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Purpose:

To investigate outcomes of femtosecond laser (FL)-assisted cataract surgery (FLACS) and refractive lens exchange (RLE) in patients with prior radial keratotomy (RK).

Setting:

Single clinical practice.

Design:

Retrospective observational case series.

Methods:

All patients with prior RK undergoing FLACS-or FL-assisted RLE surgeries over a 6-year period were reviewed. Inclusion criteria were diurnal stability and stable manifest refraction. Exclusion criteria were any other incisional corneal surgery, macular or glaucomatous pathology, or vision loss due to any other cause. Data collected included demographics, visual acuity, laser settings, and complications. Main outcome measures were intraoperative and postoperative complications and visual outcomes. Safety and efficacy indices were evaluated.

Results:

16 eyes of 9 patients were included. Mean age and follow-up time were 59.9±9.9 years (range 44 to 75 …