Long-Term Follow-Up of Toric Intraocular Lens Implantation for Keratoconus Alejandro Navas, MD, MSc, Martha Jaimes, MD, Jesús Cabral, MD, Arturo Ramirez.

Slides:

Advertisements

Similar presentations

Comparison of Visual Outcomes With Toric IOL and With Limbal Relaxing Incisions in Cataract Surgery Eriko Fukuyama, MD Fukuyama Eye Clinic Fukuoka, Japan.

Advertisements

Anterior Segment OCT Angle and Vault Analysis After Implantable Collamer Lens Implantation in Patients With High Myopia Arturo Ramirez-Miranda M.D. Alejandro.

Comparison of surgically induced astigmatism after phacoemulsification trough 3.2, 2.2 and 1.8 clear corneal incision. Luis Izquierdo Jr MD. PhD. Maria.

Accuracy of Predicted Refractive Error in Resident-Performed Cataract Surgery Using Partial Coherence Interferometry Nickolas P. Katsoulakis, M.D., Paul.

Swept Source Optical Coherence Tomography for Evaluation of Posterior Corneal Changes after Refractive Surgery Dr. Tommy Chung Yan Chan Dr. Vishal Jhanji.

A simple and accurate method of alignment for toric intraocular lens implantation using anterior segment optical coherence tomography (OCT). Kazuno Negishi,

Keiichiro Minami, Hiroko Bissen-Miyajima, Mami Yoshino, Kunihiko Nakamura Department of Ophthalmology Tokyo Dental College Suidobashi Hospital, Tokyo,

Verteporfin Photodynamic Therapy in Patients with Corneal Neovascularization Rodrigo Bolanos MD 1, Alexandra Pena MD 1, Guillermo Dewit MD 1, Judith Sandra.

Visual and Refractive Outcomes of Small-Incision Lenticule Extraction Performed by Cornea Fellows Victor Boullosa, MD, Erick Hernandez-Bogantes, MD, Arturo.

Refractive Effects of Lamellar Keratectomy/Debridement for Corneal Surface Disorders Pre-Cataract Surgery Haresh Ailani MD, 1 Ira J. Udell MD, 1 Jules.

Purpose We studied the interdevice agreement of three systems in the different measurements of the corneal and anterior segment biometric parameters. The.

In-the-Bag Toric IOL for Correction of Astigmatism in Keratoconus and after Corneal Surgery Bart T.H. van Dooren, M.D., Ph.D Ilse E.M.A. Mol, M.D. Department.

Photodynamic Therapy with Verteporfin Combined with Ranibizumab for Corneal Neovascularization Alexandra Peña, MD 1 ; Alejandro Navas, MD, MSc 2 ; Enrique.

A Prospective, Randomized, Comparative Evaluation of Patients with Contralateral Implantation of Two Aspheric Acrylic Intraocular Lenses R. Cionni, MD.

CLINICAL OUTCOMES WITH A NEW DIFFRACTIVE MULTIFOCAL INTRAOCULAR LENS (IOL) Pilar Casas de Llera Ana Belen Plaza Alfredo Vega-Estrada Jorge L Alio Vissum.

Long-term Follow-up for Intrastromal Cornea Ring Segments in Early to Severe Keratoconic Patients Omer Trivizki 1,Eliya Levinger 1,2, Irit Bareqet 2, Ami.

INTRAOPERATIVE FLAP COMPLICATIONS IN LASIK SURGERY PERFORMED BY OPHTHALMOLOGY RESIDENTS IN TRAINING Arturo Gómez-Bastar MD Arturo Ramirez-MirandaMD Lorena.

M. Allison Roensch, MD, Preston H. Blomquist, MD, Nalini K Aggarwal, MD, James P. McCulley, MD Department of Ophthalmology University of Texas Southwestern.

Placement of Toric Intraocular Lens and the Long-term Change in the Axis of Corneal Astigmatism after Sutureless Cataract Extraction by Phacoemulsification.

