Bioptic Surgery Kangnam Eyence Eye Clinic Woon Bong Jwa
Biopitcs Phakic IOL + LASIK, LASEK - Zaldivar (1999) Excellent option for - >-19D SE - significant astigmatism More reliable refractive results Decrease the risk of halos
Management of Astigmatism during & after ICL operation Incisional Astigmatic Procedure LASIK or LASEK Toric ICL
Incisional Astigmatic Procedure The change of incisional direction, size according to astigmatism during ICL op. Relaxing Incision after ICL op.
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
~ ICL op. patients 50 eyes, female : male = 23 : 6 (p) Preop. SE : ±3.37D (-4.5 ~ D) Preop. Astigmatism : ±1.21D (-0.5 ~ -6.25D) Incisional Astigmatic Procedure
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
Results of Incisional Astigmatic Procedure during ICL operation
The changes of spherical equivalent after ICL operation
The changes of astigmatism after incisional astigmatic procedure
The changes of vision after incisional astigmatic procedure
The changes of astigmatic amount after incisional astigmatic procedure
Complications during & after incisional astigmatic procedure Scant iris hemorrhage Corneal wound leak & dehiscence Infection – no Crystalline lens touch - no
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
Bioptics by LASEK ~ 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
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)
Results of LASEK after ICL operation
The changes of vision after LASEK operation (Bioptics)
The changes of astigmatism after LASEK operation (Bioptics)
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)
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