ΠΔΣΡΟ ΜΑΥΛΗΟΤ FRCS FEBO

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1 ΠΔΣΡΟ ΜΑΥΛΗΟΤ FRCS FEBO

2 Vision without astigmatism * Vision with astigmatism 1.5D 90 * Vision with astigmatism 3.0D 90 *

3 Quality of vision is deteriorated considerably by astigmatism No astigmatism 1.0 D astigmatism 2.0 D astigmatism

4 AcrySof IQ Toric IOL Newest monofocal IOL builds on long line of innovation from Alcon Takes the trusted platform for precise astigmatism correction and adds the enhanced image quality of an aspheric lens

5 AcrySof IQ Toric IOL Specifications Model Number SN6AT3 SN6AT4 SN6AT5 SN6AT6 SN6AT7 SN6AT8 SN6AT9 IOL Plane 1.5 D 2.25 D 3.00 D 3.75 D 4.50 D 5.25 D 6.00 D Optic Diameter Overall Length Optic Type IOL Powers Haptic Angulation 6.0 mm 13.0 mm Biconvex Toric Aspheric Optic +6.0 D to 30.0 D 0 degrees (planar) Haptic Configuration STABLEFORCE modified L haptic Suggest A-Constant Refractive Index 1.55 Light Filtration UV and Blue Light Provided as guideline only

6 AcrySof IQ Toric IOL Benefits Offers combined advantages of toricity and asphericity. Toricity Rotational stability Reduction of residual refractive cylinder Increased spectacle-independent distance vision Wide range of cylinder powers Asphericity Enhanced image quality Reduction in spherical and total higher order aberrations Increased contrast sensitivity Improved functional vision Thinner edge profile

7 Precise Astigmatism Correction AcrySof IQ Toric IOL offers cataract surgery patients with astigmatism: Reduction of residual refractive cylinder Improved uncorrected distance visual acuity Increased spectacle-independent distance vision

$Reduction of Residual Refractive Cylinder 63% of patients achieved 0.$

8 Reduction of Residual Refractive Cylinder 63% of patients achieved 0.50 diopters of residual refractive cylinder 1. 87% of patients achieved 1.00 diopters of residual refractive cylinder 1. AcrySof Single-Piece (SA60AT)

9 Improved Uncorrected Distance Visual Acuity 94% of patients implanted achieved uncorrected distance visual acuity of 20/40 or better 1. AcrySof Single-Piece (SA60AT)

10 Increased Spectacle-Independence for Unilateral Distance Vision Approximately 60% of unilateral patients implanted achieved spectacle-independent distance vision 1. AcrySof Single-Piece (SA60AT)

11 Rotational Stability IOL rotation can have significant impact on astigmatism correction. Generally, for every 1º of IOL rotation, 3.3% of lens cylinder power is lost 2. A complete loss of cylinder power can occur with a rotation of >30º 2.

12 Rotational Stability, continued AcrySof IQ Toric IOL ensures minimal rotation less than 4º average rotation 6 months after Implantation 1, % of patients were 5º of intended axis % of patients were 10º of intended axis 1.

13 Rotational Stability, continued Proven biomechanics and biomaterial ensure AcrySof IQ Toric IOL stays right where you want it. STABLEFORCE haptics keep IOL highly stable and centered in capsular bag 2. Flexible haptic design provides optimal placement in capsular bag, regardless of size 2. AcrySof lens materials binds to fibronectin.» Ensures adhesion to anterior/ posterior capsule 3

14 Cylinder Powers AcrySof IQ Toric IOL is designed to accommodate a variety of cataract patients with astigmatism.

15 Cylinder Powers, continued A wide range of cylinder powers means more candidates can benefit from AcrySof IQ Toric IOL. ALCON LENS MODELS Cylinder Power IOL Plane Corneal Plane* SN6AT3 SN6AT4 SN6AT5 SN6AT6 SN6AT7 SN6AT8 SN6AT D 2.25 D 3.00 D 3.75 D 4.50 D 5.25 D 6.00 D 1.03 D 1.55 D 2.06 D 2.57 D 3.08 D 3.60D 4.11 D Recommended Corneal Astigmatism Correction Range 0.75 D to 1.50 D 1.50 D to 2.00 D 2.00 D to 2.50 D 2.50 D to 3.00 D 3.00 D to 3.50 D 3.50 D to 4.00 D 4.00 D and up *Based on average pseudophakic human eye.

