Objective:

Determine the visual outcomes of senile cataract surgery in patients with keratoconus.

Methods:

An observational descriptive longitudinal prospective study was conducted of 21 eyes with keratoconus not scheduled for corneal surgery at the Cataract Service of Ramón Pando Ferrer Cuban Institute of Ophthalmology from January 2012 to January 2017. The variables evaluated were sex, age, keratometry, axial length, anterior chamber depth, pre- and postoperative uncorrected and corrected visual acuity, spherical equivalent, cylinder, and expected and observed sphere. Data were processed with the statistical software SPSS version 15.0. Wilcoxon's signed rank for paired data was estimated with a significance level of 95%.

Results:

Mean age was 62.9 years. A predominance was found of the male sex, axial length ≥ 25 mm and a deep anterior chamber. Improvement was achieved of the spherical equivalent and the refractive cylinder, and a 0.84 diopters sphere was obtained.

Conclusions:

Monofocal intraocular lens implantation in patients with keratoconus and cataract is a valid therapeutic alternative to treat the ametropia accompanying this corneal ectasia.

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