Toric IOL case selection, !

Pearls for Success!!

Ismail Hamza, ASU, Cairo

Dr. Ismail Hamza

1. Do we need to correct astigmatism?

2. For whom?

3. What to target in “astigmatism management”?

4. How to correct it?

5. What about the other eye if already aphakic and astigmatic?

Year 2013, Toric cases

Distribution of Pre-operative Corneal Astigmatism in our cohort

Grand Total

Astigmatism assessment [Confirm magnitude and axis]

• Magnitude reliability order:

1. Manual.

2. IOL master.

3. Topographic.

• Axis reliability order:

1. Topographic central 3.0 mm

2. IOL master.

3. Manual.

Prognosis

Over-correctUnder-correct

5 Pearls• How to select?

• Pearls for the Preoperative preparation?

1. Biometry.

2. SIA.

3. Astigmatism assessment [Confirm magnitude and axis].

4. Topography to confirm regular astigmatism & prognosis.

5. Power availability.

–Ismail Hamza

“Thank you for your attention”