Cataract surgery in long eyes

Cataract surgery in long eyes
Eyeworld Nov, 2016

Long eye: benchmark: > 26mm or 28mm

PRE-OP
Check the retina condition

INTRA-OP
1. pupillary block: a second instrument can lift the iris off the capsule to allow fluid to circulate back to the PC.
2. DO NOT enter the wound irrigating

IOL CALCULATION
1. >25.2mm: Wang-Koch AL adjustment, with Holladay1, Haigis , SRKT and HofferQ

PATIENT CONVERSATION
1. plano or a little bit of myopia
2. Decent chance of LASIK enhancement if expecting spectacle independence



Dr. Yu-Hao Lin, MD
Deputy superintendent, Brand New Eye Clinic
http://www.eyeDrLin.tw