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. 1998 Apr;24(4):503-8.
doi: 10.1016/s0886-3350(98)80292-7.

Limbal relaxing incisions with cataract surgery

K Budak  1 , N J Friedman, D D Koch
Affiliations

Limbal relaxing incisions with cataract surgery

K Budak et al. J Cataract Refract Surg. 1998 Apr.

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.

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Comment in

  • Opposite clear corneal incisions.
    Nichamin LD. Nichamin LD. J Cataract Refract Surg. 2001 Jan;27(1):7-8. doi: 10.1016/s0886-3350(00)00846-4. J Cataract Refract Surg. 2001. PMID: 11253766 No abstract available.

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