REVIEW article
Front. Med.
Sec. Ophthalmology
Volume 12 - 2025 | doi: 10.3389/fmed.2025.1624054
This article is part of the Research TopicNew Concepts, Advances, and Future Trends in Clinical Research on Eye DiseasesView all 70 articles
Surgical Considerations in Hyperopic Cataract Patients: Optimizing Outcomes and Reducing Complications
Provisionally accepted
- Imam Muhammad ibn Saud Islamic University, Riyadh, Saudi Arabia
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Cataract surgery in hyperopic individuals presents unique anatomical and physiological challenges, including shallow anterior chambers, increased lens vaults, and a higher risk of intraoperative complications. This review explores key considerations for preoperative assessment, surgical planning, and intraoperative techniques tailored to hyperopic eyes. Preoperative evaluation involves identifying systemic and ocular risk factors, such as alpha-1 blocker use, which may contribute to intraoperative floppy iris syndrome (IFIS). Key assessments include anterior chamber depth (ACD), corneal endothelial integrity, and coexisting conditions like pseudoexfoliation (PXF) syndrome and angle-closure glaucoma. Intraoperative strategies focus on optimizing phacoemulsification parameters, leveraging advanced technologies such as femtosecond laser-assisted cataract surgery (FLACS), and mitigating risks of iris prolapse and endothelial damage. Proper patient positioning, strategic use of viscoelastic agents, and meticulous incision techniques are essential to ensuring safety and surgical success. Postoperative management addresses anisometropia, monitors for complications, and plans for early intervention in the fellow eye to maintain refractive balance. This comprehensive review provides evidence-based guidance to optimize surgical outcomes and minimize complications in hyperopic patients undergoing cataract surgery.
Keywords: Cataract surgery, Hyperopia, Anterior chamber depth, Phacoemulsification, Femtosecond laser-assisted cataract surgery
Received: 06 May 2025; Accepted: 13 Oct 2025.
Copyright: © 2025 AlHuthail. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Reem AlHuthail, alhuthailreem@gmail.com
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