Posters

Femtosecond laser-assisted arcuate corneal incisions associated with Panoptix IOL implantation in patients with low astigmatism

Poster Details

First Author: J. Gros-Otero SPAIN

Co Author(s):    V. Blazquez   B. Blanco   M. Garcia-Gonzalez   J. Garcia-Perez   L. Alvarez-Rementeria        

Abstract Details

Purpose:

Current models of Panoptix IOL do not offer astigmatism correction. Our aim was to study refractive and visual results after femtosecond laser assisted arcuate corneal incisions added to the implantation of Panoptix IOL after cataract surgery in patients with low astigmatism.

Setting:

Private practice, Madrid, Spain

Methods:

This is a prospective study. Patients with low astigmatism (corneal astigmatism lower than 1.50 diopters) that were scheduled for femtosecond laser assisted cataract surgery with Panoptix IOL were recruited. We performed the femtosecond laser assisted arcuate incisions suggested by the Verion arcuate incision nomogram. After phacoemulsification and IOL implantation, none of the arcuate incisions were opened in the operating room.

Results:

We included 29 eyes of 21 patients with mean age of 70,1 +/- 6,6 years. Preoperative astigmatism was 0.98 +/- 0.24 diopters (DP) measured by Verion, 0.94 +/- 0.42 DP measured by Pentacam and 0.95 +/- 0.29 DP measured by IOL Master. Postoperative astigmatism decreased 0.56 +/- 0.41 DP measured by Pentacam and 0.52 +/- 0.46 DP measured by IOL Master. This decrease stands for the surgical induced astigmatism (SIA). Those eyes with a spherical equivalent (SE) lower than 1 DP (24 eyes) obtained a visual acuity higher than 0.8 (decimal scale)

Conclusions:

Femtolaser assisted arcuate corneal incisions seems to have a low impact in astigmatic changes in patients with low astigmatism, if they are not opened. Topographic astigmatism between 0.5 and 1 diopter seems to be well accepted by Panoptix IOL as long as their SE is lower than 0.5 DP.

Financial Disclosure:

NONE