CORRECTION OF ASTIGMATISM WITH TORIC IOL
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1 CORRECTION OF ASTIGMATISM WITH TORIC IOL V. Jšinsks, R. Žemitienė, D. Jrušitienė Ntion Center of Ophthmoogy, Lithuni GLASSES CONTACT LENSES LRI OCCI LASIK TORIC IOL 22nd Congress of the DGII in Heideberg, 2008 PURPOSE. TO EVALUATE STABILITY OF TORIC IOL MODEL TSN 60 T3-T4-T5 (ALCON) AFTER CATARACT SURGERY WITH ENDOCAPSULAR IOL IMPLANTATION TO CORRECT PREOPERATIVE CORNEAL ASTIGMATISM WITH VERY GOOD VISUAL OUTCOMES PREOPERATIVE PATIENT EXAMINATION/PREPARATION INTRAOPERATIVE MANIPULATIONS POSTOPERATIVE EVALUATION
2 PREOPERATIVE PATIENT EXAMINATION/PREPARATION INTRAOPERATIVE MANIPULATIONS POSTOPERATIVE EVALUATION REFRACTOMETRY KERATOMETRY (STEEP & FLAT MERIDIAN) SPHERICAL IOL POWER TORIC IOL CALCULATIONS MARKING 3,6,9,12 O CLOCK POSIONS Pese review the pre-op informtion nd press continue. Surgeon Nme Jsinsks Pese correct the errors noted in beow nd press continue. Steep Axis nd Ft Axis must differ by 90 ± 5. Surgeon Nme Jsinsks Ptient Nme Ginkus Aru Addition Ptient T Informtion e (I.D., Cse, etc.) m p o Eye Seection OD (Right) OS (Left) r K Nottion Diopter Miimeter 35.00D ~ Ft K 44,88 Ft Axis 8 0 ~ 180 Steep Axis 35.00D ~ Ft Axis Steep K 49, D Steep Axis 98 0 ~ 180 IOL Spheric 6.0 D ~ D Power (P-IOL) D Surgicy Induced 0, D ~ Astigmtism (SIA) 2.00D Incision Loction ~ 360 (IL) Continue V: Tutori Hep Country Privcy Poicy & Leg Terms N s Ptient Nme Ginkus Aruns Addition Ptient Informtion (I.D., Cse, etc.) OD (Right) Eye Seection OS (Left) Diopter K Nottion Miimeter 35.00D Ft K 44,88 ~ 50.00D 0 Ft Axis D Steep K 49,63 ~ 50.00D 0 Steep Axis IOL Spheric 17.5 D 6.0 D ~ Power (P-IOL) 30.0 D Surgicy Induced 0.00D 0,25 Astigmtism (SIA) ~ 2.00D Incision Loction 0 ~ 180 (IL) 360 Continue T e m p o r Steep Axis Ft Axis Incision N s V: Tutori Hep Country Privcy Poicy & Leg Terms Acon does not receive or retin ny ptient dt. Pese print copy of the fin output for your records. Contct your Acon representtive for vibe AcrySof Toric IOL modes. Lens Recommendtion Surgeon & Ptient Informtion Surgeon Nme Jsinsks Ginkus Ptient Nme Aruns Addition Ptient Informtion (I.D., Cse, etc.) OD (Right) Lens Detis SN60T5 AcrySof Toric IOL T IOL Spheric Equivent 17.5 D e (SE) m Axis of Pcement 98 p Cyinder Power 3.00 D o (IOL Pne) r Cyinder Power 2.06 D (Corne Pne) Ccution Detis Pre-Op Corne Astigmtism: 4.75 D X 98 Surgicy Induced 0.00 D X Astigmtism: 90 Crossed-Cyinder Resut 4.75 D X (corne pne): 98 Anticipted Residu 2.69 D X Astigmtism: 98 Pre-Op Informtion Ptient Dt Ft K Ft Axis 8 Steep K Steep Axis 98 T IOL Spheric e 17.5 D Power (P-IOL) m Surgicy Induced 0.25 D p Astigmtism (SIA) o Incision Loction (IL) 180 r N s N s Steep Axis Ft Axis Incision New Ccution Tutori Hep Privcy Poicy & Leg Terms
3
4 PREOPERATIVE PATIENT EXAMINATION/PREPARATION INTRAOPERATIVE MANIPULATIONS POSTOPERATIVE EVALUATION INTRA-OP TORIC AXIS MARKING CATARACT SURGERY AND IOL IMPLANTATION
5 GROSS IOL ALIGNMENT REMOVAL OF OVD FINAL IOL ALIGNMENT PREOPERATIVE PATIENT EXAMINATION/PREPARATION INTRAOPERATIVE MANIPULATIONS POSTOPERATIVE EVALUATION ROTATION STABILITY REFRACTOMETRY CUMMULATIVE RESIDUAL REFRACTIVE EYE MISALIGNMENT
6 IOL RELATED IOL rottion SURGERY RELATED Preop. Mrking Ptient in horizont position Wide eyeids Incision oction EXAMINATION RELATED One (two) investigtors Sme conditions for exmintion Mnu mchine K1-K2 IOL MODELS 23 EYES WERE OPERATED. AGE OF PATIENTS WAS FROM 35 TO 74 YEARS ± 1.27 SA 60 T5 (n16) 1.64 ± 0.32 SA 60 T4 (n 4) 1.33 ± 0.16 SA 60 T3 (n 3)
7 UCVA BEFORE SURGERY 0,12 ± 0,08 BCVA BEFORE SURGERY 0,22 ± 0,19 IOL AXIS ROTATION (IN DEGREES): 1 dy fter 1,73 ± 1,21 (mx 4 ) (<0,001) 1 month fter 1,79 ± 1,55 (mx 4 ) (<0,001) RESIDUAL REFRACTION IOL 1 dy fter 1 month fter MODELS SA 60 T ± ± 0.64 SA 60 T4 0.56± ± 0.42 SA 60 T ± ± 0.50 Dynmics of VA Before 1 dy fter 1 month fter UCVA 0.12 ± ± ± 0.1 BCVA 0.22 ± ± ± 0.06 Tot 0.94 ± ± 0.65 IOL modes DYNAMICS OF VA 1 dy fter UCVA BCVA SA 60T ± ± 0.12 SA 60T ± ± 0.05 SA 60T3 0.97± ± month fter UCVA BCVA 0.83 ± ± ± ± ,0 1,0 CONCLUSION Is sfe & predictbe too in refrctive ctrct Rottion stbiity Acon toric IOL seems good option for moderte Ast correction
8 THANK YOU FOR ATTENTION
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