SURGICAL INTRAOPERATIVE MANAGEMENT OF ASTIGMATISM

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Surgical intraoperative manegement of astigmatism, opposite clear corneal incisions.

Clinica Rementeria | http://www.cirugiaocular.com

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  • TRATAMOS DE DISMINUIR EL ASTIGMATISMO PREVIO,MEDIANTE INCISIONES PERFORANTES EN EL EJE MAS CURVO
    Añadir con diamante de 2.5 mm
  • Hacer una final de conclusiones
    Marcar con yag el eje de implantacion
    Operar en el eje mas comodo
    Hacer las incisiones con el ojo lleno de viscoelastico
    Posicionar la lio torica con el ojo vacio de viscoelasticos
    Y la camara formada
  • SURGICAL INTRAOPERATIVE MANAGEMENT OF ASTIGMATISM

    1. 1. - Dra. Alba Coronado - Dra. Beatriz Puerto - Dr. Jorge García - Dra. MªJose Merino - Dr. Carlos Veiga - Dra. Fé Moreno - Dra. Andrea Sanz - Dr. Fco.Javier Hurtado Dr. Laureano A-Rementería
    2. 2. MINIINCISIONANDOCCI MINIMALINVASIVECATARACTSURGERY–ALICANTE2010 MAIN INCISION GETTING SMALLER LESS INDUCED ASTIGMATISM NO SENSE TO MARK STEEPEST AXIS MAIN INCISION AT MOST CONFORTABLE AXIS SURGICAL INTRAOPERATIVE MANAGEMENT OF ASTIGMATISM OPPOSITE CLEAR CORNEAL INCISIONS
    3. 3. MINIINCISIONANDOCCI MINIMALINVASIVECATARACTSURGERY–ALICANTE2010 OPPOSITE CLEAR CORNEAL INCISIONS EASY NO EXPENSIVE MATERIAL PREDICTABLE IN LOW ASTIGMATISM SURGICAL INTRAOPERATIVE MANAGEMENT OF ASTIGMATISM OPPOSITE CLEAR CORNEAL INCISIONS
    4. 4. MINIINCISIONANDOCCI MINIMALINVASIVECATARACTSURGERY–ALICANTE2010 WE TRY TO REDUCE THE PREVIOUS ASTIGMATISM TROUGH CLEAR CORNEAL INCISIONS AT THE STEEPEST AXIS SURGICAL INTRAOPERATIVE MANAGEMENT OF ASTIGMATISM OPPOSITE CLEAR CORNEAL INCISIONS
    5. 5. MINIINCISIONANDOCCI MINIMALINVASIVECATARACTSURGERY–ALICANTE2010 WE MARK WITH YAG LASER AT THE SLIT LAMP IT CAN BE DONE THE DAY BEFORE SURGICAL INTRAOPERATIVE MANAGEMENT OF ASTIGMATISM OPPOSITE CLEAR CORNEAL INCISIONS
    6. 6. MINIINCISIONANDOCCI MINIMALINVASIVECATARACTSURGERY–ALICANTE2010 SURGICAL INTRAOPERATIVE MANAGEMENT OF ASTIGMATISM OPPOSITE CLEAR CORNEAL INCISIONS
    7. 7. MINIINCISIONANDOCCI MINIMALINVASIVECATARACTSURGERY–ALICANTE2010 SURGICAL INTRAOPERATIVE MANAGEMENT OF ASTIGMATISM OPPOSITE CLEAR CORNEAL INCISIONS
    8. 8. MINIINCISIONANDOCCI MINIMALINVASIVECATARACTSURGERY–ALICANTE2010 SURGICAL INTRAOPERATIVE MANAGEMENT OF ASTIGMATISM OPPOSITE CLEAR CORNEAL INCISIONS
    9. 9. MINIINCISIONANDOCCI MINIMALINVASIVECATARACTSURGERY–ALICANTE2010 WITH THE RULE 1-2 D 2 INCISIONS at 9mm 2-3 D 2 INCISIONS at 7mm + 3 D NOT INDICATED 2.5mm diamond blade SURGICAL INTRAOPERATIVE MANAGEMENT OF ASTIGMATISM OPPOSITE CLEAR CORNEAL INCISIONS
    10. 10. MINIINCISIONANDOCCI MINIMALINVASIVECATARACTSURGERY–ALICANTE2010 SURGICAL INTRAOPERATIVE MANAGEMENT OF ASTIGMATISM OPPOSITE CLEAR CORNEAL INCISIONS
    11. 11. MINIINCISIONANDOCCI MINIMALINVASIVECATARACTSURGERY–ALICANTE2010 SURGICAL INTRAOPERATIVE MANAGEMENT OF ASTIGMATISM OPPOSITE CLEAR CORNEAL INCISIONS
    12. 12. MINIINCISIONANDOCCI MINIMALINVASIVECATARACTSURGERY–ALICANTE2010 SURGICAL INTRAOPERATIVE MANAGEMENT OF ASTIGMATISM OPPOSITE CLEAR CORNEAL INCISIONS
    13. 13. MINIINCISIONANDOCCI MINIMALINVASIVECATARACTSURGERY–ALICANTE2010 AGAINST THE RULE 1-2 D 2 INCISIONS at 7mm 2-3 D 2 INCISIONS at 6mm + 3 D NOT INDICATED 2.5mm diamond blade SURGICAL INTRAOPERATIVE MANAGEMENT OF ASTIGMATISM OPPOSITE CLEAR CORNEAL INCISIONS
