Pre And Postoperative Care Of The Modern Cataract Patient

Dr. Dean Dornic
Dr. Dean DornicPhysician em Laser Eye Center of Carolina
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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