16 Benefits of AcrySof Aspheric Optics Clinical improvements demonstrated over spherical control lens: Improved Functional vision Increased Contrast Sensitivity Reduction of spherical aberration and total high order aberrations (HOAs)

17 Contrast Sensitivity* The aspheric design of AcrySof IQ IOL offers Improved contrast sensitivity for improved image quality. MTF Values 5 mm Aperture. Data for the SN6AT5, with cylinder power of 3.0 D at IOL plane 2.1 D at corneal plane

18 Enhanced Image Quality IOLs that correct some (but not all) spherical aberration result in vision similar to a young, natural crystalline lens. Spherical aberration in human eyes: 0.28 microns for populations with normal vision 5. AcrySof IQ IOL: Corrects about.20 microns of spherical aberration. Designed to leave a residual ~0.08 microns. AcrySof IQ Toric IOL is designed with a similar level of spherical aberration correction.

19 Η εμθςηεςζη ηος Σοπικών IOL εσει 3 λεπηα ζημεία 1. Τπολογιζμόρ IOL (Online Calculator) 2. ήμανζη ηος μαηιού 3. Εςθςγπάμμιζη ηος ΙΟL

20 Step 1: Choose AcrySof IQ Toric IOL Calculator

21 Πποεγσειπηηικά οδηγά ζημεία Σοποθεηούνηαι ζηο limbus ζε δςο ζημεία 180 μοίπερ μεηάξς ηοςρ (3 / 9 ωπερ) με ηον toric reference marker. Ο αζθενηρ καλύηεπα καθιζηόρ ( cyclotorsion) ΠΔΣΡΟ ΜΑΥΛΗΟΤ FRCS OMMA 2011

22 ΜΑΡΚΑΡΗΜΑ ΑΝΑΦΟΡΑ

23 ΠΔΣΡΟ ΜΑΥΛΗΟΤ FRCS OMMA 2011

24 ΠΔΣΡΟ ΜΑΥΛΗΟΤ FRCS OMMA 2011

25 Reference Marks Reference Marks Axis Marks Axis Marks ΠΔΣΡΟ ΜΑΥΛΗΟΤ FRCS OMMA 2011

26 ΑΞΟΝΗΚΟ ΜΑΡΚΑΡΗΜΑ ΓΗΑ ΣΖΝ ΘΔΖ ΣΟΤ ΦΑΚΟΤ

27 1. Αδπή εςθςγπάμμιζη 2. Αθαίπεζη ιξωδοελαζηικος 3. Σελική εςθςγπάμμιζη

28 AcrySof IQ Toric IOL 3 βήμαηα για ηην εςθςγπάμμιζη ηος IOL: 1. Αδπή εςθςγπάμμιζη Πεπιζηποθη ηος IOL clockwise πεπιπος 15 to 20 μοιπερ ππιν απο ηην ιδανικη θεζη. Ππαγμαηοποιήζηε ηοςρ σειπιζμοςρ οζο ο IOL ξεδιπλώνεηαι.

