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Refractive Phacoemulsification
Kurt Buzard MD FACS
Tulane University Medical School
University of Nevada Medical School
Buzard Eye Institute
Las Vegas Nevada
Why Refractive Phacoemulsification?
- Value added service
- Enhanced patient satisfaction
- Avoid refractive complications such as anisotropia
- Decreased need for patient visits, need for temporary glasses decreased
Refractive Surgery
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What defines a good refractive surgery?
- Accuracy of result
- Repeatability of result
- Stability of result
- Safety…low complication rate
- Availability of enhancements
Can Cataract Surgery be a Good Refractive Surgery?
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Accuracy of result
- Accuracy depends on preoperative workup
- Dependable A-scans, keratometry
- Choice of instruments key consideration
- Personalized A-constants developed with periodic review of results
- Calculation formulas need to be reviewed for accuracy in different situations
