackLink https://www.ncbi.nlm.nih.gov/pubmed/30879718$$D View this record in MEDLINE/PubMed
BookMark eNpNkMlKBDEYhIOMOIu-gAfJ0Uu3SXo_yuAyMDAgem7-pP84GXozSSv9Aj63PTiCpyqoj6KoJZm1XYuEXHMWcsbTu0N4UNaFgvE85CJkojgjC55nURAnTMz--TlZOndgjMUiSi7IPGJ5VmQ8X5DvF9QWlDefSN1ge2scUtAeLbXd4E2LVIGHI3LM39GO9Mv4PW2G2hvdKajpZrd1FLy3Rg4eZI3Ud1R1tsUpxH6isTaTleCwwdbTBhtpYaquRudt1-_HS3KuoXZ4ddIVeXt8eF0_B9vd02Z9vw1UzDIfJDmLEw4Ceaal1Hks0wQ4EwmPdAQKJJNaFlAUlUqZllVWaRkhqCTJZVVVWqzI7W9vb7uPAZ0vG-MU1vW0phtcKXgRpUKIvJjQmxM6yAarcrqmATuWf9-JHzwPeSQ
CitedBy_id crossref_primary_10_1016_j_ophtha_2020_07_004
crossref_primary_10_1136_bmjophth_2019_000426
crossref_primary_10_1016_j_ophtha_2020_08_025
crossref_primary_10_4103_sjopt_sjopt_190_21
crossref_primary_10_1136_bmjophth_2020_000554
crossref_primary_10_1097_ICU_0000000000000717
crossref_primary_10_3390_jcm12031099
crossref_primary_10_1097_ICU_0000000000000814
ContentType Journal Article
Copyright Copyright © 2019 ASCRS and ESCRS. Published by Elsevier Inc. All rights reserved.
Copyright_xml – notice: Copyright © 2019 ASCRS and ESCRS. Published by Elsevier Inc. All rights reserved.
DBID NPM
7X8
DOI 10.1016/j.jcrs.2018.12.029
DatabaseName PubMed
MEDLINE - Academic
DatabaseTitle PubMed
MEDLINE - Academic
DatabaseTitleList MEDLINE - Academic
PubMed
Database_xml – sequence: 1
  dbid: NPM
  name: PubMed
  url: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed
  sourceTypes: Index Database
– sequence: 2
  dbid: 7X8
  name: MEDLINE - Academic
  url: https://search.proquest.com/medline
  sourceTypes: Aggregation Database
DeliveryMethod no_fulltext_linktorsrc
Discipline Medicine
EISSN 1873-4502
ExternalDocumentID 30879718
Genre Journal Article
GroupedDBID ---
--K
.1-
.FO
.GJ
0R~
1B1
1P~
1~5
29K
4.4
457
4G.
53G
5GY
5VS
7-5
AAAAV
AAEDT
AAEDW
AAGIX
AAHPQ
AAIQE
AALRI
AAQFI
AAQKA
AAQQT
AAQXK
AASCR
AAXUO
ABASU
ABDIG
ABIID
ABJNI
ABLJU
ABMAC
ABVCZ
ABWVN
ACGFO
ACGFS
ACIJW
ACILI
ACIUM
ACLDA
ACRPL
ACXJB
ADBBV
ADGGA
ADHPY
ADMUD
ADNMO
ADPAM
AEETU
AENEX
AEVXI
AFCTW
AFDTB
AFRHN
AFTJW
AHOMT
AHQNM
AINUH
AITUG
AJCLO
AJIOK
AJNWD
AJUYK
AJZMW
AKCTQ
AKRWK
AKULP
ALKUP
ALMA_UNASSIGNED_HOLDINGS
ALMTX
AMJPA
AMKUR
AMNEI
AMRAJ
ASPBG
AVWKF
AZFZN
BELOY
C45
C5W
CS3
D-I
DIWNM
DU5
EBS
EEVPB
EJD
ERAAH
F5P
FCALG
FDB
FEDTE
FGOYB
GBLVA
GNXGY
GQDEL
HLJTE
HVGLF
HZ~
IHE
IKREB
IKYAY
J1W
K-O
KOM
L7B
M41
MO0
NPM
NQ-
O9-
OF-
OPF
OQ~
OVD
P2P
R2-
RIG
RLZ
ROL
RPZ
SEL
SES
SJN
SSZ
TEORI
TSPGW
UHS
UV1
XH2
XPP
Z5R
ZGI
ZXP
ZZMQN
7X8
ABPXF
ABZZY
ACZKN
ADKSD
ADSXY
AFBFQ
AOQMC
ID FETCH-LOGICAL-c407t-580451a2e17fbbf84b65a102513f3acab0bfb9a99dc60fbd7dfb3eac558bdddf2
IEDL.DBID 7X8
ISICitedReferencesCount 8
ISICitedReferencesURI http://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=Summon&SrcAuth=ProQuest&DestLinkType=CitingArticles&DestApp=WOS_CPL&KeyUT=000467667700022&url=https%3A%2F%2Fcvtisr.summon.serialssolutions.com%2F%23%21%2Fsearch%3Fho%3Df%26include.ft.matches%3Dt%26l%3Dnull%26q%3D
ISSN 1873-4502
IngestDate Mon Sep 29 05:10:01 EDT 2025
Wed Feb 19 02:32:09 EST 2025
IsPeerReviewed true
IsScholarly true
Issue 5
Language English
License Copyright © 2019 ASCRS and ESCRS. Published by Elsevier Inc. All rights reserved.
