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For more information: Stephen YC Hsiao, MD, is in private practice at Newvision Eye Surgery Clinic, He can be reached at No.518 5th Section Chung Hsiao East Rd. Taipei, Taiwan; 蕭裕泉 醫師 潘怡文 醫師 新眼光眼科診所 Taipei Taiwan 台灣 台北市 信義區 http://www.asianewvision.com.tw e-mail: [email protected] Tel: +886-2-23460266 客製化微創白內障追蹤定位手術--- 鑽石刀高度近視手術後白內障植入「新一代嬌生延焦段散光矯正人工水晶體」 Customized Phacoemulsification with Eyhance ToricⅡ IOL for Post-16-incision RK Cataract July. 4 . 2023 患者是一位大約60歲的吳小姐,是一位家庭主婦。30多年前因高度近視約800度,去做了鑽石刀手術矯正近視,由於當時近視度數很深,所以角膜劃了16刀才能矯正她的近視,20多年來享受著不必戴眼鏡的日子。但這2年來覺得視力越來越模糊,本以為是近視度數又加深所以去眼鏡行配眼鏡,但是跑了多家眼鏡行都測量不出她的度數,最後眼鏡行建議她到眼科看診,於是她到大醫院的眼科,眼科醫師說她有白內障及嚴重角膜退化,可能是由於角膜被劃了16刀的關係,醫院的眼科醫師告知她即使做完白內障手術可能視力也不會太清楚,連續跑了3家醫院,得到的都是一樣的說法,每位醫師都說手術後視力不會太清楚,於是她猶豫了,那究竟要不要接受白內障手術呢? Borderline Candidates ( 33%): Those with epiretinal membranes, vitreomacular traction, mild diabetic retinopathy, mild to moderate glaucoma or irregular astigmatism, for example, due to pterygium or small corneal scars. Are willing to pay out of pocket for the additional cost of the premium IOL. Have a desire to reduce their dependence on glasses after cataract surgery. Have realistic expectations about the potential benefits and risks of the premium IOL. We found Eyhance ToricⅡ IOL having very low mean absolute rotation (1.47°) at 1 hour (the time when rotation is most likely to occur). Distance vision was excellent, as we would expect with any correctly positioned toric monofocal, but the slightly increased depth of focus with this lens meant that 70% of the eyes in the study had uncorrected intermediate (66 cm/26 in) vision of 0.1 logMAR (20/25) or better. That’s a very nice additional benefit for patients who have opted for a refractive cataract surgery procedure Stop and chop technique is safe and efficiency. Viscoat was injected into the capsular bag. We injected the 「Eyhance Toric Ⅱ IOL」with preloaded Injector . #Alcon #Argos and Verion #Eyhance toric II #Post-RK #cataract #Stop and chop technique #「Eyhance ToricⅡ IOL」with preloaded Injector #capsular tension ring (CTR) #ALCON Argos / Verion image-guided system #Post-LASIK/ post-RK #High order aberration, HOA #Irregular astigmatism