1. TORIC IOL’S Do we need them? Frank goes frank@goes.be
Escrs 2011

2. TORIC IOL’S OR FEMTOLASIK AS A REDO TOOL
OR INCISION MODULATION TRY TO AVOID THE NEED
OR A COMBINED APPROACH OF BOTH PRINCIPLES
Escrs 2011

3. SURGERY IOL CHOICE IOL POWER CALCULATION
Escrs 2011

4. OUR EXPERIENCE MOSTLY LASER CORRECTION
VISUMAX FEMTOLASIK SINCE 2 YEARS
BUT
Escrs 2011

5. -12 SF -4.5 cyl. AXIS 135 OD -11 SF -3.5 cyl.axis 75 OS
HOW TO APPROACH CASE I
-12 SF -4.5 cyl. AXIS 135 OD -11 SF -3.5 cyl.axis 75 OS
Escrs 2011

6. ARTIFLEX TORIC
Escrs 2011

7. OPHTEC ARTIFLEX TORIC ENCLAVATION NEEDLE AND SPATULA
Escrs 2011

8. ANIMATIE
Escrs 2011

9. VERY HAPPY PATIENT
UNCORRECTED
OD O.9 20/22
OS O.9 20/22
Escrs 2011

10. CANDIDATE MULTIFOCAL IOL. CASE. II OD SF+6 cyl -5. 5 axis 85°. 0S
CANDIDATE MULTIFOCAL IOL ???????? CASE II OD SF+6 cyl -5.5 axis 85° 0S SF +5.5 cyl -6 axis 95°
Escrs 2011

11. TECNIS MF OO
HIGHLY MOTIVATED TO BECOME SPECTACLE FREE
Escrs 2011

12. 1. TEMPORAL INCISION PLACEMENT 2. SECOND INCISION OPPOSITE SIDE 3
1.TEMPORAL INCISION PLACEMENT 2.SECOND INCISION OPPOSITE SIDE 3.LARGER INCISION 4.FOLLOWED BY LASIK 00
Escrs 2011

13. A VERY HAPPY PATIENT SPECTACLE FREE FOR DISTANCE AND FOR NEAR
VERY BUSY BUSINESSMAN
ON THE PLANE AT LEAST ONCE A WEEK
Escrs 2011

14. CASE III OD +6 CYL -6 AXIS 115 OS +6 CYL -6 AXIS 95 ACRILISA TORIC
OD D
OS D
Escrs 2011

15. CARL ZEISS AT LISA toric 909M
World first toric multifocal MICS IOL
Flagship product for CZM
absolutely unique
AT LISA toric 909M combines the excellent
optical performance of AT LISA and reliable
astigmatsim correction of AT TORBI™ 709M
in one iol
Carl Zeiss calculates the power of AT LISA
toric 909M for optimal surgery outcome
Escrs 2011

16. PREOP PREOP POSTOP OD OS UCVA 0.2 0.6
BCVA 0.9/sf.+5 cyl -6 axis / -0.5 cyl.-1 axis 120 OS
UCVA
BCVA 0.8/sf+6 cyl.-6 axis / -1 axis 65
Escrs 2011

17. AT LISA toric 909M Toric (anterior surface)
Bifocal (posterior surface)
SMP technology (smooth micro phase
technology)
Aberration neutral
Easy handling
Implantable via injector, 1,5mm incision size
Plate haptics
For capsular bag implantation
Calculated indivudually
Cyl.: +1.0 to D
Diopter: to +32.0D
Injector system: A2-2000/A (single use)
Cartridge: ACM2/ACM3
A constant iolmaster (optic): 118,3
Escrs 2011

18. AT LISA toric 909M Total diameter: 11 mm Optic diameter: 6 mm
Design: square edged optic and haptic
Optic design: toric, bifocal, equiconvex,
aberration-free
Material: foldable acrylate with 25% water
content, hydrophobic surface, UV-absorber
Escrs 2011

19. Wanted Improvement !!!!!! FEMTOLASIK OO
ENDPOINT UCVA
OD 1.0
OS 1.0
Escrs 2011

20. OUR EXPERIENCE FEMTOLASIK AS A TOUCH UP AFTER PREVIOUS REFRACT IVE LENS SURGERY
Escrs 2011

21. REASON FOR TOUCH UP WITH LASIK
Patient dissatisfaction
Discuss beforehand to pay or not to pay
When Improvement possible
Exclude all other pathology
Escrs 2011

22. PRE POST LASIK UCVA 47 EYES
Escrs 2011

23. PRE POST LASIK BCVA 47 EYES
Escrs 2011

24. LOSS GAIN OF LINES OF BCVA
LOSS OF MORE THAN ONE LINE:not one eye
GAIN OF MORE THAN ONE LINE: 4 eyes
Escrs 2011

25. INDICATION Refractive outcome different from plano.
Sf.Eq.Myopia in 60%
Sf.Eq.hyperopia in 40%
Astigmatism > 1 dptr. in 64% of the eyes
Escrs 2011

26. When Astigmatism was present it was Against the rule in 70%
When Astigmatism was present it was Against the rule in 70% With the rule in 30%
Escrs 2011

27. TORIC IOL’S No doubt for important astigmatism Minor deviations sometimes better predictability with Femtolasik
Escrs 2011

28. Thanks for the Attention
Escrs 2011