Search PubMed⌕ Search
Home/Archive/PubMed

PubMed · 11507344

Astigmatism management: ablation patterns.

E A Davis·R L Lindstrom
View original source ↗Export metadata ↓

Abstract

Treatment of astigmatism is possible with the excimer laser. Results with this technology are more predictable and accurate than with incisional techniques. Ablation profiles differ for the various types of astigmatism, and the best approach is the one in which the least amount of tissue is removed from the cornea. Surgical success requires appropriate preoperative counseling, careful preoperative measurements, and meticulous intraoperative technique. Reported outcomes are excellent and future developments will lead to even better results.

Explore related subjects

AstigmatismCorneaHumansLasers, ExcimerPhotorefractive KeratectomyJournal ArticleReview

Keep this discovery

Explore connections, maps & timelines

BibTeXRIS

E A Davis, R L Lindstrom. 2001. Astigmatism management: ablation patterns.. https://doi.org/10.1097/00055735-200108000-00010

Cite the original work for its findings. Save a collection to share your selection of sources.

KEEP EXPLORING

Related citations

PubMed2007

Paraxial optics of astigmatic systems: relations between the wavefront and the ray picture approaches.

PURPOSE: The paraxial propagation of astigmatic wavefronts through astigmatic optical systems can be described by the augmented step-along method (ASAM). Its equivalence to the linear ray optics approach is considered in detail. METHODS: The ASAM is exploited to derive paraxial ray paths through a general coaxial astigmatic system. RESULTS: Starting from the information inherent in the ASAM all 2x2 submatrices rendering the general 4x4 transference of linear optics can be generated. This proves the complete equivalence of both approaches. Additionally, we show that the symplectic relations are automatically obeyed in the ASAM. CONCLUSIONS: The ASAM offers a complete alternative to describe the paraxial optics of astigmatic optical systems. According to the ASAM, an optical system is fully characterized by the back vertex vergence and the angular magnification matrix. Hence, a complete description of the paraxial optics of an eye should not only report the state of refraction but the angular magnification matrix as well, although it is not yet very common. The magnification matrix might be important in cases of anisometropia or the design of progressive addition lenses. Yet, a simple clinical procedure to determine the angular magnification matrix is missing.

Astigmatism↗
PubMed2007

Status of toric intraocular lenses.

PURPOSE OF REVIEW: To provide an update on the status of toric intraocular lenses. These lenses can be used as an alternative or adjunct to corneal astigmatic incisions for correcting preexisting astigmatism in patients with cataracts. They are a particularly attractive option in those cases where limbal-relaxing incisions are not powerful or predictable enough. Other toric lenses may correct astigmatism in addition to spherical refractive errors in phakic patients. RECENT FINDINGS: Toric lenses have continued to gain popularity with the US Food and Drugs Administration (FDA) approval of the Acrysof Toric intraocular lenses. This lens is designed to be implanted in patients undergoing cataract removal and who have significant preexisting corneal astigmatism. In the FDA clinical trial, study patients received one of the three cylindrical powers, and control patients received a standard monofocal intraocular lenses. The study found that the Acrysof Toric intraocular lenses provided excellent visual outcomes and exhibited excellent rotational stability. With the Acrysof Toric intraocular lenses, the average lens rotation was less than 4 degrees from the lens' initial placement at 6 months after surgery. SUMMARY: Toric intraocular lenses provide excellent vision for astigmatic cataract patients, and new designs are significantly improving visual acuity by minimizing the risk of rotation.

Astigmatism↗