bioptic surgery kangnam eyence eye clinic woon bong jwa
TRANSCRIPT
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Bioptic Surgery
Kangnam Eyence Eye Clinic Woon Bong Jwa
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Biopitcs Phakic IOL + LASIK, LASEK - Zal
divar (1999) Excellent option for - >-19D SE - significant astigmatism More reliable refractive results Decrease the risk of halos
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Management of Astigmatism during & after
ICL operation
Incisional Astigmatic Procedure
LASIK or LASEK
Toric ICL
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Incisional Astigmatic Procedure
The change of incisional direction, size according to astigmatism during ICL op.
Relaxing Incision after ICL op.
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CCI on the direction of WTR astigmatism by preop. MR, Topo.
Incisional size (by Astigmatism) – 3mm : < 1D
– 3.5mm : < 1.5D – 4mm : < 2D – 4.5mm : >2D
Incisional Astigmatic Procedure
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2005. 1 ~ 2005. 2 ICL op. patients 50 eyes , female : male = 23 : 6 (p) Preop. SE : -10.69±3.37D (-4.5 ~ -20.38D) Preop. Astigmatism : -1.62 ±1.21D
(-0.5 ~ -6.25D)
Incisional Astigmatic Procedure
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Topical anesthesia Superior CCI ( 3mm ~ 4.5mm) ICL insertion to A/C Rotation of ICL ICL haptic insertion Confirm of ICL centration Irrigation & wound adhesion
Incisional Astigmatic Procedure
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Incisional Astigmatic Procedure
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Results of Incisional Astigmatic Procedure during ICL operation
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The changes of spherical equivalent after ICL operation
-10.69
-0.16 -0.21 -0.22
-12
-10
-8
-6
-4
-2
0
Pre ICL 2wks 1M 3M
T ime after ICL op.
Dio
pte
rs
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1.62
0.52 0.41 0.45
0
0.4
0.8
1.2
1.6
2
2.4
2.8
Dio
pte
rs
Preop. 2wks 1M 3MT ime after incisional astigmatic procedure
The changes of astigmatism after incisional astigmatic procedure
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0
0.2
0.4
0.6
0.8
1
1.2
1.4
Dio
pte
rs
Preop 2wks 1M 3M
T ime after incisional astigmatic procedure
NVA BCVA
The changes of vision after incisional astigmatic procedure
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0
0.5
1
1.5
2
2.5
3
3.5
Dio
pte
rs
Pre ICL 2wks 1M 3M
T ime after incisional astigmatic procedure
3mm3.5mm4mm4.5mm
The changes of astigmatic amount after incisional astigmatic procedure
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Complications during & after incisional astigmatic procedure
Scant iris hemorrhage
Corneal wound leak & dehiscence
Infection – no
Crystalline lens touch - no
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Easy & safe procedure
Fast recovery of naked vision
Increased patient’s satisfaction
No intra & post op. complications
Stable refractive results
Effective to 2.0D below astigmatism
Conclusions of incisional astigmatic procedure during ICL operation
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Bioptics by LASEK 2003. 10 ~ 2004. 11 Bioptics patients 43 eyes, female : male = 14 : 4 (p) Pre ICL SE : -9.49±2.12D (-5.25~-11.25) Pre ICL Astigmatism : -2.27±1.12D (-1.00~-4.00) Post ICL SE : +0.33±0.39D Post ICL Astigmatism : -2.36±0.71D Interval to LASEK after ICL operation : 4.65±2.63m
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Horizontal axis marking
20% alcohol soaking : 15 sec. Excimer laser ablation (Visx star S4) Cold saline irrigation T-lens & 5% NaCl qid
LASEK procedure (Bioptics)
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Results of LASEK after ICL operation
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0
0.2
0.4
0.6
0.8
1
1.2
1.4
Dio
pte
rs
PreICL
PostICL
LASEK2wks
LASEK1M
LASEK3M
LASEK6M
T ime after Bioptics
NVABCVA
The changes of vision after LASEK operation (Bioptics)
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2.27 2.36
0.730.55
0.38 0.27
0
0.5
1
1.5
2
2.5
Dio
pte
rs
PreICL
PostICL
LASEK2wks
LASEK1M
LASEK3M
LASEK6M
T ime after Bioptics
The changes of astigmatism after LASEK operation (Bioptics)
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Striate keratopathy – next F/U day
Delayed wound healing - no
Corneal opacity - no
Steroid induced ocular HT - no
Complications of LASEK after ICL operation (Bioptics)
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Conclusions of LASEK after ICL operation (Bioptics)
Accurate correction results
Increased patient’s satisfaction
No intra & post op. complications
Stable refractive results
Effective to all ranged astigmatism