Preoperative planning needed for keratoconus patients with cataracts

WAIKOLOA, Hawaii — Patients with cataracts and keratoconus need to be taken through a specific preoperative assessment before undergoing cataract surgery, according to a speaker here.
First, patients must properly be diagnosed with keratoconus or post-LASIK ectasia, William B. Trattler, MD, said at Hawaiian Eye 2019.
“Preoperative topography is critical. It is important to do topography on every patient to properly diagnose keratoconus,” he said.
The surgeon must also identify patients with dry eye or conditions that may affect corneal mapping, such as epithelial basement

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