K Budak1, N J Friedman, D D Koch. 1. Cullen Eye Institute, Baylor College of Medicine, Department of Ophthalmology, Houston, Texas 77030, USA.
Abstract
PURPOSE: To evaluate the effectiveness of limbal relaxing incisions (LRIs) for correcting corneal astigmatism during cataract surgery. SETTING: Cullen Eye Institute, Houston, Texas, USA. METHODS: In 12 eyes of 11 patients, cataract surgery was combined with LRIs. The LRIs were made according to a modified Gills nomogram and were based on preoperative corneal astigmatism determined with standard keratometry and computerized videokeratography (EyeSys Corneal Analysis System Version 3.2). RESULTS: The mean preoperative keratometric cylinder was 2.46 +/- 0.81 diopters (D). At 1 month postoperatively, mean arithmetic reduction in keratometric cylinder was 1.12 +/- 0.74 D, and the with-the-wound (WTW) change (calculated by Holladay, Cravy, Koch vector analysis formula) was -0.70 +/- 0.44. From 1 day to 1 month postoperatively, there was 0.55 D of WTW regression with minimal change in the mean cylindrical axis. There were no overcorrections. CONCLUSION: Limbal relaxing incisions are a practical, simple, and forgiving approach to the correction of astigmatism during cataract surgery.
PURPOSE: To evaluate the effectiveness of limbal relaxing incisions (LRIs) for correcting corneal astigmatism during cataract surgery. SETTING: Cullen Eye Institute, Houston, Texas, USA. METHODS: In 12 eyes of 11 patients, cataract surgery was combined with LRIs. The LRIs were made according to a modified Gills nomogram and were based on preoperative corneal astigmatism determined with standard keratometry and computerized videokeratography (EyeSys Corneal Analysis System Version 3.2). RESULTS: The mean preoperative keratometric cylinder was 2.46 +/- 0.81 diopters (D). At 1 month postoperatively, mean arithmetic reduction in keratometric cylinder was 1.12 +/- 0.74 D, and the with-the-wound (WTW) change (calculated by Holladay, Cravy, Koch vector analysis formula) was -0.70 +/- 0.44. From 1 day to 1 month postoperatively, there was 0.55 D of WTW regression with minimal change in the mean cylindrical axis. There were no overcorrections. CONCLUSION: Limbal relaxing incisions are a practical, simple, and forgiving approach to the correction of astigmatism during cataract surgery.