Correction of Myopia and Myopic Astigmatism with Posterior

Correction of Myopia and Myopic Astigmatism with Posterior Chamber Phakic IOL ERIK L. MERTENS MD, FEBOphth. Financial interest : STAAR Surgical : travel expense reimbursement Toric ICL : not available in the U. S.

TOPICS ü Preparation ü Results g Conclusion

Preparation • MARK the horizontal axis at the slitlamp in the OR

Preparation • MARK the horizontal axis at the slitlamp in the OR

Preparation

Toric ICL (V 4) Na. Cl (equivalent to BSS once hydrated in the eye) 2 diamond-shaped marks None 2 squares diagram on foot-plates (distal & proximal) Visian Toric ICL (V 4 B) FEATURE Storage solution Axis alignment marks Full thickness holes Lens orientation landmarks VISIAN Toric ICL (V 4 b) BSS 2 straight lines 2 besides the lines outside the OZ (aid in alignment & facilitate visco removal) Full-thickness holes on foot-plates (distal & proximal) ICM -3 to -23 D VICM -0. 5 to -18 D In 0. 25 D steps from -0. 5 to -3 ICH +3 to +21 D VICH +0. 5 to +10 +3 D In 0. 25 D steps from +0. 5 to VTICM -3 to -23 Sph. & +1 to +6 Cyl No MIXED None Diopter range (label power) VTICM -0. 5 to -18 Sph & +0. 5 to +6 Cyl Including MIXED astigmatism VTICH +0. 5 to +10 Sph & +0. 5 to +6 Cyl Including plano-postive toric

CONCLUSION • small incision • very predictable • excellent visual quality • no loss in BSCVA