Performing cataract surgery on a patient with a history of radial keratotomy is one of the most challenging scenarios in modern anterior segment surgery.
These patients are often among the most demanding because they sought refractive independence decades ago and now face a complex optical landscape. To achieve a successful outcome, we must navigate the unique corneal biomechanics of the RK eye, specifically focusing on the shift toward hyperopia both preoperatively and in the immediate postoperative period.
RK works by creating deep peripheral incisions, typically exceeding 90% depth, that