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Ophthalmology Emphasizing Corneal and Refractive Issues



The choice of suture technique is often the difference between a stable corneal transplant with low astigmatism and a graft with poor vision and unstable, irregular astigmatism.
During the “sutures-in” postop period, care must be taken to ensure corneal stability with additional sutures rather than using the premature removal of sutures to control astigmatism.
The ability to control regular and irregular astigmatism after cornea transplant is an essential skill to the process of vision restoration.
The slip knot in it’s variations is one of the most valuable skills for the surgeon. It holds under pressure, does not tighten or loosen with additional throws and results in a smaller knot which is easier to bury.

The Blue Line incision incorporates the speed and ease of creation with the safety and strength of a scleral tunnel incision.
The ability to create and modify astigmatic relaxing incisions at the slit lamp allows for the actual correction of the majority of astigmatism and with the C-procedure allows corrections up to 5-6 diopters.
Even though interferometry provides accurate axial length results in many cases it is often inaccurate in mature and posterior subcapsular cataracts. This an alternative to immersion techniques.
In the occasional case in which the patient has a significant astigmatic error, this procedure allows corrections of up to 6 diopters with incisions.
Lifting a LASIK flap for enhancement or to clear epithelial ingrowth can be simplified with this technique.