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VT268 : Small Incision Lenticule Extraction for Astigmatism-Twist In the tale”.

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VT268 : Small Incision Lenticule Extraction for Astigmatism-Twist In the tale”.

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Dr.Sheetal Brar, Dr.Sri Ganesh

Purpose-The purpose of this video is to describe the importance of Cyclotorsion compensation while correcting astigmatism with SMILE .Since the current femtolaser used to perform this procedure does not have automated Cyclotorsion control and compensation, this is considered as one of the limitations of this procedure. Methods-In this video we demonstrate manual methods using infrared transmitting dye and marker and a three point epithelial marker followed by gentle cone rotation for Cyclotorsion compensation which are simple and practical and useful to refine the outcomes of Myopic astigmatism with SMILE. Results-The methods demonstrated are easy and safe to perform and are not associated with additional surgical risks .Conclusion-Manual Cyclotorsion compensation methods may be useful to improve the outcomes of astigmatism with SMILE in the absence of automated iris registration and Cyclotorsion compensation softwares.

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