TORIC IOLS Do we need them Frank goes
- Slides: 26
TORIC IOL’S Do we need them? Frank goes frank@goes. be Escrs 2011
TORIC IOL’S l OR FEMTOLASIK AS A REDO TOOL l OR INCISION MODULATION TRY TO AVOID THE NEED l OR A COMBINED APPROACH OF BOTH PRINCIPLES Escrs 2011
SURGERY IOL CHOICE IOL POWER CALCULATION Escrs 2011
OUR EXPERIENCE l MOSTLY LASER CORRECTION l VISUMAX FEMTOLASIK SINCE 2 YEARS l BUT Escrs 2011
HOW TO APPROACH CASE I -12 SF -4. 5 cyl. AXIS 135 OD -11 SF -3. 5 cyl. axis 75 OS Escrs 2011
ARTIFLEX TORIC Escrs 2011
OPHTEC ARTIFLEX TORIC ENCLAVATION NEEDLE AND SPATULA Escrs 2011
l ANIMATIE Escrs 2011
VERY HAPPY PATIENT l UNCORRECTED l OD O. 9 20/22 l OS O. 9 20/22 Escrs 2011
CANDIDATE MULTIFOCAL IOL ? ? ? ? CASE II OD SF+6 cyl -5. 5 axis 85° 0 S SF +5. 5 cyl -6 axis 95° Escrs 2011
TECNIS MF OO l HIGHLY MOTIVATED TO BECOME SPECTACLE FREE Escrs 2011
1. TEMPORAL INCISION PLACEMENT 2. SECOND INCISION OPPOSITE SIDE 3. LARGER INCISION 4. FOLLOWED BY LASIK 00 Escrs 2011
A VERY HAPPY PATIENT l SPECTACLE FREE FOR DISTANCE AND FOR NEAR l VERY BUSINESSMAN l ON THE PLANE AT LEAST ONCE A WEEK Escrs 2011
CASE III l OD +6 CYL -6 AXIS 115 l OS +6 CYL -6 AXIS 95 l ACRILISA TORIC l OD 20. 5 +5. 5 D l OS 20. 5 +6. 5 D Escrs 2011
CARL ZEISS AT LISA toric 909 M World first toric multifocal MICS IOL l Flagship product for CZM absolutely unique l AT LISA toric 909 M combines the excellent optical performance of AT LISA and reliable astigmatsim correction of AT TORBI™ 709 M in one iol l Carl Zeiss calculates the power of AT LISA toric 909 M for optimal surgery outcome l Escrs 2011
PREOP l POSTOP OD UCVA 0. 2 l BCVA 0. 9/sf. +5 cyl -6 axis 115 0. 6 0. 9/ -0. 5 cyl. -1 axis 120 l l l OS UCVA 0. 2 l BCVA 0. 8/sf+6 cyl. -6 axis 95 0. 7 0. 9/ -1 axis 65 l Escrs 2011
Wanted Improvement !!!!!! FEMTOLASIK OO l ENDPOINT UCVA l OD 1. 0 l OS 1. 0 Escrs 2011
OUR EXPERIENCE FEMTOLASIK AS A TOUCH UP AFTER PREVIOUS REFRACT IVE LENS SURGERY Escrs 2011
REASON FOR TOUCH UP WITH LASIK l Patient dissatisfaction l Discuss beforehand to pay or not to pay l When Improvement possible l Exclude all other pathology l Escrs 2011
PRE POST LASIK UCVA 47 EYES Escrs 2011
PRE POST LASIK BCVA 47 EYES Escrs 2011
LOSS GAIN OF LINES OF BCVA l LOSS OF MORE THAN ONE LINE: not one eye l GAIN OF MORE THAN ONE LINE: 4 eyes Escrs 2011
INDICATION l Refractive outcome different from plano. l Sf. Eq. Myopia in 60% l Sf. Eq. hyperopia in 40% l Astigmatism > 1 dptr. in 64% of the eyes Escrs 2011
When Astigmatism was present it was Against the rule in 70% With the rule in 30% Escrs 2011
TORIC IOL’S No doubt for important astigmatism Minor deviations sometimes better predictability with Femtolasik Escrs 2011
Thanks for the Attention Escrs 2011