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العنوان
The value of Femtosecond Laser Assisted Intrastromal Astigmatic Keratotomy in correction of astigmatism during Femtosecond Laser Assisted Cataract Surgery/
المؤلف
Mohamed,Mostafa Emad El Deen Hussien
هيئة الاعداد
باحث / مصطفى عماد الدين حسين محمد
مشرف / اسماعيل ابراهيم حمزه
مشرف / احمد حسن عساف
مشرف / تامر فهمى عليوه
تاريخ النشر
2016
عدد الصفحات
132.p:
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
طب العيون
تاريخ الإجازة
1/1/2016
مكان الإجازة
جامعة عين شمس - كلية الطب - Ophthalmology
الفهرس
Only 14 pages are availabe for public view

from 128

from 128

Abstract

Astigmatism (> 0.5 diopters) is a commonly encountered refractive error, accounting for about 13 % of the refractive errors of the human eye. It is estimated that 15% to 29% of patients presenting for cataract surgery have more than 1.50 D of corneal astigmatism.
we conducted this study to evaluate the safety and efficacy of single intrastromal astigmatic keratotomy during FLACS. Both control and ISAK groups showed a statistically significant improvement of UCVA and BCVA postoperatively. The ISAK showed a statistically significant decrease in refractive and topographic astigmatism postoperatively by correction index of 81%. The magnitude of error and correction index of ISAK suggested undercorrection of this technique. Both groups did not show a significant change in corneal aberrations postoperatively.
We recommend using femtosecond laser in doing astigmatic keratotomy (AK). Intrastromal AK is less than penetrating AK in reduction of corneal astigmatism but with high safety profile (no wound gap, inflammation) and high patient satisfaction. We ‬believe ‬the ‬astigmatic ‬effect ‬can ‬be ‬increased ‬as we refine the nomogram and use paired incisions instead of one.‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬
Keywords
FLACS Femtosecond Laser Assisted Cataract Surgery
FSAK Femtosecond Laser-Assisted Astigmatic Keratotomy
ISAK Intrastromal Arcuate Keratotomy
AK Astigmatic Keratotomy
SIA Surgically Induced Astigmatism