E-POSTER DETAIL

Title
Application of Femtosecond Laser-Assisted Astigmatic Keratotomy in ICL Surgery for Moderate Astigmatism
Authors
Xia Li
Presenting
Xia Li
PURPOSE:
To evaluate the safety, efficacy, and predictability of ICL implantation combined with femtosecond laser-assisted astigmatic keratotomy (AK) for the correction of moderate astigmatism.
METHODS:
(1) This study enrolled 12 patients scheduled for ICL surgery at Shanghai Aier Eye Hospital. The mean SE was -7.68±3.43 D , and the mean astigmatism was -1.54±0.37 D. The mean age of the patients was 20.86±4.02 years. (2) FS- AK was performed using a Catalys laser system. Symmetrical arcuate incisions were created in the anterior stroma along the steep meridian, centered on the limbus with an 8.5 mm diameter. The arc length and incision depth were calculated using the LRI Calc formula. (3) For the ICL surgery, a 3.0 mm corneoscleral incision was made at the pre-planned position, and an ICL was implanted. (4) Preoperative and 1-month postoperative examinations included UCVA, BSCVA, MR, NCT, corneal topography and so on. (5) Vector analysis was performed to evaluate the correction index (CI), surgically induced astigmatism (SIA), difference vector (DV), and target induced astigmatism (TIA).
RESULTS:
At 1 month postoperatively, UCVA was 20/16 or better in 41.7% of patients. Mean astigmatism decreased significantly from -1.44 D × 0° preoperatively to -0.37 D × 3° postoperatively (P < 0.05). The safety index was 1.09 (postoperative BSCVA / preoperative BSCVA). Vector analysis revealed a TIA of 1.54 D, SIA of 1.21 D, DV of 0.40 D, and a CI of 0.76.
CONCLUSIONS:
The combination of FS-AK and ICL implantation is a safe, effective, and highly predictable approach for correcting moderate regular astigmatism.