Acry-sof IQ ReSTOR multifocal TORIC IOL

AOC 20120624 在Taipei W Hotel

Acry-sof IQ ReSTOR multifocal TORIC IOL





















有10%的人散光＞-2.0
裝多焦點人工水晶體注意-3.0的病人
注意散光是Regular or irregular?
Topography每個病人都要做，再做A –scan前, 而且要趁角膜很好的時候先做。
如果Topography與電腦驗光K readings不合？是不規則？tear film？corneal  scar？。 就不放toric IOL了！
裝 Restor IOL有65%有glare or halo vision，但65%沒關係
IQ遠100，中0近0
Restor IOL遠80，中8o近8O，biIateral植入會更佳

NTG,的risk factor:female,migraine headache, disc hemorrhage
Set target pressure:也要考慮角膜厚度！
用薬：用效果好的，注意：CME，uveitis，herpes，sulfa drug過敏
Dry eye :注意meibomian gland的功能
多焦CL：看遠可以，光線要良好
，或只有單眼開白內障。

dominant看遠，non-dominant看近
提醒病人是多看到了什麼，而不是看不到什麼。


tear film breakup time対乾眼症的診斷比Schirmer test較準，視力會fluctuation也是乾眼症的症狀

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