The Effect of the Restor Multifocal IOL on Frequency Doubling Perimetry Elizabeth Yeu, MD1, Elizabeth Woznak, BS2, Nicole Kesten, BS2, Steven VL Brown,

Managing the Refractive “Surprise” After Toric IOL Placement Managing the Refractive “Surprise” After Toric IOL Placement Brad H Feldman, MD Derek DelMonte,

Accelerated Transepithelial CXL for keratoconus in pediatric population Enrique O. Graue-Hernández, Andrew Olivo-Payne, Lucero J Pedro-Aguilar, Arturo.

Hemi-Automated Lamellar Keratoplasty (HALK) Leonard Yuen, MD MPH MRCOphth Jodhbir Mehta, FRCS FRCOphth Li Lim, FRCOphth Donald Tan, FRCS FRCOphth SINGAPORE.

Dept. of Ophthalmology, Friedrich-Alexander University Erlangen-Nuremberg, Erlangen, Germany. Outcome after big-bubble deep anterior lamellar keratoplasty.

Nizar S Abdelfattah, M.D.1, Marina Israel2, Nermin Osman, M.D.3,

G. Jacob 1,2, C. Bouchard 2, S. Kancherla 1. Edward Hines, Jr. VA Hospital, Hines, IL, Department of Ophthalmology 1. Loyola University Medical Center,

1 Keratoconus (KC) : Improvement of KC’s Visual Rehabilitation after Intra Corneal-Rings (ICR's) with Corneo-Scleral lenses (CSL) ( SPOT ® LAO Laboratories)

Phacoemulsification in eyes with previous anterior chamber phakic IOL surgery Walton Nosé, MD, PhD 1,2 Adriana dos Santos Forseto, MD 1 Mariana Ávila,

Biometric Accuracy in High Hypermetropes and Myopes

Occurrence of Retinal Detachment After Cataract Surgery Peter Jeppesen MD, PhD and Thomas K. Olsen, MD, DMSc Department of Ophthalmology Århus University.

Implantable Collamer Lens Complications

Elias F. Jarade, MD, FICS. Corneal and Refractive Surgery Service, The Dubai Mall Medical Center, Dubai- U.A.E. Tel: ; Mob

Astigmatism management with toric intraocular lenses in cataract patients Adriano Guarnieri 1-2, Luis W. Lu 3-4, Alfonso Arias- Puente INCIVI, Madrid,

March 2011 Bascom Palmer Eye Institute University of Miami Elaine Wu, M.D. Ana Paula Canto, M.D. William Culbertson, M.D. Sonia Yoo, M.D. Financial disclosure:

P91: Clinical Performance of Phakic Angle-Supported Investigational IOL in Prospective Global Trials, ASCRS 2010, Boston P91: Clinical performance of phakic.

Ruth Lapid-Gortzak MD, Jan Willem van der Linden, BOpt,

Results of Collagen Crosslinking followed by posterior chamber toric implantable collamer lens implantation in patients with Keratoconus & High Myopia.

Endothelial Keratoplasty in Patients With an Anterior Chamber Intraocular Lens: A Montreal Experience Georges M. Durr, MD 1,2 Johanna Choremis, MD, FRCSC.

Mean Keratometry Measurement Post Penetrating Keratoplasty Jacky Yeung MSc MD, Stephanie Baxter MD FRCS(C) Department of Ophthalmology, Hotel Dieu Hospital,

The authors have no financial interest in the subject matter of this poster. FINANCIAL DISCLOSURES.

REFRACTIVE OUTCOMES WITH TORIC ICL IMPLANTS CHIEF AUTHOR: Dr. D.RAMAMURTHY CO – AUTHOR: Dr. R.CHITRA The authors have no financial interest in the subject.

The Effect of Corneal Anterior Surface Eccentricity on Astigmatism after Cataract Surgery Choul Yong Park MD 1 Sung Jun Lee MD 1 Prabjot Channa MD 2 Roy.

LONG TERM OUTCOMES OF RESTOR IOL IMPLANTATION Lori Dao, Orkun Muftuoglu, V. Vinod Mootha, Steven M. Verity, R. Wayne Bowman, H. Dwight Cavanagh, James.

