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  • Calculating Bag vs. Sulcus IOL Power Capsular Bag Ciliary Sulcus Power IOL Intraocular Lens Power Calculations PDF

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    If an intraocular lens must be placed in the ciliary sulcus rather than the capsular bag during cataract surgery, the lens power may need to be decreased. This is because the effective power is increased when the optic is positioned more anteriorly, closer to the cornea. The document provides a table comparing recommended lens powers for placement in the capsular bag versus the ciliary sulcus, across a range of base powers from +30.00 D to +5.00 D. It advises having this guidance available in the operating room when sulcus placement is necessary.

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    Calculating Bag vs. Sulcus IOL Power ~ Capsular Bag Ciliary Sulcus Power IOL Intraocular Lens Power Calculations.pdf

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    If an intraocular lens must be placed in the ciliary sulcus rather than the capsular bag during cataract surgery, the lens power may need to be decreased. This is because the effective power is increased when the optic is positioned more anteriorly, closer to the cornea. The document provides a table comparing recommended lens powers for placement in the capsular bag versus the ciliary sulcus, across a range of base powers from +30.00 D to +5.00 D. It advises having this guidance available in the operating room when sulcus placement is necessary.

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    288 views3 pages

    Calculating Bag vs. Sulcus IOL Power Capsular Bag Ciliary Sulcus Power IOL Intraocular Lens Power Calculations PDF

    Uploaded by

    valbayeros
    If an intraocular lens must be placed in the ciliary sulcus rather than the capsular bag during cataract surgery, the lens power may need to be decreased. This is because the effective power is increased when the optic is positioned more anteriorly, closer to the cornea. The document provides a table comparing recommended lens powers for placement in the capsular bag versus the ciliary sulcus, across a range of base powers from +30.00 D to +5.00 D. It advises having this guidance available in the operating room when sulcus placement is necessary.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
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    doctor-hill.

    com
    IOL Power Calculations

    Calculating Bag vs. Sulcus IOL Power.


    If during cataract surgery, the decision is made to place the intraocular lens in
    the ciliary sulcus, rather than the capsular bag, a decrease in lens power is
    often necessary. This is due to the fact that as the optic is shifted more
    anterior (moved closer to the cornea), its "effective power" increases. The
    amount of this change is dependent on the "base power" of the intraocular
    lens. The greater the power, the greater the difference.
    Below is a chart for which this calculation has been made over a standard
    range of base powers from +30.00 D to +5.00 D. The central corneal power is
    assumed to be in the normal range. The capsular bag effective lens position
    (aka: ACD) is assumed to be 5.20 mm (as with the popular Alcon MA60AC),
    but these numbers will work with almost any modern posterior chamber
    intraocular lens. The effective lens position for the ciliary sulcus is estimated
    to be 4.70 mm.
    It is recommended that this information be available in the operating room as
    a handy reference for whenever this situation arises.

    Power at
    Capsular Bag

    Power at
    Ciliary Sulcus

    Bag / Sulcus
    Difference

    Subtract from
    Bag Power

    +30.00 D

    +28.55 D

    -1.45 D

    -1.50 D

    +29.50 D

    +28.09 D

    -1.42 D

    -1.50 D

    +29.00 D

    +27.61 D

    -1.39 D

    -1.50 D

    +28.50 D

    +27.14 D

    -1.36 D

    -1.50 D

    +28.00 D

    +26.67 D

    -1.33 D

    -1.00 D

    +27.50 D

    +26.20 D

    -1.30 D

    -1.00 D

    +27.00 D

    +25.73 D

    -1.27 D

    -1.00 D

    +26.50 D

    +25.26 D

    -1.25 D

    -1.00 D

    +26.00 D

    +24.79 D

    -1.22 D

    -1.00 D

    +25.50 D

    +24.31 D

    -1.19 D

    -1.00 D

    +25.00 D

    +23.84 D

    -1.16 D

    -1.00 D

    +24.50 D

    +23.36 D

    -1.13 D

    -1.00 D

    +24.00 D

    +22.89 D

    -1.11 D

    -1.00 D

    +23.50 D

    +22.42 D

    -1.08 D

    -1.00 D

    +23.00 D

    +21.94 D

    -1.05 D

    -1.00 D

    +22.50 D

    +21.47 D

    -1.03 D

    -1.00 D

    +22.00 D

    +21.00 D

    -1.00 D

    -1.00 D

    +21.50 D

    +20.53 D

    -0.97 D

    -1.00 D

    +21.00 D

    +20.05 D

    -0.95 D

    -1.00 D

    +20.50 D

    +19.58 D

    -0.92 D

    -1.00 D

    +20.00 D

    +19.11 D

    -0.89 D

    -1.00 D

    +19.50 D

    +18.63 D

    -0.87 D

    -1.00 D

    +19.00 D

    +18.16 D

    -0.84 D

    -1.00 D

    +18.50 D

    +17.69 D

    -0.82 D

    -1.00 D

    +18.00 D

    +17.21 D

    -0.79 D

    -1.00 D

    +17.50 D

    +16.73 D

    -0.77 D

    -1.00 D

    +17.00 D

    +16.26 D

    -0.74 D

    -0.50 D

    +16.50 D

    +15.78 D

    -0.72 D

    -0.50 D

    +16.00 D

    +15.31 D

    -0.69 D

    -0.50 D

    +15.50 D

    +14.83 D

    -0.67 D

    -0.50 D

    +15.00 D

    +14.35 D

    -0.64 D

    -0.50 D

    +14.50 D

    +13.88 D

    -0.62 D

    -0.50 D

    +14.00 D

    +13.40 D

    -0.60 D

    -0.50 D

    +13.50 D

    +12.93 D

    -0.57 D

    -0.50 D

    +13.00 D

    +12.45 D

    -0.55 D

    -0.50 D

    +12.50 D

    +11.97 D

    -0.53 D

    -0.50 D

    +12.00 D

    +11.49 D

    -0.50 D

    -0.50 D

    +11.50 D

    +11.02 D

    -0.48 D

    -0.50 D

    +11.00 D

    +10.54 D

    -0.46 D

    -0.50 D

    +10.50 D

    +10.07 D

    -0.43 D

    -0.50 D

    +10.00 D

    +9.58 D

    -0.41 D

    -0.50 D

    +9.50 D

    +9.11 D

    -0.39 D

    -0.50 D

    +9.00 D

    +8.63 D

    -0.37 D

    No Change

    +8.50 D

    +8.16 D

    -0.35 D

    No Change

    +8.00 D

    +7.68 D

    -0.32 D

    No Change

    +7.50 D

    +7.20 D

    -0.30 D

    No Change

    +7.00 D

    +6.72 D

    -0.28 D

    No Change

    +6.50 D

    +6.24 D

    -0.26 D

    No Change

    +6.00 D

    +5.76 D

    -0.24 D

    No Change

    +5.50 D

    +5.28 D

    -0.22 D

    No Change

    +5.00 D

    +4.81 D

    -0.20 D

    No Change

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