Clinical results of arcuate incisions to correct astigmatism

Purpose: To evaluate the effectiveness of arcuate incisions for correcting congenital, post-cataract, post-radial keratotomy, and post-trapezoidal keratotomy astigmatism. Setting: Buzard Eye Institute, Las Vegas, Nevada. Methods: In this retrospective study, 46 eyes of 29 patients had arcuate incisi...

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Veröffentlicht in:Journal of cataract and refractive surgery 1996-10, Vol.22 (8), p.1062-1069
Hauptverfasser: Buzard, Kurt A., Laranjeira, Eduardo, Fundingsland, Bradley R.
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container_end_page 1069
container_issue 8
container_start_page 1062
container_title Journal of cataract and refractive surgery
container_volume 22
creator Buzard, Kurt A.
Laranjeira, Eduardo
Fundingsland, Bradley R.
description Purpose: To evaluate the effectiveness of arcuate incisions for correcting congenital, post-cataract, post-radial keratotomy, and post-trapezoidal keratotomy astigmatism. Setting: Buzard Eye Institute, Las Vegas, Nevada. Methods: In this retrospective study, 46 eyes of 29 patients had arcuate incisions to correct astigmatism. The average age of patients was 52 years. Results: Mean preoperative astigmatism was 3.51 ± 1.57 D (keratometric) and 3.41 ± 1.44 D (manifest). Mean preoperative uncorrected visual acuity was 20/80, ranging from 20/30 to 20/400. Thirty eyes had a pair of 45-degree arcuate incisions, 10 eyes had a pair of 60-degree arcuate incisions, and 6 eyes had a pair of 90-degree arcuate incisions. Mean follow-up was 6 months. Mean postoperative astigmatism was 1.46 ± 1.07 D (keratometric) and 1.05 ± 0.94 D (manifest), with a reduction of astigmatism in all operated eyes. Mean postoperative uncorrected visual acuity was 20/32, ranging from 20/20 to 20/60. The analysis of the vector astigmatic change showed that only two patients were overcorrected after the procedure. Conclusion: The predictability and safety of arcuate incisions are reflected in these results.
doi_str_mv 10.1016/S0886-3350(96)80119-2
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Setting: Buzard Eye Institute, Las Vegas, Nevada. Methods: In this retrospective study, 46 eyes of 29 patients had arcuate incisions to correct astigmatism. The average age of patients was 52 years. Results: Mean preoperative astigmatism was 3.51 ± 1.57 D (keratometric) and 3.41 ± 1.44 D (manifest). Mean preoperative uncorrected visual acuity was 20/80, ranging from 20/30 to 20/400. Thirty eyes had a pair of 45-degree arcuate incisions, 10 eyes had a pair of 60-degree arcuate incisions, and 6 eyes had a pair of 90-degree arcuate incisions. Mean follow-up was 6 months. Mean postoperative astigmatism was 1.46 ± 1.07 D (keratometric) and 1.05 ± 0.94 D (manifest), with a reduction of astigmatism in all operated eyes. Mean postoperative uncorrected visual acuity was 20/32, ranging from 20/20 to 20/60. The analysis of the vector astigmatic change showed that only two patients were overcorrected after the procedure. 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Setting: Buzard Eye Institute, Las Vegas, Nevada. Methods: In this retrospective study, 46 eyes of 29 patients had arcuate incisions to correct astigmatism. The average age of patients was 52 years. Results: Mean preoperative astigmatism was 3.51 ± 1.57 D (keratometric) and 3.41 ± 1.44 D (manifest). Mean preoperative uncorrected visual acuity was 20/80, ranging from 20/30 to 20/400. Thirty eyes had a pair of 45-degree arcuate incisions, 10 eyes had a pair of 60-degree arcuate incisions, and 6 eyes had a pair of 90-degree arcuate incisions. Mean follow-up was 6 months. Mean postoperative astigmatism was 1.46 ± 1.07 D (keratometric) and 1.05 ± 0.94 D (manifest), with a reduction of astigmatism in all operated eyes. Mean postoperative uncorrected visual acuity was 20/32, ranging from 20/20 to 20/60. The analysis of the vector astigmatic change showed that only two patients were overcorrected after the procedure. Conclusion: The predictability and safety of arcuate incisions are reflected in these results.