AIM: To investigate the clinical effect of phacoemulsification and intraocular lens(IOL)implantation for cataract patients after corneal refractive surgery, and to compare the accuracy of the different refractive IOL.

METHODS: The data of 120 myopia cases(160 eyes)in our hospital, who underwent cataract surgery and corneal refractive surgery were analyzed. Corneal curvature K value before corneal refractive surgery were obtained and calculated by using history method. Corneal curvature correction numerical method and corneal topography were used to record K value of patients with incomplete data before and after treatment. The K value was substituted into the formula. By comparing the actual cataract surgery and refractive state expected refractive status(-0.50D), the accuracy of IOL refractive obtained from three methods was compared.

RESULTS: The average best corrected visual acuity before cataract surgery was 0.25±0.05, and it was improved(0.80±0.05)after surgery. The average spherical equivalent(SE)was -1.98±1.75 before surgery and +0.85±3.38 after surgery(P<0.05). The K values of 48 cases were calculated by clinical history method(CHM)and that of 73 cases was calculated with the adjusted keratometry method(AKM). The K values of 39 cases were calculated using the corneal topography method(CTM).

CONCLUSION: For patients with corneal refractive surgery, the appropriate method can be selected according to clinical symptoms, history, etc. and this may help to accurately calculate IOL. For patients with complete data, CHM can be used to provide corneal K values, while for those with incomplete data, AKM and CHM can be used.