Light adjustable lens in a post-lasik patient

The Light Adjustable Lens is a newly approved lens that can be altered in-vivo after cataract surgery to address residual refractive error. This is done through highly specific ultraviolet light applications two weeks post-operatively. Patients require 2-5 total light adjustments. The ability to adjust the lens allows patients to more confidently participate in the surgical process while customizing their refractive status. Patients who have previously undergone corneal refractive surgery can provide an added challenge to cataract surgeons. Because of induced changes in corneal structure, intraocular lens calculations can be more difficult, ultimately leading to variability in refractive outcome. The light adjustable lens is sure to change how surgeons and optometrists counsel and manage patients pre- and post-operatively. The case described below details the structure and functionality of the light adjustable lens as well as a clinical application in a post-LASIK patient.