Arab Board Ophthalmology Clinical & Oral Practice Questions - Arab Board Ophthalmology Final Clinical And Oral Examination (ABHS) Exam

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A 60-year-old patient who had bilateral LASIK for high myopia (-7.00 D) 15 years ago is scheduled for cataract surgery. If standard third-generation IOL power calculation formulas (e.g., SRK/T or Hoffer Q) are used without post-refractive adjustments, what refractive outcome will most likely occur?

Severe myopic surprise due to overestimation of corneal refractive power Severe hyperopic surprise due to overestimation of corneal refractive power Severe hyperopic surprise due to underestimation of effective lens position (ELP) Emmetropia because axial length is unchanged

Correct Answer:

Severe hyperopic surprise due to overestimation of corneal refractive power

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