Articles: PDF OnlyKeratolenticuloplasty: Arcuate keratotomy for cataract surgery and astigmatismKershner, Robert M. M.D.*Author Information *Reprint requests to Robert M. Kershner, M.D., Orange Grove Center for Corrective Eye Surgery, 1925 West Orange Grove Road, Suite 303, Tucson, Arizona 85704. Presented at the Symposium on Cataract, IOL and Refractive Surgery, Boston, April 1994. The author has no proprietary or financial interest in the technique or instrumentation described in this paper. Journal of Cataract & Refractive Surgery: May 1995 - Volume 21 - Issue 3 - p 274-277 doi: 10.1016/S0886-3350(13)80131-9 Buy Metrics Abstract Cataract surgery has evolved into a procedure in which pre-existing refractive errors can be corrected simultaneously to improve uncorrected visual acuity following surgery. This paper describes keratolenticuloplasty, a new technique of clear corneal arcuate keratotomy for cataract surgery that corrects pre-existing astigmatic errors at the time of cataract extraction. This technique uses topical anesthesia, a single pair of arcuate corneal incisions placed on the steepest axis of astigmatism, one-step capsulorhexis, hydrodissection, intercapsular phacoemulsification, and injection of an elastic intraocular lens within the capsular bag. The technique has been used in over 1,000 patients with follow-up of 24 months. Uncorrected visual acuity of 20/40 or better with no associated complications was achieved in 96% of patients. © Williams & Wilkins 1995. All Rights Reserved.