Arcuate Incisions During The Femtocataract Surgery.
Published 2023 - 41st Congress of the ESCRS
Reference: PO0446 | Type: Free paper | DOI: 10.82333/26xc-rv52
Authors: Andrey Solomatins* 1 , Jana Gertnere 1 , Maksim Solomatins 1 , Igors Solomatins 1
1Ophthalmology Department,Eye Center Riga,Riga,Latvia
Purpose
To assess the efficacy and safety of arcuate corneal incision in the treatment of small ranges corneal astigmatism. Today femtosecond laser can produce the arcuate incision high precisely that helps the astigmatic correction.
Setting
It was a prospective study, carried out in the Eye center Riga.
Methods
52 eyes with cataracts and corneal astigmatism ( > 0,55 D ) were treated with corneal arcuate incisions and FLACS methods. The UCDVA and CDVA, refraction spherical equivalent, and corneal astigmatism were measured ( using Pentacam) before, during 1 week, and 3 months after the surgery.
Results
The rate of postoperative spherical refraction equivalent was within ± 0,5 and ± 1,0D at 3 months ( 92% and 100% respectively). The mean length of the arcuate corneal incision was ( mkm) 5,58± 18,1( range: 20-85). The average preoperative corneal astigmatism was 1,58±0,77D, which decreased to 0,55±0,52D in the third month after surgery. Surgicalinducedastigmatism was1,35±0,33Dand lower than preoperative corneal astigmatism ( 1,75±0,77D).
±
Conclusions
Correcting corneal astigmatism in FLACS combined with the creation of arcuate incisions is a method of high safety and efficacy.