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TORIC IOLS Do we need them? Frank goes Escrs 2011.

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Presentation on theme: "TORIC IOLS Do we need them? Frank goes Escrs 2011."— Presentation transcript:

1 TORIC IOLS Do we need them? Frank goes Escrs 2011

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

3 SURGERY IOL 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 Escrs 2011 HOW TO APPROACH CASE I

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 II OD SF+6 cyl -5.5 axis 85° 0SSF +5.5 cyl -6 axis 95° Escrs 2011

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

12 1.TEMPORAL INCISION PLACEMENT 2.SECOND INCISION OPPOSITE SIDE 3.LARGER INCISION 4.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 D OS 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 PREOP POSTOP OD UCVA BCVA 0.9/sf.+5 cyl -6 axis / -0.5 cyl.-1 axis 120 OS UCVA BCVA 0.8/sf+6 cyl.-6 axis 950.9/ -1 axis 65 Escrs 2011

17 AT LISA toric 909M Toric (anterior surface) Bifocal (posterior surface) SMP technology (smooth micro phase technology) Aberration neutral Easy handling Implantable via injector, 1,5mm incision size Plate haptics For capsular bag implantation Calculated indivudually Cyl.: +1.0 to D Diopter: to +32.0D Injector system: A2-2000/A (single use) Cartridge: ACM2/ACM3 A constant iolmaster (optic): 118,3 Escrs 2011

18 AT LISA toric 909M Total diameter: 11 mm Optic diameter: 6 mm Design: square edged optic and haptic Optic design: toric, bifocal, equiconvex, aberration-free Material: foldable acrylate with 25% water content, hydrophobic surface, UV-absorber Escrs 2011

19 Wanted Improvement !!!!!! FEMTOLASIK OO ENDPOINT UCVA OD 1.0 OS 1.0 Escrs 2011

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

21 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

22 PRE POST LASIK UCVA 47 EYES

23 Escrs 2011 PRE POST LASIK BCVA 47 EYES

24 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

25 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

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

27 TORIC IOLS No doubt for important astigmatism Minor deviations sometimes better predictability with Femtolasik Escrs 2011

28 Thanks for the Attention Escrs 2011


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