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Astigmatism may also occur following a cataract surgery or a corneal injury. [15] Contraction of the scar due to wound or cataract extraction causes astigmatism due to flattening of the cornea in one direction. [15] In keratoconus, progressive thinning and steepening of the cornea cause irregular astigmatism. [16]
Keratoconus (KC) is a disorder of the eye that results in progressive thinning of the cornea. [3] This may result in blurry vision, double vision, nearsightedness, irregular astigmatism, [4] and light sensitivity leading to poor quality-of-life.
The procedure results in a decrease in nearsightedness. According to the PERK study, 58% of eyes were corrected within 1.00D of goal 3 years after surgery. Additionally, 76% of eyes had uncorrected vision of 20/40 or better at 3 years. [5] From 2 to 10 years post-operatively 43% of eyes had an increase in farsightedness by 1.00D or more.
This can include various methods of surgical remodeling of the cornea (keratomileusis), lens implantation or lens replacement. The most common methods today use excimer lasers to reshape the curvature of the cornea. Refractive eye surgeries are used to treat common vision disorders such as myopia, hyperopia, presbyopia and astigmatism.
Limbal relaxing incisions (LRI) are a refractive surgical procedure to correct minor astigmatism in the eye. Incisions part way through the cornea are made at one side or at opposite edges of the cornea, following the curve of the iris, causing a slight flattening of the cornea in that area. [1]
Besides, there is strong evidence of compensation for aberrations between the cornea and intraocular optics in cases of astigmatism (horizontal/vertical) and horizontal coma. The balance of corneal and internal aberrations is a typical example of creating two coupling optical systems.
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