2001 May 18 to 19 4th Sursee EyeSurgery Meeting

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2001 May 18 to 194th Sursee Eye-Surgery Meeting
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3rd Sursee Eye-Surgery MeetingSafety and Long
Term Results in Refractive Surgery

• M. Bianchetti, MD U. Thomann, MD
• K. Heldstab, MD D. Thumm, MD

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3rd Sursee Eye-Surgery MeetingSynopsisand
Closing Remarks

• M. Bianchetti, MD

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Dr. med. U. Thomann

• Patients expect at least 20/25 (0.8) Vision to be
  happy with the result of refractive surgery.
• In addition they expect stability of vision and
  safety on long term.

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Dr. med. E. Haefliger

• Customised Treatment
• Corneal Topography
• Aberrometry and Corneal Topography
• Problems Variation of measurement
• Only for specific cases?

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PD. Dr. med. B. Dick

• Refractive Cataract Surgery (Clear Lens)
• Problems
• Main Problem Lack of Accomodation
• Retinal Detachement in High Myopes
• Precision of Biometry
• Photic Phenomena

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PD. Dr. med. I. Schipper

• Beware of too big optimism with Refractive
  Surgery.
• Therefore a very good preoperative information of
  the interested patients is important

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Dr. med. I. Molnar

• ICL
• Difficult surgical technique
• Good visual result
• Cataract formation

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Dr. med. U. Thomann

• Toric Artisan Lens
• Shows good preliminary results.
• Pretty difficult implantation.
• Sometimes needs realignment, especially
• because of small lens-diameter.

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Dr. med. M. Bianchetti

• Artisan Lens Implantation Shows Excellent Visual
  Results
• It is a Safe Procedure Requiring High Surgical
  Skills
• Endothelial Cell Count is Necessary in the
  Postop Years

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Dr. med. R. Spirig

• Problems with Artisan
• Pupillary Block (Myopia 6mm?, Hyperopia)
• Pigment Deposits on Pupil
• Too much Iris in Enclavation

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Dr. med. I. Molnar

• LASEK
• Repositioning of the Epithelium
• Less Pain that PRK, faster Visual Restoration

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Dr. med. D. Thumm

• Anterior Chamber Lenses show less Endothelial
  cell loss because of intact Iris-Lens Diaphragma
• Intense Opinion and Experience Exchnacge between
  public and private structures is important

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Dr. med. C. Budo

• Artisan
• 12 Years Experience with Phakic Impl.
• Very good and stable VA
• Cell count loss after Surgery, then
  stabilisation
• Fast Rehabilitation, predictable, reversible,safe
  (surgery well done)

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Dres. Med. F. Simona

• LASIK 2.5 to -10 Dpt
• Phakic Lens in other Correction
• Pupil Size!!
• Nu Vita Sizing very important
• Combined Phakic IOL with Eximer Fine-Tuning

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Dres. Med. F. Failla

• Mixed Astigmatism
• Separated Treatment of the two compunds with less
  tissue loss

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Prof. Dr. Dr. T. Seiler

• Iatrogenic Keratektasia,
• Limits of Laser
• over -6 2 (Barraquer), now -4 to -7
• Flap Thikness 1SD 30 um 2SD 60um!!
• LASIK up to 5 Dpt?
• Online Pachymetry?

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Prof. Dr. Dr. T. Seiler

• Wavefront Measurement of Aberration
• Stable until age 40, different in accomodation,
  higher in mydriasis
• Are increased by LASIK, PRK
• Wavefront guided LASIK aims to better mesopic
  vision --- improving vision(?)

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Dr. med. T. Neuhann

• Intrastromal Corneal Rings
• Minimal invasive, reversible, safe
• FDA Study good results
• Personal results vary quite importantly
• changes in astigmarism especially in young
  patients

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Provocative Questions forfuture Guidelines

• Why do we still perform a mutilating non
  reversible Technique (LASIK), if visual outcomes
  and Patient satisfaction are higher with phakic
  IOLs?
• Do we need to correct higer aberrations with
  Excimer Laser to compensate the worse optical
  quality of this kind of treatment?

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RefractiveSurgical Techniques

• Incisional
• Techniques
• Excimer Laser
• Intraocular
• Lenses
• Intrastromal
• Corneal Rings

• Radial Keratotomy
• Astigmatic Keratotomy
• PRK
• LASIK (Customized)
• ICL
• Iris Claw
• Baikoff

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RefractiveSurgical Techniques

• New Techniques?
• Visit the 4th Sursee Eye-Surgery
• Meeting on May 18 -19, 2001
• In Lucerne

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4th Sursee Eye Surgery MeetingLeading Edge
Technologies inRefractive Surgery

• Lucerne, May 18 - 19, 2001
• Invited Speakers
• Free Papers
• NewWet Labs

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AcknowledgementsSpeakers

• Dr. med. E. Haefliger
• PD. Dr. med. I. Schipper
• PD. Dr. med. B. Dick
• Dr. med. F. Simona
• Dr. med. F. Failla
• Prof. Dr. Dr. T. Seiler

• Dr. med. T. Neuhann
• Dr. med. C. Budo
• Dr. med. I. Molnar
• Dr. med. R. Spirig
• Dr. med. U. Thomann
• Dr. med. D. Thumm
• Dr. med. M. Bianchetti

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AcknowledgementSponsors
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Gala Diner and Bordeaux Tastingwith René Gabriel
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Y2K 14th Sursee Eye-Surgery Meeting