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ITS IMPORTANCE
DR MITA JOSHI
DR SACHDEV EYE HOSPITAL
SURAT
SURGICALLY INDUCED
ASTIGMATISM
SITE OF INSICION
SIZE OF INSICION
CAUTERIZATION
SUTURING OF INSICION
CHANGES INDUCED BY SURGERY
CORNEAL STEEPENING
TIGHT SUTURE
WOUND EDEMA
VERTICAL MISALIGNMENT
EXCESSIVE CAUTERY
CORNEAL FLATENNING
WOUND GAPE
LOOSE SUTURES
SUPERFICIAL SUTURES
CENTRAL OVERRIDING
CLEAR CORNEAL INCISION
2.7 – 4 MM
MINIMAL OR NO EFFECT ON
ASTIGMATISM 0.25 - 0.5 D
MULTIPLANAR INCISION
BEVELLED BIPLANAR SELF SEALING
INCISION
PSEUDOPHAKIC ASTIGMATISM
TORIC IOLS
CYLINDER POWER
INCORPORATED IN THE IOL , ACTS
AT THE CORNEAL PLANE
MEASURING ASTIGMATISM
TOPOGRAPHY
MANUAL KERATOMETRY
MANIFEST REFRACTION
WAVEFRONT REFRACTION
IMPLANTATION OF TORICIOL
CONSIDER REF AND
KERATOMETRIC ASTIGMATISM
IMPLANTED ACC TO KERATOMETRIC
ASTIGMATISM
CORRECT FOR DISTANCE FROM
NODAL POINT
SURPRISE ELEMENT
SURGICALLY INDUCED
ASTIGMATISM
INSICION PLAYS A MOJOR ROLE
SITE AND SIZE
Effect of surgically induced astigmatism
Why is there almost always a difference?
The problem
045°
Q: Why is it that the astigmatic
power correction and axis
are often different than
expected following toric
IOL implantation?
Wind
22 knots out of the Northwest
(160°)
Wind
22 knots out of the Northwest
(160°) Actual
046° at 110 knots
Without making a
No wind 120 knots at 036° correction
43.50 steep
Effect of surgically induced astigmatism
Calculating the new axis of astigmatism
Right
eye
OCULAR RESIDUAL ASTIG
SIA OD <3MM
LOCATION SIA (D) NO OF PT
TEMPORAL 1.82 1
NASAL 1.17 2
SUPERIOR 0.0 0
INFERIOR 0.0 0
SUP TEMP 0.31 2
INF TEMP 0.0 0
OVERALL SIA 0.96 5
SIA OS <3 MM
LOCATION SIA(D) NO OF PTS
TEMPORAL 0.5 5
NASAL 0.0 0
SUPERIOR 0.0 0
INFERIOR 0.0 0
SUP TEMP 0.3 1
INF TEMP 0.0 0
OVERALL SIA 0.47 6