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Area of Ophthalmology

A 360 Degree Approach to Astigmatism

This session will discuss why refractive laser surgery and advanced cataract surgery requires accurate planning and perfect execution to achieve optimal refractive results.
In this session, the current understanding and management of unexpected refractive results will be presented. Astigmatism correction is a key point to achieve plano results after refractive laser surgery and cataract surgery. The faculty will cover management techniques for pre-existing astigmatism, with a focus on pre-operative diagnosis, patient selection, corneal marking techniques, surgical pearls, and available treatment options, including toric IOLs and nomograms. Recent advances, including posterior corneal astigmastim measurement and image guided axis marking for toric IOL implantation, will be presented.


Training Objectives

At the end of this training you will know ...

  • the prevalence of astigmatism
  • the difference between against-the-rule and with-the-rule astigmatism
  • the cyclotorsion compensation with nomogram recommendations
  • the main source of errors in IOL calculation
  • the influence of the posterior cornea surface and its impact on preciseness of IOL power calculation
  • the effect of IOL misaligment
  • the high cylinder correction in refractive laser surgery and its impact on the outcome
  • the impact and applications fields of topoguided treatments
  • the definition of irregular corneas

Dr. med. Amir Hamid, BMedSci BMBS FRCOphth CertLRS

Optegra Eye Hospital, London, UK

The London-based cataract and refractive surgeon Dr. Amir Hamid has a special interest in presbyopia correction, laser cataract surgery and laser vision correction. Dr. Hamid is on the GMC Register of Specialists in Ophthalmology and holds both the Fellowship of the Royal College of Ophthalmologist (FRCOpth) and the Certificate in Laser & Refractive Surgery (CertLRS). After his fellowship-level subspecialty training in the field of Cornea and anterior segment, he was appointed to a consultant position at the North East London NHS Treatment Center in 2011. Dr. Hamid is on the medical advisory boards of several leading companies in the field of cataract surgery and is a regular speaker at international conferences on cataract and refractive surgery.

Conflicts of interest

Speaker fee from Carl Zeiss Meditec AG


Glenn Carp, MBBCh, FCOphth(SA)

London Vision Clinic, London, UK

Mr. Glenn Carp, originally from South Africa, is a highly qualified eye surgeon who has performed over 13,000 procedures. In 2005 he joined the London Vision Clinic through a fellowship. Today, Mr. Carp performs LASIK eye surgery, ReLEx SMILE and PRK at the clinic. As a consultant ophthalmologist and a specialized refractive laser surgeon, he is involved in training programs for PRESBYOND and SMILE procedures.

Conflicts of interest

The author (DZ Reinstein) acknowledges a financial interest in ArtemisTM VHF digital ultrasound (ArcScan Inc., Golden, CO), The author (DZ Reinstein) is a consultant for Carl Zeiss Meditec AG (Jena, Germany); The author (Glenn I Carp) receives travel expenses from Carl Zeiss Meditec AG (Jena, Germany)


Dr. med. Joaquín Fernández, MD, PhD

QVision, Almería, Spain

Dr. Joaquín Fernández is an ophthalmic surgeon specialized in the fields of refractive surgery, presbyopia, keratoconus, and cataracts. Today he is CEO of Qvision, Medical Director of the Department of Ophthalmology at the Hospital Vithas Virgen del Mar, Medical Director of the Department of Ophthalmology at the Complejo Hospitalario Torrecardenas (Almería, Spain) and heads a Keratoconus Department in Ostandalusia. Dr. Joaquín Fernández is the patron of the Elena Barraquer Foundation, which works to eradicate preventable blindness due to cataracts. He has published in national and international research journals, has been involved in the writing of books, and has an extensive experience with performing live surgeries.

Conflicts of interest

Medicontur (Consultant, Lectures, Research, Travel); Staar Surgical (Lectures, Research, Travel); Bausch + Lomb, Inc (Lectures, Research, Travel);Carl Zeiss Meditec, Inc (Lectures, Research, Travel); Oculus, LLC (Lectures, Travel); Oculus, LLC (Lectures, Travel);Angelini (Research, Travel)


PD Dr. med. Nino Hirnschall

Hanusch Hospital, Vienna, Austria

PD Dr. Nino Hirnschall is a specialist in ophthalmology and currently practices at the Hanusch Hospital in Vienna, Austria. Dr. Hirnschall completed his specialist training in ophthalmology at the Moorfields Eye Clinic in London and completed his doctorate at the Medical University in Vienna in 2014. From 2010 to 2014 he was Research Fellow at VIROS (Vienna Institute for Research in Ophthalmic Surgery) and from 2016 to 2018 he was Consultant Ophthalmologist at Hanusch Hospital. In 2018 he became consultant ophthalmologist at the Sidney Eye Hospital in Sidney, Australia.

Conflicts of interest

Sponsored Clinical Trials & Unrestricted Grants to Institute (VIROS) in 2017: Johnson&Johnson; Bausch + Lomb; Bayer; Carl Zeiss Meditec AG; Formycon; Oculentis; Nidek; PhysIOL; Rayner; O. Findl - Scientific advisor / Member of Scientific Advisory Board: Johnson&Johnson;  Bausch + Lomb; Carl Zeiss Meditec AG Personal financial interest in products: Scientific advisor: Carl Zeiss Meditec AG


Dr. med. Rüdiger Schmid

Accuratis, Praxis für refractive Augenchirurgie, Ulm, Germany

Dr. Rüdiger Schmid (FEBO) has been working as an ophthalmologist and eye surgeon at the AugenAllianz Centers in Dillingen since 2004 and at Accuratis Augenlaser & Premiumlinsen in Ulm since 2013 (both Germany). Since 2004 he has been using the various methods of refractive laser eye surgery and is therefore one of the most experienced laser eye specialists in the region. Dr. Schmid introduced laser eye surgery according to the SMILE method in 2013 in Baden-Württemberg and also pioneered the introduction of new premium lens systems in Germany. Dr. Schmid has used the most modern and gentle techniques of refractive eye surgery in around 20,000 operations to date. He is a speaker at national and international conferences and scientific consultant for lens developments

Conflicts of interest

Dr. Schmid is a paid consultant for Zeiss, Johnson & Johnson Vision, Polytech-Domilens.
No financial interest in the products or procedures mentioned in this presentation.


Sponsoring

This training was supported by Carl Zeiss Meditec AG with a net amount of EUR 2816,65 to cover the certification period.


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Profile / Info

CME points: 1 CME credit point


Certified by: Medical Association of Baden-Württemberg


Certified until: 03.07.2021


Processing time: 45 minutes


Participation fee: Free of charge


CME Partner: Carl Zeiss Meditec AG