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    Aspiring for zero tolerance of residual astigmatism

    Case examples highlight tools, techniques toward quest for excellent visual endpoint


    Figure 15 illustrates a case of a patient referred to me with epithelial ingrowth under a LASIK flap with repeated epithelial ingrowth of dense central location. I lifted the flap, removed the epithelial ingrowth, and reaffixed the flap with little induced astigmatism. After a period of 3 months to achieve stabilization, I left the cornea untouched (since it was measureable and consistent), and implanted a toric IOL to achieve an excellent outcome.

    Figure 16 shows the case of a patient who had a dense central corneal scar who had undergone RK and cataract surgery. I cleared the scar using a laser Corneoplastique procedure followed by implantation of a toric IOL that resulted in emmetropia.

    Arun C. Gulani, MD
    Dr. Gulani is director of refractive surgery and chief, cornea & external disease, as well as assistant professor, department of ...

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