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Early Regression of Limbal Relaxing Incisions in Phacoemulsification Patients: At 1 and 6 Weeks Postoperatively

Early Regression of Limbal Relaxing Incisions in Phacoemulsification Patients: At 1 and 6 Weeks Postoperatively. by Melissa M. Cable, MD, FAAO, FACS Discover Vision Centers *Author has no financial interest. Purpose.

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Early Regression of Limbal Relaxing Incisions in Phacoemulsification Patients: At 1 and 6 Weeks Postoperatively

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  1. Early Regression of Limbal Relaxing Incisions in Phacoemulsification Patients:At 1 and 6 Weeks Postoperatively by Melissa M. Cable, MD, FAAO, FACS Discover Vision Centers *Author has no financial interest

  2. Purpose • To evaluate early and late results for limbal relaxing incisions to correct preexisting astigmatism in patients having cataract surgery.

  3. Methods • This retrospective study performed by a single surgeon included 15 eyes of 10 consecutive patients with 0.75 -3.0D of preexisting corneal astigmatism having cataract surgery with Tecnis aspheric monofocal lenses. • The uncorrected and best corrected visual acuities (UCVA and BCVA, respectively) were recorded at 1 and 6 weeks postoperatively.

  4. Results – 1 Week • At 1 week postoperatively, visual acuity was 20/25 or better uncorrected in 67% of eyes and best corrected 93% of eyes. • At the same time point, visual acuity was 20/40 or better uncorrected in 93% of eyes and best corrected in 100% of eyes.

  5. Results – 6 Weeks • At 6 weeks postoperatively, visual acuity was 20/25 or better uncorrected in 40% of eyes and best corrected in 100% of eyes. • At the same time point, visual acuity was 20/40 or better uncorrected in 87% of eyes and best corrected in 100% of eyes.

  6. Comparison:Results – 1 Week vs. 6 Weeks

  7. Conclusion • Limbal relaxing incisions can be a vision optimizing procedure, especially when combined with phacoemulsification surgery. • In this series of cataract patients, many patients with preexisting corneal astigmatism had excellent UCVA 1 week after cataract surgery combined with limbal relaxing incisions.

  8. Conclusion • Additional retrospective study is required for a possible trend towards regression of effect at 6 weeks postoperatively.

  9. About the Author: Melissa M. Cable, MD, FAAO, FACS, is a board-certified ophthalmologist with Discover Vision Centers in Kansas City, MO., specializing in gentle no-stitch cataract surgery, ocular disease and cosmetic procedures. Dr. Cable graduated at the top 5% of her class in both her undergraduate and medical degree programs at Louisiana State University. She completed a residency in ophthalmology at the University of Missouri—Kansas City before joining Discover Vision Centers in 1999. Dr. Cable is one of only six partners in the company. With 35 doctors, 9 locations and 3 surgery centers located in the Kansas City Metro area, Discover Vision Centers has become one of the largest private ophthalmic medical-surgical practices in the United States.

  10. Thank you! Contact Information: Melissa M. Cable, MD, FAAO, FACS Discover Vision Centers 4741 S. Cochise Drive Independence, MO 64055 Phone: (816) 478-1230 Fax: (816) 478-4413 E-mail: mcable@discovervision.com

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