LinkModel DirectLink
MergedId FETCHMERGED-LOGICAL-c407t-580451a2e17fbbf84b65a102513f3acab0bfb9a99dc60fbd7dfb3eac558bdddf2
Notes ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
content type line 23
ObjectType-Report-1
ObjectType-Article-3
PMID 30879718
PQID 2193622289
PQPubID 23479
ParticipantIDs proquest_miscellaneous_2193622289
pubmed_primary_30879718
PublicationCentury 2000
PublicationDate 2019-05-00
20190501
PublicationDateYYYYMMDD 2019-05-01
PublicationDate_xml – month: 05
  year: 2019
  text: 2019-05-00
PublicationDecade 2010
PublicationPlace United States
PublicationPlace_xml – name: United States
PublicationTitle Journal of cataract and refractive surgery
PublicationTitleAlternate J Cataract Refract Surg
PublicationYear 2019
SSID ssj0004235
Score 2.315099
Snippet We describe two patients in whom postsurgical refractive error occurred after routine refractive lens exchange cataract surgery with multifocal intraocular...
SourceID proquest
pubmed
SourceType Aggregation Database
Index Database
StartPage 685
Title Refractive surprise after routine cataract surgery with multifocal IOLs attributable to corneal epithelial basement membrane dystrophy
URI https://www.ncbi.nlm.nih.gov/pubmed/30879718
https://www.proquest.com/docview/2193622289
Volume 45
WOSCitedRecordID wos000467667700022&url=https%3A%2F%2Fcvtisr.summon.serialssolutions.com%2F%23%21%2Fsearch%3Fho%3Df%26include.ft.matches%3Dt%26l%3Dnull%26q%3D
hasFullText
inHoldings 1
isFullTextHit
isPrint
link http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwpV1LS8QwEA6-EC--X-uDCF6D25dJTyKiKOgqorC3pdNkQHHbdVsX_AP-bmfSip5E8NJL0xKSyWS-eX1CHBrMETRECjEEFWsMVZbqQGEchIS4XGJd5skmdK9n-v30rnW4VW1a5ZdO9Iraljn7yI_oZJGuDQkfnIxeFbNGcXS1pdCYFrMRmTIs1br_o1t46Ak2A6MjFSecydP5zu96zsfcrjsw3h34m4npr5qLpf9OclkstkamPG2kYkVMuWJVzN-0YfQ18XHv0FdHTZysaKXpoDvp2cLluCRJLJxktw4P4fdcNy3ZYSt9-iHy9Sevbq8rmdUNYRbXX8m6lARlC7I8pRtxqccLybbka5I9kHLohoTM6df2varHJW3vuni8OH84u1QtIYPKCffVKjHcjSYLXaARAE0Mx0kWMEqJMMryDLqAkGZpavPjLoLVFiEizZ4kBqy1GG6ImaIs3JaQGnIbgCEwRRYQOhoHoAOIuy5yYFK9LQ6-VnhAAs9RDJph-VYNvtd4W2w22zQYNZ05BtzekCTNdP7w9Y5YoN1Pm-TFXTGLdNzdnpjLJ_VTNd73kkTP3t3NJ8oM2UY
linkProvider ProQuest
openUrl ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Refractive+surprise+after+routine+cataract+surgery+with+multifocal+IOLs+attributable+to+corneal+epithelial+basement+membrane+dystrophy&rft.jtitle=Journal+of+cataract+and+refractive+surgery&rft.au=Ho%2C+Vivian+W+M&rft.au=Stanojcic%2C+Nick&rft.au=O%27Brart%2C+Naomi+A+L&rft.au=O%27Brart%2C+David+P+S&rft.date=2019-05-01&rft.issn=1873-4502&rft.eissn=1873-4502&rft.volume=45&rft.issue=5&rft.spage=685&rft_id=info:doi/10.1016%2Fj.jcrs.2018.12.029&rft.externalDBID=NO_FULL_TEXT
thumbnail_l http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=1873-4502&client=summon
thumbnail_m http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=1873-4502&client=summon
thumbnail_s http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=1873-4502&client=summon