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Toric IOL case selection,
!

Pearls for Success!!

Ismail Hamza, ASU, Cairo

Dr. Ismail Hamza
1. Do we need to correct astigmatism?
2. For whom?
3. What to target in “astigmatism management”?
4. How to correct it?
5. What about the other eye if already aphakic and
astigmatic?
Year 2013, Toric cases
Distribution of Pre-operative Corneal Astigmatism
in our cohort
Grand Total
Astigmatism assessment
[Confirm magnitude and axis]
•

Magnitude reliability order:
1. Manual.
2. IOL master.
3. Topographic.

•

Axis reliability order:
1. Topographic central 3.0 mm
2. IOL master.
3. Manual.
Prognosis
Under-correct

Over-correct
5 Pearls
•

How to select?

•

Pearls for the Preoperative preparation?
1. Biometry.
2. SIA.
3. Astigmatism assessment [Confirm magnitude and axis].
4. Topography to confirm regular astigmatism & prognosis.
5. Power availability.
“Thank you for your attention”

–Ismail Hamza

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2014 pearls for toric