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R. Bruce Wallace, III MD, FACS
Dr. Wallace offers some take home messages for managing astigmatism with limbal relaxing incisions.
at what distance from de limbus should the incitions be made? or what would the optic zone be to achieve each amount of correction?
I'm not sure why you adjust the corneal astigmatism for the refractive astigmatic axis since when you remove the cataract the lenticular astigmatism should disappear.
2 questions. 1.) does the wallace nomogram take into account cyclotorsion? i.e do you always place the 180 mark at the lateral canthus or should we mark sitting up and then appropriately place the "true" 180 mark. 2.) when doing paired incisions, i noticed you reposition the marker for the other side....why not mark both sides with one positioning i.e when marking the 15 degree axis, why not automatically mark the spot 180 degrees away also... and then place the two additional marks on each side? Thanks for the videos
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