Refractive Lens Exchange for High Hyperopic Astigmatism Followed by LASIK

  • Noel Alpins


This case highlights some of the interesting complications resulting from an unrecognised low correlation between corneal and refractive values in a refractive lens exchange. A refractive lens exchange with a toric IOL was called for in this case. Although one would have expected the toric implant to correct for corneal astigmatism, subsequent excimer laser surgery (LASIK) was necessary.


Corneal Astigmatism Refractive Astigmatism LASIK Surgery Subjective Refraction Refractive Lens Exchange 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


  1. 1.
    Alpins NA (1997) New method of targeting vectors to treat astigmatism. J Cataract Refract Surg 23:65–75CrossRefPubMedGoogle Scholar
  2. 2.
    Alpins NA (1997) Vector analysis of astigmatism changes by flattening, steepening, and torque. J Cataract Refract Surg 23:1503–1514CrossRefPubMedGoogle Scholar
  3. 3.
    Kugler L, Cohen I, Haddad W, Wang MX (2010) Efficacy of laser in situ keratomileusis in correcting anterior and non-anterior corneal astigmatism: comparative study. J Cataract Refract Surg 36:1745–1752CrossRefPubMedGoogle Scholar
  4. 4.
    Alpins NA (1993) A new method of analyzing vectors for changes in astigmatism. J Cataract Refract Surg 19:524–533CrossRefPubMedGoogle Scholar
  5. 5.
    Alió JL, Piñero DP, Tomás J (2011) Vector analysis of astigmatic changes after cataract surgery with implantation of a new toric multifocal intraocular lens. J Cataract Refract Surg 37:1217–1229CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2015

Authors and Affiliations

  1. 1.NewVision ClinicsMelbourneAustralia
  2. 2.Department of OphthalmologyUniversity of MelbourneMelbourneAustralia

Personalised recommendations