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STUDY. A prospective, non randomised study 53 eyes of 43 patients Evaluate the effect of limbal relaxing incisions on reducing astigmatism following cataract surgery.Minimum duration
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1. LIMBAL RELAXING INCISIONCURE FOR VISUAL DISTORTION Dr. Rupam Desai
Dr. Pravin Jain
Dr. O.P.Billore
3. MATERIAL AND METHODS Epidemiological data and a complete general ophthalmic examination
Corneal Topography and keratometry
Pachymetry at the site of relaxing incision to be performed.
The patients were assigned to five groups
- Group I : >4 D
- Group II : 3-4 D
- Group III : 2-3 D
- Group IV : 1-2 D
- Group V : <1 D
4. EXCLUSION CRITERIA
Complicated pseudophakia
Irregular corneal astigmatism, Keratoconus or keratoconus suspects
Current uveitis and Glaucoma
Pannus, pterygium and marked corneal scarring
Any posterior segment pathology
Follow up less than 3 month
5. GILL’S NOMOGRAM
6. OBSERVATION AND RESULTS
7. POST LRI ( at 3 Months) CHANGES IN ASTIGMATISM AT DIFFERENT TIME INTERVALS
8. COMPARISON OF UCVA AND BSCVA (PRE AND POST LRI)
9. IMPROVEMENT IN VISUAL ACUITY LINES AFTER LRI
10. LIMBAL RELAXING INCISION Relatively simple procedure to perform
Intraoperatively and postoperatively
coupling effect is 1:1 - no adjustments in IOL power calculation
Lesser tendency to induce irregular astigmatism
less postoperative glare and patient discomfort
fastest healing
preserves the original optical quality of the cornea - being a limbal procedure
Cost effective