Greetings!
The iTrace can take the mystery out of post-op surprises, such as residual astigmatism resulting even when the axis was exactly where your calculator suggested. In this
video
,
Ray Sievert presents a case of a post-op toric complication in which the patient was left with residual astigmatism and the lens where it was "supposed" to be placed.
THINGS TO LOOK FOR IN THIS TEACHING:
- Efficiency in mapping a patient that is not dilated to check the toric axis and the effective lens power.
- Did the Toric move or is it just in the wrong place?
- How did that happen?
THINGS TO CONSIDER WHILE YOU ARE WATCHING:
- What various methods do you use to optimize toric results?
- How fastidious are you with your “K” readings?
- How do you go back to square one on toric lenses to figure out which variable let you down?
- Is it the cylinder power that is off or the axis location?
- Is it your targeting, the lens moving, or something else?
THINGS TO CONSIDER STUDYING IN YOUR PRACTICE:
Spherical Equivalent plano patients should be a red flag for possible rotations of post-op Toric IOLs. Go back and find these patients and run them on the iTrace. See how much sphere/cylinder you could have fixed if you had sought perfection!
Look for our next iTrace U email in your inbox soon, but if you want more now you can always visit our
online library
. Also, we encourage you to invite your colleagues to iTrace U! Send them
here
to sign up!