Adriana S. Forseto1, MD Walton Nosé1,2, MD

Scheimpflug and OCT analysis of posterior keratoconus

Nang-Hee Song(MD) 1, Jae-Woong Koh (MD/PhD) 1, Gil-Joong Yoon (MD/PhD) 2 Department of Ophthalmology, Chosun University College of Medicine, Gwangju, Republic.

Evaluation of Efficacy and Safety of Intracorneal Ring Segment (Intacs SK) in Keratoconus Abdulrahman Al-Muammar, MD, FRCSC I have no financial interest.

Sherman W. Reeves, MD, MPH 1,3,4 ; Jacob A. Kozisek, OD 1,2 ; Noumia Cloutier-Gill, OD 1,2 ; David R. Hardten, MD 1,2,3,4 Accuracy of Scheimpflug Imaging.

Comparison of visual function following piggyback implantation of Acrysof ReSTOR intraocular lenses with Tecnis multifocal ZM900 intraocular lenses. Rodrigo.

I have no financial interest in any devices or techniques discussed in this presentation.

Clinical Outcomes Post AcrySof Toric IOL Implantation In 231 Consecutive Eyes Johnny L. Gayton, MD, FSEE Eyesight Associates 216 Corder Road 216 Corder.

Investigation of Multifocal Toric IOLs to Compensate for Corneal Astigmatism and to Provide Near, Intermediate, and Distance Vision José L. Rincón, MD.

Hongseok Yang, M.D. Dae Hee Kim, M.D. Department of Ophthalmology, Ajou University School of medicine, Suwon, Korea The authors have no financial interest.

Toric IOLs: wavefront aberrometry and quality of life Mencucci Rita Giordano Cristina, Stiko Ermelinda, Miranda Paolo, Eleonora Favuzza, Ugo Menchini Authors.

Poster produced by Faculty & Curriculum Support (FACS), Georgetown University School of Medicine LASIK Combined with Corneal Cross-linking in Eyes with.

Liquifaction Method and Extent of Posterior Capsule Opacification: Two-Year Follow-up Marie Kalfertova, Mariya Burova, Pavel Rozsival, Nada Jiraskova Nada.

Long-term results of Phakic Refractive Lens (PRL™) implantation in high myopic eyes. Ioannis G. Pallikaris 1, 2, MD, PhD, Maria I. Kalyvianaki 1, MD, PhD,

Doug Wallin OD Keith Rasmussen OD. Cornea Crosslinking When and when not? Doug Wallin, OD Keith Rasmussen, OD.

Corneal CXL in Pediatric Patients with Progressive Keratoconus Stephanie Wise, Christian Diaz, Karolien Termote, Paul J. Dubord, Martin McCarthy, Sonia.

Intrastromal Ring Segments for Keratoconus: A Retrospective Review Brad Feldman MD, Alan Carlson MD, Terry Kim MD, Natalie Afshari MD, Ricardo Santaella.

0 Femtosecond-Laser Assisted Cataract Surgery: Is it living up to the hype? 117 th Annual Meeting of the American Academy of Ophthalmology Press Briefing.

FreeVis LASIK Zentrum Universitätsklinikum Mannheim

Postoperative Refraction and Patient Satisfaction after Bilateral Implantation of Presbyopia-Correcting Intraocular Lenses Robert Cionni, MD Financial.

Martha Jaimes Gutierrez M.D Alexandra Abdala Figuerola M.D.

Nienke Visser, Tos T.J.M. Berendschot, Rudy M.M.A. Nuijts

Comparison in Reduction of Preoperative Astigmatism after Cataract Surgery with Toric IOLs versus Limbal Relaxing Incisions Alexander Chop PhD MD (no.

post-lasik corneal ectasia

Barry A Schechter, MD Florida Eye Microsurgical Institute

David T. Vroman, MD Assistant Professor of Ophthalmology

Visual Outcomes and Satisfaction with Toric IOL Versus Monofocal IOL

Presentation transcript:

Long-Term Follow-Up of Toric Intraocular Lens Implantation for Keratoconus Alejandro Navas, MD, MSc, Martha Jaimes, MD, Jesús Cabral, MD, Arturo Ramirez –Miranda, MD, Enrique O. Graue-Hernández, MD, MSc Institute of Ophthalmology “Conde de Valenciana”, Mexico City, Mexico

Financial Disclosure -AN: Carl Zeiss Meditec, Consultant (A); Alcon Laboratories, Consultant (B) and STAAR Surgical, Consultant (B). -AN: Carl Zeiss Meditec, Consultant (A). -MJ, JC & EOGH: No financial interest or relationship to disclose.

