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LENS Surgery After Previous Refractive Corneal Surgery. Personal Results 145 CASES 116 eyes with at least 2 year fup 78 eyes after myopia surgery 30 after previous hyperopia surgery. 72 female 36 male. FRANK JOZEF GOES ANTWERP BELGIUM frank@goes.be No fin.disclosure.
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LENS Surgery After Previous Refractive Corneal Surgery. Personal Results145 CASES116 eyes with at least 2 year fup78 eyes after myopia surgery30 after previous hyperopia surgery.72 female 36 male • FRANK JOZEF GOES • ANTWERP BELGIUM • frank@goes.be • No fin.disclosure ascrs poster 2011
GOES EYE CENTREPROBABLY THE WORLD RECORD NR of f up cases of lens surgery after previous refractive surgery !!! Started RK 1985-1500 cases Started Excimer laser surgery 1991:15.000 cases-at that time high myopes till -20D). Started LTK 1998 later CK 2005-500 cases We have an Excellent Follow- Up in our private clinic ascrs poster 2011
TIME DELAY OF LENS SURGERY AFTER PRIMARY PROCEDURE MONTHS PRIMARY REFRACTIVE PROCEDURE%
MEAN REFRACTION BEFORE PRIMARY REFRACTIVE PROCEDURE ascrs poster 2011
MEAN AGE OF CATARACT SURGERYIN OUR NORMAL CATARACT POPULATION 74 Y IN OUR MYOPES AFTER EXCIMER 54 Y=IMPORTANT DIFFERENCES !!!ANY CORRELATION POSSIBLE WITH THE PREVIOUS LASER TREATMENT ??? ascrs poster 2011
SAFETY ALL EYES cataract or refractive lens surgery after previous corneal refractive surgery ascrs poster 2011
CLINICAL OUTCOMESBSCVA- BEFORE AND AFTER ascrs poster 2011
CLINICAL OUTCOMES +/-1 DIOL POWER CALCULATION ascrs poster 2011
REFRACTION PREDICTION HYPEROPIA :Haigis Formula ascrs poster 2011
POSTOP REFRACTIVE RESULTS- REFRACTION • AFTER MYOPIC CATARACT SURGERY:. -0.35 D EXTREMES +2 ,75 TO -3,7D • AFTER HYPEROPIC CATARACT SURGERY :-0,4D EXTREMES -2,0 TO+3,0 D ascrs poster 2011
FOLLOW UPMore than 5 YEARS 42 EYESPIGGY BACK IOL???CERTAINLY AT THE START 1997IN 7 EYES AFTER M LASER AND IN ONE AFTER H LASIK D POWER :mean +5,6 DND YAG MYOPIA 21/77 HYPEROPIA 5/31 EYES ascrs poster 2011
LENS Surgery After Previous Refractive Corneal SurgeryIs Very rewardingand SafeDecision making sometimes difficultIol power calculation improved but still better outcomes for hyperopia compared to myopia.Myopes after previous excimer laser surgery develop cataract much earlier !! ascrs poster 2011