Victus英文7. Arcuate Incisions.pptxVIP

Arcuate Incisions;Refers to transverse arc incisions (usually 2) Astigmatism is treated with cutting arcs into the cornea on the steep axis ;;Use Nomogram to calculate radius, opening- and position angles of cuts Use energy around 1200 nJ Spot Spacing: 5.0 μm, Line Spacing: 2.0 μm Low Cylinder Cases (0.5 – 2 dpt), use Donnenfeld-Nomogram and the LRI-Calculator: / Higher Cylinder Cases use Bascom-Palmer-Nomogram or toric lens ;LRI-Calculator;LRI-Calculator;LRI-CalculatorIt looks like this…;LRI-CalculatorVictus Treatment;LRI-Calculator;Diameter is always 8.5 mm when Donnenfeld is used Opening angle of 35° reduced by 30% and round up to 25° Position angle always steep axis (87° and 87°+180°) Depth always 80% of pachymetrie when Donnenfeld is used (80% of 570 μm = 456 μm, but only steps of 5 μm can be entered);LRI-Calculator;12;Bascom-Palmer-Nomogram(For AK without previous PKP);Bascon-Palmer-Nomogram;First calculate the age related cylinderchange: Age of patient: 73 From 30 yrs to 50 yrs = 20 yrs * 0.05 D = 1.0 D From 50 yrs to 73 yrs = 23 yrs * 0.025 D = 0.575 D Age related cylinder change: 1.0 D + 0.575 D = 1.575 D Initially 4 D – 1.575 D = 2.425 D of astigmatism to correct Look up 2.425 D in table to get values: ;16;17;18;Some Hints AK;Thank you for your attention!