SlideShare una empresa de 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

Más contenido relacionado

La actualidad más candente

Assessment & management of patients with cataract
Assessment & management of patients with cataractAssessment & management of patients with cataract
Assessment & management of patients with cataract
Hossein Mirzaie
 
Angle closure glaucoma
Angle  closure  glaucomaAngle  closure  glaucoma
Angle closure glaucoma
Samuel Ponraj
 
Post operative endophthalmitis
Post operative endophthalmitisPost operative endophthalmitis
Post operative endophthalmitis
Samuel Ponraj
 

La actualidad más candente (20)

Vitreous hemorrhage
Vitreous hemorrhageVitreous hemorrhage
Vitreous hemorrhage
 
Assessment & management of patients with cataract
Assessment & management of patients with cataractAssessment & management of patients with cataract
Assessment & management of patients with cataract
 
Cataract surgery
Cataract surgery Cataract surgery
Cataract surgery
 
AMBLYOPIA AND ITS MANAGEMENT
AMBLYOPIA AND ITS MANAGEMENTAMBLYOPIA AND ITS MANAGEMENT
AMBLYOPIA AND ITS MANAGEMENT
 
Aphakia
AphakiaAphakia
Aphakia
 
Iridodialysis repair
Iridodialysis repair  Iridodialysis repair
Iridodialysis repair
 
Angle closure glaucoma
Angle  closure  glaucomaAngle  closure  glaucoma
Angle closure glaucoma
 
Scleral fixation technique
Scleral fixation techniqueScleral fixation technique
Scleral fixation technique
 
Correction of ametropia
Correction of ametropiaCorrection of ametropia
Correction of ametropia
 
Hess charting
Hess chartingHess charting
Hess charting
 
Anterior segment OCT & UBM
Anterior segment OCT & UBMAnterior segment OCT & UBM
Anterior segment OCT & UBM
 
Ocular diagnostic dyes.pdf
Ocular diagnostic dyes.pdfOcular diagnostic dyes.pdf
Ocular diagnostic dyes.pdf
 
FUNDUS FLUORESCEIN ANGIOGRAPHY
FUNDUS FLUORESCEIN ANGIOGRAPHYFUNDUS FLUORESCEIN ANGIOGRAPHY
FUNDUS FLUORESCEIN ANGIOGRAPHY
 
Esotropia
EsotropiaEsotropia
Esotropia
 
Case report on keratoconus management
Case report on keratoconus managementCase report on keratoconus management
Case report on keratoconus management
 
Vitreous substitutes
Vitreous substitutesVitreous substitutes
Vitreous substitutes
 
Post operative endophthalmitis
Post operative endophthalmitisPost operative endophthalmitis
Post operative endophthalmitis
 
Binocular Indirect Ophthalmoscopy
Binocular Indirect OphthalmoscopyBinocular Indirect Ophthalmoscopy
Binocular Indirect Ophthalmoscopy
 
Pacg
PacgPacg
Pacg
 
Ocular hypertension
Ocular hypertensionOcular hypertension
Ocular hypertension
 

Similar 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
 

Similar 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
 
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...
 
Slide Deck For Cope Course 10 11 2010
Slide Deck For Cope Course 10 11 2010Slide Deck For Cope Course 10 11 2010
Slide Deck For Cope Course 10 11 2010
 

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.