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Limbal relaxing incisions (LRI) are a refractive surgical procedure to correct minor astigmatism in the eye. Incisions part way through the cornea are made at one side or at opposite edges of the cornea, following the curve of the iris, causing a slight flattening of the cornea in that area. [1]
Developed by Australian ophthalmologist Noel Alpins and introduced in 1993, the Alpins Method provides a coherent basis for reporting astigmatism results, and on this basis became the standard in the major ophthalmology journals, [9] [10] [11] and was accepted worldwide for studies that include refraction and corneal astigmatism measurements.
Manual small incision cataract surgery (MSICS) is an evolution of extracapsular cataract extraction (ECCE); the lens is removed from the eye through a self-sealing scleral tunnel wound. A well-constructed scleral tunnel is held closed by internal pressure, is watertight, and does not require suturing.
-do-; standard chart of alphabets; video link •Colour vision: to test colour vision ••Ishihara's chart: to determine the type of colour blindness Stenopaeic slit: detection of axis of the cylindrical (astigmatism) power of the eye; glaucoma testing Implants - •Intraocular lens: prosthetic lenses implanted after lens (anatomy) removal
Cataract surgery and IOL implantation have the safest and highest success rates of any eye care-related procedures. As with any type of surgery, however, some level of risk remains. [7] Most complications of cataract surgery do not result in long-term visual impairment, but some severe complications can lead to irreversible blindness. [92]
A toric IOL is a type of toric lens used to correct preexisting corneal astigmatism at the time of cataract surgery. [20] Astigmatism can also be treated with limbal relaxing incisions or an excimer laser procedure. [21] [22] About 40% of Americans have significant astigmatism and thus may be candidates for a toric IOL. [22]
Also, the alignment of the measurement can be difficult, especially with eyes that have keratoconus, a significant astigmatism, or sometimes after refractive surgery. Corneal topography instruments generate a measurement called simulated keratometry (SimK), which approximates the classic measurement of the widely used keratometer .
Cataracts: An often age-related condition that leads to gradual vision loss secondary to clouding of the lens. Examination may reveal opacification of the lens and often an absent or blunted red reflex. Dilated fundus exam allows for examination of more peripheral cataracts, as well as evaluating candidacy for cataract surgery. [9] [12]
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