Purpose To report clinical characteristics and surgical outcomes at long-term follow-up of patients with keratoconus treated with implantation of in the bag toric intraocular lenses. Methods Retrospective review of medical records from patients diagnosed with keratoconus treated with in the bag toric intraocular lens implantation.

Age, preoperative and postoperative UDVA (uncorrected distance visual acuity) and CDVA (corrected distance visual acuity), objective and subjective refraction, spherical equivalent, total keratometric power, total astigmatism, axis, toric IOL model and power were analyzed. STATA 8.0 and paired t-test were used for statistical analysis. Please click on the link (View additional images/videos) for a video to expand surgical and patient selection methodology.

Results 21 eyes of 15 patients. 12 forme fruste keratoconus, 7 with frank keratoconus and 2 pellucid marginal degenerations were evaluated. Mean age was ± 5.99 years. Mean follow-up was ± months (almost 4 years). Preoperative spherical equivalent was -7.11±6.06 and postoperative spherical equivalent was -0.50±1.02 (P<0.001). Preoperative cylinder was -3.85±1.26 and postoperatively -1.03±0.69 (P<0.001).

Results Preoperative UDVA was 1.37±0.35 (mean 20/468 Snellen) and postoperative UDVA was 0.25±0.17 (mean 20/35 Snellen) (p<0.001). 2 cases required Nd:YAG laser capsulotomies, 1 case underwent argon laser photocoagulation due to a peripheral retinal hole. No further complications or eventualities were found.

A) Topographic astigmatism, B) Scheimpflug images astigmatism. C) Sofware calculation astigmatism, D) Final surgical position. A B C D

A B C D

A) Clinical example of an Orbscan II keratometric map showing topographic irregular astigmatism. B) Toric IOL software calculation with suggested IOL position. C) Final postoperative IOL position; the IOL marks are in alignment according to the suggested position. ParameterPreoperativePostoperative UDVA logMAR logMAR CDVA logMAR logMAR Sphere D D Cylinder D D Spherical equivalent D D

Clinical example of long-term stability: 3 years after toric IOL implantation, keratometry (A) and pachymetry (B) Scheimpflug images showing ectatic patterns. Toric IOL calculation (C) remained in alignment even after Nd:YAG laser capsolotomy (D).

Conclusions Toric intraocular lens implantation could be an effective therapeutic option at long-term follow- up in well selected patients with stable and non- progressive keratoconus. References 1) Jaimes M, Xacur-García F, Alvarez-Melloni D, Graue-Hernández EO, Ramirez-Luquín T, Navas A. Refractive Lens Exchange With Toric Intraocular Lenses in Keratoconus, J Refract Surg 2011;27: ) Jhanji V, Sharma N, Vajpayee RB. Management of keratoconus: current scenario. Br J Ophthal 2011;95: ) Sauder G, Jonas JB. Treatment of keratoconus by toric foldable intraocular lenses. Eur J Ophthalmol 2003; 13(6): ) Leccisotti A. Refractive lens exchange in keratoconus. J Cataract Refract Surg 2006; 32: ) Thebpatiphat N, Hammersmith KM, Rapuano CJ, Ayres BD, Cohen EJ. Cataract surgery in keratoconus. Eye Contact Lens 2007; 33(5): ) Navas A, Suárez R. One-year follow-up of toric intraocular lens implantation in forme fruste keratoconus. J Cataract Refract Surg 2009;35: ) Visser N, Gast ST, Bauer NJ, Nujits RM. Cataract surgery with toric intraocular lens implantation in keratoconus: a case report. Cornea 2011;30: