Abstract
Reducing corneal astigmatism is essential for successful refractive lens replacement procedures, commonly known as refractive cataract surgery (RCS), and limbal relaxing incisions (LRIs) are one of the friendliest and most cost-effective refractive procedures we can offer our patients. There’s no expensive laser and no central corneal or intraocular trauma, and perforations are rare in healthy corneas. So why is it that many cataract surgeons are not yet using LRIs? Some surgeons are not convinced that they are reliable. For many, the awkwardness of incisional corneal surgery along with an uncomfortable change in routine for surgeon and staff have placed LRIs in a negative light. Yet judging by the swell in attendance at LRI wet labs at the last few AAO and ASCRS meetings, LRI popularity continues to grow.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Wallace RB. Chapter 4 section 6. In: Nichamin LD, editor. Limbal relaxing incisions; a practical guide. Thorofare, NJ: SLACK; 2001. p. 80–4.
Verzella F, Calossi A. Multifocal effect of against-the-rule myopic astigmatism in pseudophakic eyes. J Refract Corneal Surg. 1993;9:58–61.
Sawusch M, Guyton D. Optimal astigmatism to enhance depth of focus after cataract surgery. Ophthalmology. 1991;98:1025–9.
Wallace RB. On-axis cataract incisions: where is the axis? 1995 ASCRS symposium of cataract, IOL and refractive surgery best papers of sessions. 1995; pp. 67–72.
Koch D, Ali S, Weikert M, Shirayama M, Jenkins R, Wang L. Contribution of posterior corneal astigmatism to total corneal astigmatism. J Cataract Refract Surg. 2012;38(12):2080–7.
Zheng T, Chen Z, Lu Y. Influence factors of estimation errors for total corneal astigmatism using keratometric astigmatism in patients before cataract surgery. J Cataract Refract Surg. 2016;42:84–94.
Wallace RB. Chapter 14: Reducing astigmatism. In: Wallace RB, editor. Refractive cataract surgery and multifocal IOLs. Thorofare, NJ: SLACK; 2001. p. 167–72.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2018 Springer International Publishing AG
About this chapter
Cite this chapter
Bruce Wallace, R. (2018). Surgical Correction of Astigmatism with Incisional Techniques: Tips and Tricks. In: Febbraro, JL., Khan, H., Koch, D. (eds) Surgical Correction of Astigmatism. Springer, Cham. https://doi.org/10.1007/978-3-319-56565-1_6
Download citation
DOI: https://doi.org/10.1007/978-3-319-56565-1_6
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-56563-7
Online ISBN: 978-3-319-56565-1
eBook Packages: MedicineMedicine (R0)