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Management of anisometropy in refractive surgery

Poster Details


First Author: S.Benmoussa ALGERIA

Co Author(s):                     

Abstract Details

Purpose:

When recruiting patients in refractive surgery, a minority is represented by anisometropia; The proposed solution to perform a subtractive surgery (Excimer Laser) on one eye and an addictive surgery on the other eye (myopic implant) is well tolerated with a satisfaction of the candidate in refractive surgery.

Setting:

private clinic in constantine algeria

Methods:

After a complete ophthalmologic examination, a refractive surgery assessment includes a pentacam-type corneal topography Aberometry, Ultrasonic and Optical Pachymetry. , specular microscopy, echobiometry (ACD, implant calculation), white-to-white (WTW). The schwind 750 S excimer laser platform combined with sirius for personalized Trans-PKR treatment. The myopic implant used is the ICL V4C with  early recovery of visual acuity and easy postoperative evaluation. Number of patients 199 Duration 24 months 2017-2018 The goal: to correct anisometropy with: - Excimer laser on one eye - Myopic implant on the other eye

Results:

By sex: 58% female sex                           42% male A bilateral excimer laser 134 is 67% A myopic implant 44 is 22% Discussion One excimer laser on one eye and myopic implant on the other eye 21 or 11% Anisometropia accounts for 11% of our recruitment, the management of the solution with subtractive surgery for one eye and additive surgery for the other represents an adequate solution is well tolerated for the patient

Conclusions:

In the absence of amblyopia the solution of the treatment of refractive surgery by: - Excimer laser correction on one eye and placement of ICL the other eye represents a compromised solution - The comfort of the patient is assured, very satisfied, accepted the solution proposed for an adequate and durable binocular vision

Financial Disclosure:

None

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