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Astigmatism - etiology</subject><subject>Astigmatism - physiopathology</subject><subject>Astigmatism - surgery</subject><subject>Biological and medical sciences</subject><subject>Cornea - surgery</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Retrospective Studies</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the eye and orbit</subject><subject>Treatment Outcome</subject><subject>Visual Acuity</subject><issn>0886-3350</issn><issn>1873-4502</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1996</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqF0MtKAzEUgOEgSq3VRyjMQkQXo7lMMgkIIsUbFFyo65AmJxKZS01mBN_embZ06yqL858kfAjNCb4mmIibNyylyBnj-FKJK4kJUTk9QFMiS5YXHNNDNN0nx-gkpS-McUEZn6CJVIRLzKbodlGFJlhTZRFSX3Upa31mou1NB1lobEihbVLWtZltYwTbZSZ14bM2XUj1KTrypkpwtjtn6OPx4X3xnC9fn14W98vcMqm6nChGfEFWAnsmGZPEKealw9ZxLLjHigkonCgKiksvS2cprLwCsaIOPOOMzdDF9t51bL97SJ2uQ7JQVaaBtk-6lJwqRukQ8m1oY5tSBK_XMdQm_mqC9aimN2p6JNFK6I2aHvfmuwf6VQ1uv7VjGubnu7lJg5WPZpTZZ7QoCaFkyO62GQwYPwGiTjZAY8GFkU67NvzzkT8k4ohP</recordid><startdate>19961001</startdate><enddate>19961001</enddate><creator>Buzard, Kurt A.</creator><creator>Laranjeira, Eduardo</creator><creator>Fundingsland, Bradley R.</creator><general>Elsevier Inc</general><general>Elsevier Science</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19961001</creationdate><title>Clinical results of arcuate incisions to correct astigmatism</title><author>Buzard, Kurt A. ; Laranjeira, Eduardo ; Fundingsland, Bradley R.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c389t-1931f41b60f383381d93f8d0cd5065f0936e4d644207f87dc2ebf9e6b2def3533</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1996</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Astigmatism - etiology</topic><topic>Astigmatism - physiopathology</topic><topic>Astigmatism - surgery</topic><topic>Biological and medical sciences</topic><topic>Cornea - surgery</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Retrospective Studies</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery of the eye and orbit</topic><topic>Treatment Outcome</topic><topic>Visual Acuity</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Buzard, Kurt A.</creatorcontrib><creatorcontrib>Laranjeira, Eduardo</creatorcontrib><creatorcontrib>Fundingsland, Bradley R.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of cataract and refractive surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Buzard, Kurt A.</au><au>Laranjeira, Eduardo</au><au>Fundingsland, Bradley R.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Clinical results of arcuate incisions to correct astigmatism</atitle><jtitle>Journal of cataract and refractive surgery</jtitle><addtitle>J Cataract Refract Surg</addtitle><date>1996-10-01</date><risdate>1996</risdate><volume>22</volume><issue>8</issue><spage>1062</spage><epage>1069</epage><pages>1062-1069</pages><issn>0886-3350</issn><eissn>1873-4502</eissn><coden>JCSUEV</coden><abstract>Purpose: To evaluate the effectiveness of arcuate incisions for correcting congenital, post-cataract, post-radial keratotomy, and post-trapezoidal keratotomy astigmatism. 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source MEDLINE; Elsevier ScienceDirect Journals Complete
subjects Adult
Aged
Aged, 80 and over
Astigmatism - etiology
Astigmatism - physiopathology
Astigmatism - surgery
Biological and medical sciences
Cornea - surgery
Female
Follow-Up Studies
Humans
Male
Medical sciences
Middle Aged
Retrospective Studies
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the eye and orbit
Treatment Outcome
Visual Acuity
title Clinical results of arcuate incisions to correct astigmatism
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