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TORIC IOL’S Do we need them ? Frank goes frank@goes.be

TORIC IOL’S Do we need them ? Frank goes frank@goes.be. TORIC IOL’S. OR FEMTOLASIK AS A REDO TOOL OR INCISION MODULATION TRY TO AVOID THE NEED OR A COMBINED APPROACH OF BOTH PRINCIPLES . SURGERY IOL CHOICE IOL POWER CALCULATION . OUR EXPERIENCE . MOSTLY LASER CORRECTION

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TORIC IOL’S Do we need them ? Frank goes frank@goes.be

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  1. TORIC IOL’SDo we needthem?Frank goesfrank@goes.be Escrs 2011

  2. TORIC IOL’S OR FEMTOLASIK AS A REDO TOOL OR INCISION MODULATION TRY TO AVOID THE NEED OR A COMBINED APPROACH OF BOTH PRINCIPLES Escrs 2011

  3. SURGERYIOL CHOICE IOL POWER CALCULATION Escrs 2011

  4. OUR EXPERIENCE MOSTLY LASER CORRECTION VISUMAX FEMTOLASIK SINCE 2 YEARS BUT Escrs 2011

  5. -12 SF -4.5 cyl. AXIS 135 OD-11 SF -3.5 cyl.axis 75 OS HOW TO APPROACH CASE I Escrs 2011

  6. ARTIFLEX TORIC Escrs 2011

  7. OPHTEC ARTIFLEX TORIC ENCLAVATION NEEDLE AND SPATULA Escrs 2011

  8. ANIMATIE Escrs 2011

  9. VERY HAPPY PATIENT UNCORRECTED OD O.9 20/22 OS O.9 20/22 Escrs 2011

  10. CANDIDATE MULTIFOCAL IOL ????????CASE IIOD SF+6 cyl -5.5 axis 85° 0S SF +5.5 cyl -6 axis 95° Escrs 2011

  11. TECNIS MF OO HIGHLY MOTIVATED TO BECOME SPECTACLE FREE Escrs 2011

  12. 1.TEMPORAL INCISION PLACEMENT2.SECOND INCISION OPPOSITE SIDE3.LARGER INCISION4.FOLLOWED BY LASIK 00 Escrs 2011

  13. A VERY HAPPY PATIENT SPECTACLE FREE FOR DISTANCE AND FOR NEAR VERY BUSY BUSINESSMAN ON THE PLANE AT LEAST ONCE A WEEK Escrs 2011

  14. CASE III OD +6 CYL -6 AXIS 115 OS +6 CYL -6 AXIS 95 ACRILISA TORIC OD 20.5 +5.5 D OS 20.5 +6.5 D Escrs 2011

  15. CARL ZEISS AT LISA toric 909M • World first toric multifocal MICS IOL • Flagship product for CZM absolutely unique • AT LISA toric 909M combines the excellent optical performance of AT LISA and reliable astigmatsim correction of AT TORBI™ 709M in one iol • Carl Zeiss calculates the power of AT LISA toric 909M for optimal surgery outcome Escrs 2011

  16. PREOP PREOPPOSTOP OD UCVA 0.2 0.6 BCVA 0.9/sf.+5 cyl -6 axis 115 0.9/ -0.5 cyl.-1 axis 120 OS UCVA 0.2 0.7 BCVA 0.8/sf+6 cyl.-6 axis 95 0.9/ -1 axis 65 Escrs 2011

  17. WantedImprovement !!!!!! FEMTOLASIK OO ENDPOINT UCVA OD 1.0 OS 1.0 Escrs 2011

  18. OUR EXPERIENCE FEMTOLASIK AS A TOUCH UP AFTER PREVIOUS REFRACT IVE LENS SURGERY Escrs 2011

  19. REASON FOR TOUCH UP WITH LASIK Patient dissatisfaction Discuss beforehand to pay or not to pay When Improvement possible Exclude all other pathology Escrs 2011

  20. PRE POST LASIK UCVA47 EYES Escrs 2011

  21. PRE POST LASIK BCVA47 EYES Escrs 2011

  22. LOSS GAIN OF LINES OF BCVA LOSS OF MORE THAN ONE LINE:not one eye GAIN OF MORE THAN ONE LINE: 4 eyes Escrs 2011

  23. INDICATION Refractive outcome different from plano. Sf.Eq.Myopia in 60% Sf.Eq.hyperopia in 40% Astigmatism > 1 dptr. in 64% of the eyes Escrs 2011

  24. When Astigmatism was present it was Against the rule in 70%With the rule in 30% Escrs 2011

  25. TORIC IOL’SNo doubt for important astigmatismMinor deviationssometimesbetterpredictabilitywith Femtolasik Escrs 2011

  26. Thanks for the Attention Escrs 2011

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