Advances in the treatment of corneal diseases with cataracts

Abstract

Corneal lesion with cataract is a problem that corneal disease doctors often encounter.Triple procedure does not need a second operation, which can avoid corneal grafts damage and restore visual acuity quickly, thus it becomes the primary surgical method of corneal lesions with cataracts.But due to the unstable cornea curvature and irregular cornea topography after corneal transplantation, it is difficult to predict the refractive status after triple procedure.Conversely, we can accurately measure the degree of intraocular lens to reduce the refractive error after operation if we perform cataract extraction and intraocular lens implantation after corneal suture was completely removed.Accordingly, there are also many ophthalmic surgeons tend to operate penetrating keratoplasty firstly and cataract surgery laterly.The two kinds of operations have their own advantages on operation safety and postoperative effect, so the choice of operation has been controversial.In recent years, with improvement of ophthalmology microsurgery technology and development of surgical instruments, we have a new understanding on the surgical treatment strategy of the disease.Therefore, recent advances of surgical therapy for the disease are reviewed in this paper. Key words: Corneal diseases; Cataract; Astigmatism; Therapeutics