Presentasi Dr. Abizar Iskandar

8/18/2019 Presentasi Dr. Abizar Iskandar

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Pers n %! %earing t!ick g#assesPers n %! %earing t!ick g#asses acing s 'e pr b#e' acing s 'e pr b#e'P r c s'eticP r c s'eticMinificati n f i'agesMinificati n f i'ages

Aberrati ns Aberrati ns"eavy # ad f r n se & ear "eavy # ad f r n se & ear Li'itati n f t!e visua# fie#dLi'itati n f t!e visua# fie#d


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The solution is :The solution is :

RK

PRKCLE

Lasik

PIOL


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(arget )(arget )especia##y f r ' derate tespecia##y f r ' derate t

!ig! refractive an 'a##y!ig! refractive an 'a##y


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*very type f surgery !as)*very type f surgery !as) Advantages Advantages

DisadvantagesDisadvantages


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RKRKSi'p#e pr ceduresSi'p#e pr cedures+ t stab#e+ t stab#eRadia# c rnea# scar f r'ati nRadia# c rnea# scar f r'ati n

npredictab#enpredictab#e


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PRKPRK

+ t stab#e+ t stab#e

Scar f r'ati n - "azeScar f r'ati n - "azeLess predictab#eLess predictab#e"ig! c st investati n"ig! c st investati n


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LASIKLASIK

Restricted f t!e abi#ityRestricted f t!e abi#ity

Depend n c rnea# t!icknessDepend n c rnea# t!ickness"ig! c st investati n"ig! c st investati nPredictab#ePredictab#e/ d patient satisfacti n/ d patient satisfacti n


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PI LPI L

Predictab#ePredictab#e

Si'p#e pr ceduresSi'p#e pr ceduresStab#eStab#eL % c st investati nL % c st investati n/ d patient satisfacti n/ d patient satisfacti n


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0ase n resu#t )0ase n resu#t )

R1R1

PR1PR1

+ S CC*SS


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( day sti## appr ved )( day sti## appr ved )

LASI1LASI1

CL*CL*

PI LPI L


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PI L can c rrecti n )PI L can c rrecti n )

My piaMy pia

"yper pia"yper pia

Astig'atis' Astig'atis'


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P!akic I LP!akic I L

PI L ' st p pu#ar f r 'y pia ' rePI L ' st p pu#ar f r 'y pia ' ret!an 23 Dt!an 23 D

PI L is i'p#anted #ens in fr nt f natura#PI L is i'p#anted #ens in fr nt f natura#

#ens, as a c rrecti n refractive an 'a##y#ens, as a c rrecti n refractive an 'a##y


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4 Stra'pe##i &0arra5uer62783s9) Intr duced abic ncave ang#e supp rted #ens

4Dve#i627:3s9) Restarted p!akic 'y pia #ens4 0aik ff627:3s9) Ang#e supp rted #ens %it! 1e#'antype !aptics

4 $an ; rst & ec!ner627:


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4 Ante io !ha"#e angle suppo te$ IOL 4 +u=ita >SAL?@4 =ivarte I Care

4 1e#'an Duet =isi n Me'brane

4 I is %i&ate$ phaki! IOL 4 =erisyse ' Artisan

4 Poste io !ha"#e lens (sul!us %i&ation) 4 Staar ICL

4 PRL 6Ciba9

Phaki! IOLs


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Severa# pr duct !as been #aunc!ed bySevera# pr duct !as been #aunc!ed bysevera# 'anufacturesevera# 'anufacture

;!ic! ne is t!e best ;!ic! ne is t!e best nti# n %BBI d n t kn %nti# n %BBI d n t kn %


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(ype f PI L(ype f PI L

2.2. Anteri r c!a'ber Anteri r c!a'ber a.a. Ang#e supp rt Ang#e supp rtb.b. Iris enc#avati n 6verisyse9Iris enc#avati n 6verisyse9

.. P steri r c!a'ber 6su#cus fiEati n9P steri r c!a'ber 6su#cus fiEati n9


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PI L 6Ang#e supp rt9PI L 6Ang#e supp rt9

Materia#F ptic)Si#ic neMateria#F ptic)Si#ic ne

"aptic)PMMA"aptic)PMMAptic F8.8''ptic F8.8''

Lengt! F2 ?2G.8''Lengt! F2 ?2G.8''P %er F?: t H 3DP %er F?: t H 3D

Kel"an *uet


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C 'panyFCiba =isi n

Materia#F "ydr p!i#ic acry#ic

pticF 8.8''

Lengt!F 2 ?2G''P %ersF ? .3 t ? 8.3

+i,a te -ol$a#le IOL


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Nu+ita Phaki! IOLC 'panyF0ausc! & L 'b

Materia#F PMMApticF 8.3''

Lengt!F 2 t 2G.8''

P %erF ?G.3t ? G.3


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PI L 6iris enc#avati n9PI L 6iris enc#avati n9

+e isyse phaki! IOL

Marketed by AM as =erisyse & by p!tec as Artisan #ens


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VRSM 50Myopia Lensoptic diameter

5 mmIntroduced 1991:

Model 206W AR ISA! " Myopia

VRSM 60Myopia Lensoptic diameter

6 mmIntroduced 199#:

Model 20$W AR ISA! " Myopia

VRS% 50%yperopia Lensoptic diameter

5 mmIntroduced 1992:

Model 20&W AR ISA! " %yperopia

Myopia Models %yperopia

Verisyse Lenses


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Staa ICL

Materia#FC ##agenJ"e'ac p #y'er

?G.3 t H [email protected]?8.8F22.8?2G.3

JG.3t J2 [email protected]?8.8F22.8?2G.3

Sits in t!e ci#iary su#cus

P steri r c!a'ber #ens


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PRL (Phaki! Re% a!ti,e Lens)

Marketed by Ciba visi n

PRL 'y pic #ens

4Materia#?Si#ic ne

4 Sing#e piece4 ;idt!F


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PRL !yper pia I L4 Materia#?Si#ic ne

4 Sing#e piece4 ;idt!F


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Indicati nIndicati n

Age Age ≥≥ 2: years #d2: years #dStab#e c rrecti n 6'in. 2 year9Stab#e c rrecti n 6'in. 2 year9S 'e pr b#e' %it! g#asses and c ntactS 'e pr b#e' %it! g#asses and c ntact#ens#ens


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C ntraindicati n )C ntraindicati n )

Any type f cataract Any type f cataract"ist ry retina# detac!'ent"ist ry retina# detac!'ent

Abn r'a# pupi#, c rnea#, iris Abn r'a# pupi#, c rnea#, iris*nd t!e#ia# ce## c unt*nd t!e#ia# ce## c unt


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Lens P %er Ca#cu#ati nLens P %er Ca#cu#ati n

0ased n0ased n +e i!al! ./. #y AMOInput data )Input data )

a.a. Sub ective refracti n 6sp!ere and cy#9Sub ective refracti n 6sp!ere and cy#9b.b. 1. va#ue ) 12, 1 and 'ean va#ue1. va#ue ) 12, 1 and 'ean va#uec.c. 1 IndeE 62.GG28 r 2.GG 891 IndeE 62.GG28 r 2.GG 89d.d. ACD ACDe.e. Sc t pic pupi#Sc t pic pupi#f.f. =erteE distance 6standard9=erteE distance 6standard9


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=erisyse Ca#cu#ati n Sa'p#e=erisyse Ca#cu#ati n Sa'p#e


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PI L Surgery)PI L Surgery)

Steps )Steps )S'a## pupi# 6pi# carpin N9S'a## pupi# 6pi# carpin N9

Appr ac! 2 Appr ac! 2 O c# ckO c# ckSc#era# tunne#Sc#era# tunne#C#ear c rnea# incissi nC#ear c rnea# incissi n

4 Lens p ssiti n ! riz nta# 6eEcept P(I L9Lens p ssiti n ! riz nta# 6eEcept P(I L9Iris enc#avati nIris enc#avati n

Perip!era# iridect 'yPerip!era# iridect 'yC rne sc#era# sutureC rne sc#era# suture

Antibi tic-ster id Antibi tic-ster id


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Instru'ent f r verisyse PI LInstru'ent f r verisyse PI Li'p#antati n)i'p#antati n)

I'p#antati n rcepsI'p#antati n rceps

=erisyse I L Manipu#at r =erisyse I L Manipu#at r *nc#avati n +eed#e*nc#avati n +eed#e*nc#avati n rceps*nc#avati n rceps


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I"plantation-o !eps

Inst u"entationInst u"entation


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Inst u"entation

*nc#avati n +eed#e


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Inst u"entation

*nc#avati n rceps


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Inst u"entation

=erisyse I L Manipu#at r


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P!akic I LP!akic I L


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Co"pli!ationCo"pli!ation

Intra? perativeIntra? perative

*ar#y P st? perative*ar#y P st? perative Late P st? perativeLate P st? perative


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Co"pli!ationsCo"pli!ations

Int a0ope ati,e !o"pli!ations:4 *nd t!e#ia# da'age4 "yp!e'a4 Irid dia#ysis4

Difficu#t enc#avati n4 "aptic breakage4 Lenticu#ar da'age


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Ea ly post ope ati,e pe io$:4 ; und #eak & s!a## % AC

4 C rnea# ede'a4 Irid cyc#itis4 Pupi##ary b# ck & iris b 'be

4 Sec ndary g#auc 'a4 Lens decentrati n-Dis# cati n4 Infecti n


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Late post ope ati,e pe io$:4 nacceptab#e residua# refractive err r

4 Induced astig'atis'4 L ss f 0C=A4 C rnea# ede'a,0u## us kerat pat!y4 Rube sis iridis4 Cataract4 CM*, Retina# detac!'ent


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Resu#tResu#t

1ene ally goo$1ene ally goo$


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S 'e eEpert c ''ent )S 'e eEpert c ''ent )

4 PI L ) better t!an Lasik f r !ig!erPI L ) better t!an Lasik f r !ig!er'y pia'y pia

4 PI L ) give g d refractive utc 'esPI L ) give g d refractive utc 'esand is very %e## t #eratedand is very %e## t #erated

4 PI L ) # ng ter' safety and predictabi#ityPI L ) # ng ter' safety and predictabi#ity4

PI L ) 'ay !e#p refr. A'b#y pia 6can usePI L ) 'ay !e#p refr. A'b#y pia 6can usebe## % 2: years #d9be## % 2: years #d9


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I'p rtantI'p rtant

/ d resu#t a#s depend n, %!en perf r'ed/ d resu#t a#s depend n, %!en perf r'edby a seni r anteri r seg'ent surge nby a seni r anteri r seg'ent surge n


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Suggesti nSuggesti n

If y u interest BB..p#ease try itIf y u interest BB..p#ease try it


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Presentasi Dr. Abizar Iskandar

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