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. 2001 May;27(5):715-9.
doi: 10.1016/s0886-3350(00)00687-8.

Limbal relaxing incisions in congenital astigmatism: 6 month follow-up

K Budak  1 , G Yilmaz, B S Aslan, S Duman
Affiliations

Limbal relaxing incisions in congenital astigmatism: 6 month follow-up

K Budak et al. J Cataract Refract Surg. 2001 May.

Abstract

Purpose: To evaluate the effectiveness of limbal relaxing incisions (LRIs) for correcting naturally occurring astigmatism.

Setting: Ankara Hospital, Ankara, Turkey.

Methods: This prospective analysis of the results of the first LRIs in 22 eyes of 13 patients with congenital astigmatism was done using a modified Gills nomogram and was based on preoperative refractive astigmatism determined by manifest and cycloplegic refractions. There were no adjustments based on sex or age.

Results: An absolute decrease of 0.91 diopter (D) (44%) in mean astigmatism was achieved after 6 months in 22 eyes. The mean uncorrected visual acuity (logMAR) increased from 0.42 to 0.26 from preoperatively to 6 months postoperatively. No patient lost best corrected visual acuity. Most regression occurred in eyes with more than 3.50 D of astigmatism and between the first and third postoperative months.

Conclusion: Limbal relaxing incisions are a practical, simple, and forgiving approach for the correction of lower degrees of astigmatism.

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