Post-Refractive Cataract, Precise Power Calculation is Important

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Cataract after vision correction surgery

Eyes that had LASIK·LASEK etc. have changed corneal shape, so standard IOL power calculation may cause errors.
Precise exams and skilled specialist diagnosis are essential for accurate vision recovery.

Eyes that had surgery once,
need careful judgment and expertise.

Eyes that had LASIK·LASEK·SMILE have different corneal structure than normal eyes.
Curvature calculation, IOL power calculation, glare—all processes are much more complex,
making experienced team with precise equipment crucial.

Why is cataract surgery difficult after vision correction?

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Point 01

Precise calculation needed
due to corneal structure change

After refractive surgery, corneal curvature changes, making accurate IOL power calculation difficult with standard formulas.

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Point 02

Vision prediction
complexity

Post-surgery vision prediction is more challenging than normal patients, depending on pre-surgery refraction and corneal ablation range.

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Point 03

Caution needed when choosing
multifocal IOL

Glare and contrast reduction may overlap, requiring careful selection of complex optical design lenses.

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Point 04

Accurate IOL selection difficult
without special equipment

Without post-refractive cataract power calculation formulas, IOL power error risk increases.

Cataract after LASIK / LASEK / SMILE

Cataract after LASIK / LASEK / SMILE

Eyes that had LASIK·LASEK·SMILE have changed corneal shape, requiring more precise calculation and analysis than standard cataract surgery. Latest diagnostic equipment and custom IOL selection enable safe, clear vision recovery matching past surgery history.
Also, high myopia or pathological myopia often involves optic nerve and retinal abnormalities, requiring accurate diagnosis and treatment.

First Eye check
  • Check and treat comorbidities through pre-surgery precise exams
  • Measure eye with most accurate latest equipment, plus team's accumulated experience for most accurate IOL power calculation
  • LASIK/LASEK/SMILE patients can also correct cataract and presbyopia simultaneously

Cataract after lens insertion

Cataract after lens insertion

If lens insertion was done before, the previously inserted lens must be safely removed first during cataract surgery. Unexpected damage or variables in this process can affect surgery results.
More difficult than simple cataract surgery. Especially with severe anterior capsular opacification, anterior capsulotomy—the most critical step—is difficult, increasing complication frequency, so skilled specialist care is important.

First Eye check
  • Lens insertion patients can also correct cataract and presbyopia simultaneously

Cataract after radial keratotomy

Cataract after radial keratotomy

Radial Keratotomy (RK) causes irregular astigmatism and is no longer performed. Cataract surgery also requires advanced analysis for power calculation and astigmatism prediction.

First Eye check
  • RK incisions make corneal shape irregular, making astigmatism prediction difficult. Standard calculation has high error risk, so RK-specific IOL power calculation formula applied
  • Multi-stage exams: anterior·posterior corneal curvature, corneal topography, wavefront analysis
  • Custom surgery path design considering incision pattern

First Eye's precise diagnosis process

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Step 01

Accurately measure eye key data
with 10+ precision equipment

Traditional equipment calculates based on pre-LASIK corneal model, giving lower or higher values than actual, making IOL power inaccurate. Latest equipment needed for accurate measurement.

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Step 02

Use advanced IOL power calculation
equipment and technology

Even without prior surgery data, minimize power error based on experience with latest measurement equipment and precision formulas.

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Step 03

Carefully decide monofocal or
multifocal lens

Analyze patient lifestyle, vision characteristics, residual accommodation to select suitable IOL.

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Step 04

Close monitoring until
post-surgery vision stabilizes

Post-refractive cataract patients may have different vision adaptation periods, so post-surgery follow-up is carefully conducted.

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Individual discomfort, blur, or halos may occur. Continuous monitoring and treatment needed.

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