Presentation on theme: "ASCRS-ASOA 20091 Early Regression of Limbal Relaxing Incisions in Phacoemulsification Patients: At 1 and 6 Weeks Postoperatively by Melissa M. Cable, MD,"— Presentation transcript:
ASCRS-ASOA 20091 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
ASCRS-ASOA 20092 Purpose To evaluate early and late results for limbal relaxing incisions to correct preexisting astigmatism in patients having cataract surgery.
ASCRS-ASOA 20093 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.
ASCRS-ASOA 20094 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.
ASCRS-ASOA 20095 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.
ASCRS-ASOA 20097 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.
ASCRS-ASOA 20098 Conclusion Additional retrospective study is required for a possible trend towards regression of effect at 6 weeks postoperatively.
ASCRS-ASOA 20099 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.