SlideShare uma empresa Scribd logo
1 de 43
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
 
 
Thank You

Mais conteúdo relacionado

Mais procurados

Management of paediatric cataract DrBP
Management of paediatric cataract DrBPManagement of paediatric cataract DrBP
Management of paediatric cataract DrBP
drbhushan17
 

Mais procurados (20)

Slit lamp ..
Slit lamp ..Slit lamp ..
Slit lamp ..
 
Retinoscopy
RetinoscopyRetinoscopy
Retinoscopy
 
Low Vision Aids
Low Vision AidsLow Vision Aids
Low Vision Aids
 
A scan biometry
A scan biometryA scan biometry
A scan biometry
 
Intracapsular Cataract extraction
Intracapsular Cataract extraction Intracapsular Cataract extraction
Intracapsular Cataract extraction
 
Aphakia
AphakiaAphakia
Aphakia
 
Direct & indirect ophthalmoscope
Direct & indirect ophthalmoscopeDirect & indirect ophthalmoscope
Direct & indirect ophthalmoscope
 
Test for stereopsis
Test for stereopsisTest for stereopsis
Test for stereopsis
 
Refractive surgery pdf
Refractive surgery pdf Refractive surgery pdf
Refractive surgery pdf
 
Direct & indirect ophthalmoscopy
Direct & indirect ophthalmoscopyDirect & indirect ophthalmoscopy
Direct & indirect ophthalmoscopy
 
Management of paediatric cataract DrBP
Management of paediatric cataract DrBPManagement of paediatric cataract DrBP
Management of paediatric cataract DrBP
 
Refraction and refractive errors
Refraction and refractive errorsRefraction and refractive errors
Refraction and refractive errors
 
Binocular Single Vision Tests
Binocular Single Vision TestsBinocular Single Vision Tests
Binocular Single Vision Tests
 
Keratoconus
KeratoconusKeratoconus
Keratoconus
 
Assisting for sac syringing
Assisting for sac syringingAssisting for sac syringing
Assisting for sac syringing
 
Therapeutic contact lens
Therapeutic contact lensTherapeutic contact lens
Therapeutic contact lens
 
Heterophoria
HeterophoriaHeterophoria
Heterophoria
 
Myopia
MyopiaMyopia
Myopia
 
Means of IOP measurement
Means of IOP measurementMeans of IOP measurement
Means of IOP measurement
 
Biometry: Iol calculation
Biometry: Iol calculation Biometry: Iol calculation
Biometry: Iol calculation
 

Semelhante a Pre And Postoperative Care Of The Modern Cataract Patient

Optical Biometry Measurements For Future Iol’S
Optical Biometry Measurements For Future Iol’SOptical Biometry Measurements For Future Iol’S
Optical Biometry Measurements For Future Iol’S
meikocat
 

Semelhante a Pre And Postoperative Care Of The Modern Cataract Patient (20)

EDOF IOL
EDOF IOLEDOF IOL
EDOF IOL
 
Co management with o ds2
Co management with o ds2Co management with o ds2
Co management with o ds2
 
Cataracts
CataractsCataracts
Cataracts
 
Cataract
CataractCataract
Cataract
 
The Right Contact
The Right ContactThe Right Contact
The Right Contact
 
The Right Contact
The Right ContactThe Right Contact
The Right Contact
 
Premium oils intraoperative consideration
Premium oils intraoperative considerationPremium oils intraoperative consideration
Premium oils intraoperative consideration
 
Richarld L. Lindstrom MD
Richarld L. Lindstrom MDRicharld L. Lindstrom MD
Richarld L. Lindstrom MD
 
Managing Premium Intraocular Lenses
Managing Premium Intraocular LensesManaging Premium Intraocular Lenses
Managing Premium Intraocular Lenses
 
Optical Biometry Measurements For Future Iol’S
Optical Biometry Measurements For Future Iol’SOptical Biometry Measurements For Future Iol’S
Optical Biometry Measurements For Future Iol’S
 
Alcon hayderabad premium slide show
Alcon hayderabad premium slide showAlcon hayderabad premium slide show
Alcon hayderabad premium slide show
 
Dissatisfied patient after cataract surgery: How to Avoid
Dissatisfied patient after cataract surgery: How to AvoidDissatisfied patient after cataract surgery: How to Avoid
Dissatisfied patient after cataract surgery: How to Avoid
 
Advances in presbyopia treatment
Advances in presbyopia treatmentAdvances in presbyopia treatment
Advances in presbyopia treatment
 
International Journal of Ophthalmology & Vision Research
International Journal of Ophthalmology & Vision ResearchInternational Journal of Ophthalmology & Vision Research
International Journal of Ophthalmology & Vision Research
 
Ptedfemtosecond
PtedfemtosecondPtedfemtosecond
Ptedfemtosecond
 
National Ocular Biometry Course (NOBC) 2015 An echoslide presentation
National Ocular Biometry Course (NOBC) 2015 An echoslide presentation National Ocular Biometry Course (NOBC) 2015 An echoslide presentation
National Ocular Biometry Course (NOBC) 2015 An echoslide presentation
 
A Scan- Basics and Update
A Scan- Basics and UpdateA Scan- Basics and Update
A Scan- Basics and Update
 
Presbyopia
PresbyopiaPresbyopia
Presbyopia
 
Multifocal iols
Multifocal iolsMultifocal iols
Multifocal iols
 
Visual acuity and patient satisfaction results with a new trifocal diffractiv...
Visual acuity and patient satisfaction results with a new trifocal diffractiv...Visual acuity and patient satisfaction results with a new trifocal diffractiv...
Visual acuity and patient satisfaction results with a new trifocal diffractiv...
 

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
  • 2.
  • 3.
  • 4.
  • 5.
  • 6.
  • 7.
  • 10.
  • 11.
  • 12.
  • 13.
  • 14.
  • 15.
  • 16.
  • 17.
  • 18.
  • 19.
  • 20.
  • 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
  • 28.
  • 30.
  • 31.
  • 32.
  • 33.
  • 34.
  • 35.
  • 36.
  • 37.
  • 38.
  • 39.
  • 41.  
  • 42.