ESCRS - PO524 - To Report A First Experience Of Femtosecond-Laser Assisted Cataract Surgery With Laser-Assisted Limbal Relaxing Incisions For Astigmatism Reduction

To Report A First Experience Of Femtosecond-Laser Assisted Cataract Surgery With Laser-Assisted Limbal Relaxing Incisions For Astigmatism Reduction

Published 2024 - 42nd Congress of the ESCRS

Reference: PO524 | Type: Poster | DOI: 10.82333/pv3r-5h46

Authors: Maksim Solomatin 1 , Igors Solomatins 1 , Andrei Solomatin* 1 , Jana Gertnere 1

1The Dr Solomatin eye center,Riga,Latvia

Purpose

To report a first experience of femtosecond limbal relaxing incisions procedure while performing cataract surgery to reduce the astigmatism.

Setting

A female patient, 58 YO, complained of poor distant vision acuity. BCVA OD -6.50 d sph -0.75 d cyl ax 115=1.0 OS -8.75 d sph -0.75 d cyl ax 170=1.0 Keratometry data (Pentacam, cornea front ) OD K1 45.5D K2 46.6D Astig. 1.1 D; OS K1 45.8D k2 47.3 Astig. 1.5D.   Ziemer Z8 femtosecond laser and Alcon Centurion were used during cataract surgery. Zeiss IOL Master 500 was used calculating the IOL power.

Methods

Femtosecond-laser assisted cataract surgery and femtosecond limbal relaxing incisions were performed on both eyes. IOL calculation was performed using Barrett Universal II formula, - 3.0D was chosen as target correction. 

Results

Surgeries were performed uneventfully.

BCVA 3 months after the surgery:

OD 0.2 cc - 2.50 d sph=1.2 OS 0.2 cc - 2.25 d sph -0.50 d cyl ax 5=1.2

Keratometry data (Pentacam, cornea front ) OD K1 46.1D K2 46.2D Astig. 0.1 D; OS K1 46.1D K2 47.1 Astig. 1.0D

 

Conclusions

Femtosecond limbal relaxing incisions is easy to perform, safe and effective procedure to minimize the corneal astigmatism.