VIDEO: Consider epithelial thickness mapping during refractive cataract surgery planning
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NEW YORK — In this Healio Video Perspective from OSN New York, John P. Berdahl, MD, shares pearls on how to decide between LASIK or PRK for patients who previously underwent cataract surgery.
While LASIK traditionally shows better outcomes for these patients, Berdahl recommends that ophthalmologists incorporate epithelial thickness mapping into the patient’s management.
“If the epithelium is irregular, that is going to be incorporated into the manifest refraction, and that is going to plan our laser treatment,” he said. “If we’re wiping off the epithelium with the PRK and it heals back differently, or even smoothly, then we are going to have less predictability and less accuracy with our PRK enhancements.”
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Berdahl J. LASIK VS PRK enhancements after presbyopic and toric IOLs. Presented at: OSN New York and OSN New York Retina; Nov. 8-10, 2024; New York.
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