29 AcrySof IQ Toric IOL 3 βήμαηα για ηην εςθςγπάμμιζη ηος IOL: 2. Αθαίπεζη ιξωδοελαζηικού Πποζεκηική αθαιπεζη ηος Η/Δ απο ηην πποζθια και οπιζθια επιθανεια ηος IOL Πποζοσή να μη μεηακινηθεί ο IOL καηα ηη I/A

30 AcrySof IQ Toric IOL 3 βήμαηα για ηην εςθςγπάμμιζη ηος IOL: 3. Σελική εςθςγπάμμιζη Πεπιζηποθή και ηοποθέηηζη ηος IOL ζηη ζωζηή θέζη (άξονα)

31 ΠΔΣΡΟ ΜΑΥΛΗΟΤ FRCS OMMA 2011 Αξοναρ κεπαηοειδή Αζηιγμαηικορ κεπαηοειδηρ Αξοναρ IOL Toric IOL

32 Surgical Tips Ensuring Optimal Results 1. Round, center rhexis smaller than the optic (CCC 5-5,5mm) 2. Removal of the viscoelastic from behind the optic 3. Seat the lens against the posterior capsule ΠΔΣΡΟ ΜΑΥΛΗΟΤ FRCS OMMA 2011

33 Chose the demanding eye to start In case of PC rupture 1 st eye convert to plain refrative IOL In case of rupture 2 nd eye ensure optimal centration of lens (sulcus) Reconsider lens power

35 ΠΟΗΟΣΖΣΑ ΣΟΜΖ ΜΔΓΔΘΟ ΚΑΦΟΤΛΟΡΖΞΖ ΚΑΣΑΣΑΖ ΕΖΝΝΔΗΟΤ ΕΧΝΖ ΚΔΝΣΡΑΡΗΜΑ ΔΝΓΟΦΑΚΟΤ ΑΦΑΗΡΔΖ ΗΞΧΓΟΔΛΑΣΗΚΟΤ ΔΤΘΤΓΡΑΜΜΗΖ ΚΤΛΗΝΓΡΟΤ ΣΟΤ ΦΑΚΟΤ ΑΝΣΗΜΔΣΧΠΗΖ ΑΣΗΓΜΑΣΗΜΟΤ

36 ΚΔΝΣΡΑΡΗΜΑ ΔΝΓΟΦΑΚΟΤ ΜΔΣΔΓΥΔΗΡΖΣΗΚΟ ΑΣΗΓΜΑΣΗΜΟ ΜΔΣΑΚΗΝΖΖ-ΠΔΡΗΣΡΟΦΖ ΣΟΤ ΚΤΛΗΝΓΡΟΤ ΟΠΗΘΗΑ ΚΑΦΑ ΚΤΣΟΔΗΓΔ ΟΗΓΖΜΑ ΧΥΡΑ (ΤΠΟΚΛΗΝΗΚΟ) ΤΣΖΜΗΚΑ ΠΡΟΒΛΖΜΑΣΑ ΠΡΟΑΡΜΟΓΖ

38 Driven by patients. Driven by design.

39 Image. Plan. Guide. VERION Reference Unit VERION Digital Marker VRN13037SK-i

40 Image. Plan. Guide. The VERION Digital Marker can be used with the LenSx Laser as well as most surgical microscopes. With LenSx Laser: With OR Microscope: VRN13018SK-i

41 VRN13037SK-i

42 VRN13037SK-i

43 VRN13037SK-i

44 VRN13037SK-i

45 VRN13037SK-i

46 VRN13037SK-i

47 ΜΔΣΔΓΥΔΗΡΖΣΗΚΟ ΑΣΗΓΜΑΣΗΜΟ Δ ΝΈΟ ΑΞΟΝΑ (και ηι κάνοςμε? ROTATION vs LASER

48 (ζσεδόν) ΠΑΝΣΑ ROTATION

49 ΟΙ ΣΟΡΙΚΟΙ ΕΝΔΟΦΑΚΟΙ ΕΊΝΑΙ ΑΞΙΟΠΙΣΟΙ, ΥΧΡΙ ΣΕΥΝΙΚΕ ΔΤΚΟΛΙΕ, ΤΓΥΧΡΟΤΝ ΚΑΙ ΕΊΝΑΙ Η ΚΑΛΤΣΕΡΗ ΕΙΑΓΧΓΗ ΣΟΤ ΦΑΚΟΤ ΤΦΗΛΗ ΣΕΥΝΟΛΟΓΙΑ.

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