{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T23:29:11Z","timestamp":1784590151765,"version":"3.55.0"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","license":[{"start":{"date-parts":[[2024,9,1]],"date-time":"2024-09-01T00:00:00Z","timestamp":1725148800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"National Eye Institute, Career Development Award","award":["K08 EY033859"],"award-info":[{"award-number":["K08 EY033859"]}]},{"name":"All May See Foundation"},{"name":"UCSF Vision Core Grant","award":["P30 EY002162"],"award-info":[{"award-number":["P30 EY002162"]}]}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n            <jats:title>Purpose:<\/jats:title>\n            <jats:p>The purpose of this study was to report a case of light-adjustable lens (LAL; RxSight, Aliso Viejo, CA) implantation in a patient with bilateral 50-cut radial keratotomy (RK) and discuss related preoperative, intraoperative, and postoperative considerations.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods:<\/jats:title>\n            <jats:p>A 78-year-old patient with a history of bilateral 50-cut RK underwent phacoemulsification with implantation of LALs in both eyes 1 month apart. Although LAL technology was not approved specifically for addressing limitations in intraocular lens calculation post-RK due to corneal topography irregularity, the patient opted for this lens due to its ability to make postoperative adjustments to its refractive power. At postoperative month 1 following the second-eye surgery, YAG capsulotomy was performed in both eyes. At postoperative month 2 following the second-eye surgery, the patient began LAL adjustments spaced 1 to 2 weeks apart for a total of 2 LAL adjustments and 2 lock-in sessions.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results:<\/jats:title>\n            <jats:p>Our patient achieved a final refraction of \u22120.25 +0.25 \u00d7 110 with an UDVA of 20\/20-2 in the right eye and \u22120.25 + 0.50 \u00d7 135 with an UDVA 20\/25-1 in the left eye.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions:<\/jats:title>\n            <jats:p>The LAL may be a promising option for patients undergoing cataract surgery after RK, although further studies are needed to understand long-term changes in eyes with RK and the inability of LAL to address all aspects of corneal aberration.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1097\/coa.0000000000000045","type":"journal-article","created":{"date-parts":[[2024,9,16]],"date-time":"2024-09-16T21:00:06Z","timestamp":1726520406000},"page":"e0045","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Bilateral Light-Adjustable Lens Implantation in a Patient With 50-Cut Radial Keratotomy"],"prefix":"10.1097","volume":"3","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8777-0141","authenticated-orcid":false,"given":"Alice C.","family":"Jiang","sequence":"first","affiliation":[{"name":"Department of Ophthalmology, University of California San Francisco, San Francisco, CA;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adrienne","family":"Coulter","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, University of California San Francisco, San Francisco, CA;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Myung","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Byers Eye Institute at Stanford, Palo Alto, CA; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julie M.","family":"Schallhorn","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, University of California San Francisco, San Francisco, CA;"},{"name":"Francis I. Proctor Foundation, University of California San Francisco, San Francisco, CA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2327-5221","authenticated-orcid":false,"given":"Neel D.","family":"Pasricha","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, University of California San Francisco, San Francisco, CA;"},{"name":"Francis I. Proctor Foundation, University of California San Francisco, San Francisco, CA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2024,9]]},"reference":[{"key":"R1-20241016","doi-asserted-by":"crossref","first-page":"676","DOI":"10.1016\/0002-9394(89)90860-X","article-title":"Refractive complications of cataract surgery after radial keratotomy","volume":"108","author":"Koch","year":"1989","journal-title":"Am J Ophthalmol."},{"key":"R2-20241016","doi-asserted-by":"crossref","first-page":"3224","DOI":"10.4103\/IJO.IJO_3417_22","article-title":"Comparison of intraocular lens power prediction accuracy of formulas in American Society of Cataract and Refractive Surgery post-refractive surgery calculator in eyes with prior radial keratotomy","volume":"71","author":"Shetty","year":"2023","journal-title":"Indian J Ophthalmol."},{"key":"R3-20241016","doi-asserted-by":"crossref","first-page":"832","DOI":"10.3928\/1081597X-20200930-02","article-title":"IOL power calculation after radial keratotomy using the Haigis and Barrett true-K formulas","volume":"36","author":"Leite de Pinho Tavares","year":"2020","journal-title":"J Refract Surg."},{"key":"R4-20241016","doi-asserted-by":"crossref","first-page":"4305","DOI":"10.2147\/OPTH.S334489","article-title":"Refractive accuracy of Barrett true-K vs intraoperative aberrometry for IOL power calculation in post-corneal refractive surgery eyes","volume":"15","author":"Gouvea","year":"2021","journal-title":"Clin Ophthalmol."},{"key":"R5-20241016","doi-asserted-by":"crossref","first-page":"1298","DOI":"10.1001\/archopht.1994.01090220048022","article-title":"Results of the prospective evaluation of radial keratotomy (PERK) study 10 years after surgery","volume":"112","author":"Waring","year":"1994","journal-title":"Arch Ophthalmol."},{"key":"R7-20241016","doi-asserted-by":"crossref","first-page":"852","DOI":"10.3928\/1081597X-20201002-01","article-title":"Light adjustable intraocular lens for cataract surgery after radial keratotomy","volume":"36","author":"Moshirfar","year":"2020","journal-title":"J Refract Surg."},{"key":"R8-20241016","doi-asserted-by":"crossref","first-page":"1804","DOI":"10.1038\/s41433-021-01716-6","article-title":"Cataract surgery outcomes in eyes with previous radial keratotomy","volume":"36","author":"Soare","year":"2022","journal-title":"Eye (Lond)."},{"key":"R9-20241016","first-page":"1168","article-title":"Cataract surgery on post radial keratotomy patients","volume":"10","author":"Meduri","year":"2017","journal-title":"Int J Ophthalmol."},{"key":"R10-20241016","doi-asserted-by":"crossref","first-page":"135","DOI":"10.2147\/OPTH.S395605","article-title":"Refractive changes after Nd:YAG capsulotomy in pseudophakic eyes","volume":"17","author":"Moshirfar","year":"2023","journal-title":"Clin Ophthalmol."},{"key":"R11-20241016","doi-asserted-by":"crossref","first-page":"769","DOI":"10.1016\/j.survophthal.2016.07.001","article-title":"Cataract surgery on the previous corneal refractive surgery patient","volume":"61","author":"Alio","year":"2016","journal-title":"Surv Ophthalmol."}],"container-title":["Cornea Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/10.1097\/coa.0000000000000045","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,10,16]],"date-time":"2024-10-16T23:03:37Z","timestamp":1729119817000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1097\/coa.0000000000000045"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,9]]},"references-count":10,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2024]]}},"URL":"https:\/\/doi.org\/10.1097\/coa.0000000000000045","relation":{},"ISSN":["2833-6992"],"issn-type":[{"value":"2833-6992","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,9]]},"assertion":[{"value":"2024-07-15","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-08-11","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}