    14. 14. MINIINCISIONANDOCCI MINIMALINVASIVECATARACTSURGERY–ALICANTE2010 SURGICAL INTRAOPERATIVE MANAGEMENT OF ASTIGMATISM OPPOSITE CLEAR CORNEAL INCISIONS
    15. 15. MINIINCISIONANDOCCI MINIMALINVASIVECATARACTSURGERY–ALICANTE2010 SURGICAL INTRAOPERATIVE MANAGEMENT OF ASTIGMATISM OPPOSITE CLEAR CORNEAL INCISIONS
    16. 16. MINIINCISIONANDOCCI MINIMALINVASIVECATARACTSURGERY–ALICANTE2010 SURGICAL INTRAOPERATIVE MANAGEMENT OF ASTIGMATISM OPPOSITE CLEAR CORNEAL INCISIONS
    17. 17. MINIINCISIONANDOCCI MINIMALINVASIVECATARACTSURGERY–ALICANTE2010 SURGICAL INTRAOPERATIVE MANAGEMENT OF ASTIGMATISM OPPOSITE CLEAR CORNEAL INCISIONS
    18. 18. MINIINCISIONANDOCCI MINIMALINVASIVECATARACTSURGERY–ALICANTE2010 0 1 2 3 4 5 6 1 3 5 7 9 11 13 15 17 19 21 23 25 27 29 31 33 35 37 39 41 43 45 47 49 51 53 55 57 59 61 63 65 67 69 71 73 75 77 79 81 83 85 87 89 91 93 95 97 PREOP CORNEAL ASTIGMATISM SURGICAL INTRAOPERATIVE MANAGEMENT OF ASTIGMATISM OPPOSITE CLEAR CORNEAL INCISIONS
    19. 19. MINIINCISIONANDOCCI MINIMALINVASIVECATARACTSURGERY–ALICANTE2010 POSTOP CORNEAL ASTIGMATISM 0 1 2 3 4 5 6 1 3 5 7 9 11 13 15 17 19 21 23 25 27 29 31 33 35 37 39 41 43 45 47 49 51 53 55 57 59 61 63 65 67 69 71 73 75 77 79 81 83 85 87 89 91 93 95 97 SURGICAL INTRAOPERATIVE MANAGEMENT OF ASTIGMATISM OPPOSITE CLEAR CORNEAL INCISIONS
    20. 20. MINIINCISIONANDOCCI MINIMALINVASIVECATARACTSURGERY–ALICANTE2010 AVERAGE 1,58 0,91 0,63 0,00 0,20 0,40 0,60 0,80 1,00 1,20 1,40 1,60 1,80 PREOP POSTOP TEORICO POST SURGICAL INTRAOPERATIVE MANAGEMENT OF ASTIGMATISM OPPOSITE CLEAR CORNEAL INCISIONS
    21. 21. MINIINCISIONANDOCCI MINIMALINVASIVECATARACTSURGERY–ALICANTE2010 % PATIENTS BELOW 1 Dp. 18 71 88 0 10 20 30 40 50 60 70 80 90 100 PREOP POSTOP TEORICO POST SURGICAL INTRAOPERATIVE MANAGEMENT OF ASTIGMATISM OPPOSITE CLEAR CORNEAL INCISIONS
    22. 22. MINIINCISIONANDOCCI MINIMALINVASIVECATARACTSURGERY–ALICANTE2010 DIFFERENCES ACCORDING TO THE ORIENTATION OF CORNEAL ASTIGMATISM 2,02 1,11 0,91 1,48 0,84 0,50 1,41 0,82 0,59 0,00 0,50 1,00 1,50 2,00 2,50 PREOP POST TEORICO POST DIRECTO INVERSO OBLICUO SURGICAL INTRAOPERATIVE MANAGEMENT OF ASTIGMATISM OPPOSITE CLEAR CORNEAL INCISIONS
    23. 23. MINIINCISIONANDOCCI MINIMALINVASIVECATARACTSURGERY–ALICANTE2010 COMPARISON BETWEEN SUBJECTIVE PREOPERATIVE ASTIGMATISM AND CORNEAL PREOPERATIVE ASTIGMATISM ACCORDING TO THEIR PREOPERATIVE ORIENTATION 1,11 0,84 0,82 0,45 0,87 0,82 0,00 0,20 0,40 0,60 0,80 1,00 1,20 DIRECTO INVERSO OBLICUO CORNEAL SUBJETIVO SURGICAL INTRAOPERATIVE MANAGEMENT OF ASTIGMATISM OPPOSITE CLEAR CORNEAL INCISIONS
    24. 24. MINIINCISIONANDOCCI MINIMALINVASIVECATARACTSURGERY–ALICANTE2010 CONCLUSSIONS • OPPOSITE CLEAR CORNEAL INCISIONS ARE VERY PREDICTABLE IN CORNEAL ASTIGMATISM UP TO 2 DIOPTERS. • PATIENTS TOLERATE BETTER THE RESIDUAL ASTIGMATISM BETTER WITH OF THE RULE. • THE PRECISION IN THE AXIS OF THE INCISION IS IMPORTANT. • WE CAN HAVE MORE MULTIFOCAL PATIENTS. • OUR PERCENTAGE OF TOUCH UP WITH LASER DECREASES.
    25. 25. c Almagro 36, entreplanta derecha 28010 MADRID Telf: 91 308 38 38 www.cirugiaocular.com clinica@cirugiaocular.com THANK YOU FOR YOUR ATTENTION

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