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Pre and Postoperative Care of the Modern Cataract Patient Dean Dornic, MD Laser Eye Center of Carolina
Disclosures ,[object Object],[object Object]
Disclosures ,[object Object]
History of Intraocular Lenses ,[object Object],[object Object],[object Object]
Vindication ,[object Object],[object Object]
Evolution of IOLs ,[object Object]
Better Refractive Outcomes ,[object Object],[object Object],[object Object],[object Object]
A-scan biometry
Immersion Ultrasound
Potential Problems in Accurately Picking an IOL ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Potential Problems in Accurately Picking an IOL ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Important Points ,[object Object],[object Object],[object Object]
Choosing A Refractive Target ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
How to Choose ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
The Accomodating IOL Crystalens ,[object Object],[object Object],[object Object],[object Object]
Important Considerations ,[object Object],[object Object],[object Object],[object Object],[object Object]
Bottom Line on Crystalens ,[object Object],[object Object],[object Object],[object Object]
The Array and ReZoom ,[object Object],[object Object],[object Object]
Side Effects of Multifocals ,[object Object],[object Object]
What is the AcrySof ®  ReSTOR ®  IOL? ,[object Object]
Anatomy of the Apodized Diffractive IOL Step heights decrease peripherally from 1.3 – 0.2 microns  A +4.0 add at lens plane equaling +3.2 at spectacle plane Central 3.6 mm diffractive structure
Theoretical Total Energy Balance at 550 nm for AcrySof ®  ReSTOR ®  Apodized Diffractive Optic Smaller steps  further out direct less light to near Grossly magnified schematic . Larger steps at lens center divide  light equally between two images 0 0.1 0.2 0.3 0.4 0.5 0.6 0.7 0.8 0.9 1 1 2 3 4 5 6 Pupil Diameter (mm) @ 550 nm Relative Energy Distance Focus Near Focus
AcrySof® ReSTOR® IOL FDA Clinical Study Results
Strengths of the AcrySof ®  ReSTOR ®  IOL ,[object Object],[object Object],[object Object]
Binocular Defocus Curve - A Full Range of Vision ®
If you understood all graphs
Visual Disturbances  120-180 Days Post-Operative Night Vision  Problems Halos Glare AcrySof ® ReSTOR ®  IOL N=457 Monofocal Control N=156 None/Mild Moderate Severe
Summary of  AcrySof ®  ReSTOR ®  IOL ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Acrysof Toric IOL
Available Powers ,[object Object],[object Object],[object Object],[object Object]
Patient Selection ,[object Object],[object Object],[object Object]
Who should be offered a Toric IOL ,[object Object],[object Object],[object Object],[object Object]
Keys to Success with Presbyopia Correcting IOLs ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Keys to Success ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Which Cataract Patients Should Be Offered A Multifocal IOL? ,[object Object],[object Object],[object Object],[object Object],[object Object]
Patient Selection Pre-operative Considerations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Patient Selection Pre-operative Exclusion Criteria ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Trouble Shooting ,[object Object],[object Object],[object Object],[object Object]
Trouble Shooting ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Capsular Tension Rings
 
 
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Pre And Postoperative Care Of The Modern Cataract Patient

  • 1. Pre and Postoperative Care of the Modern Cataract Patient Dean Dornic, MD Laser Eye Center of Carolina
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  • 21. Anatomy of the Apodized Diffractive IOL Step heights decrease peripherally from 1.3 – 0.2 microns A +4.0 add at lens plane equaling +3.2 at spectacle plane Central 3.6 mm diffractive structure
  • 22. Theoretical Total Energy Balance at 550 nm for AcrySof ® ReSTOR ® Apodized Diffractive Optic Smaller steps further out direct less light to near Grossly magnified schematic . Larger steps at lens center divide light equally between two images 0 0.1 0.2 0.3 0.4 0.5 0.6 0.7 0.8 0.9 1 1 2 3 4 5 6 Pupil Diameter (mm) @ 550 nm Relative Energy Distance Focus Near Focus
  • 23. AcrySof® ReSTOR® IOL FDA Clinical Study Results
  • 24.
  • 25. Binocular Defocus Curve - A Full Range of Vision ®
  • 26. If you understood all graphs
  • 27. Visual Disturbances 120-180 Days Post-Operative Night Vision Problems Halos Glare AcrySof ® ReSTOR ® IOL N=457 Monofocal Control N=156 None/Mild Moderate Severe
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