Maximizing Outcomes with LRIs
Eric Donnenfeld, MD, employs the DONO nomogram and places a modified Dell marker (Donnenfeld marker, Accutome, Malvern, PA) to the cornea and marks the axis and length of the incision. A drop of blink Tears (AMO, Santa Ana, CA) has a viscoelastic effect which significantly reduces the risk of an abrasion. Next, he grasps the episclera at the limbus with a 0.12-caliber forceps approximately 180 degrees away from the intended site of the incision. He applies a diamond blade—usually preset to 0.6 mm—to the cornea and holds it in place for a second to ensure that it has achieved the desired depth. The incision is then extended towards the caliber to the required length to correct the targeted amount of cylinder.
5,978 video views since 9/30/2009.