1. Toric IOLs for CLE John Cheung, MD Everest SurgiCentre Focus Eye Centre

2. Toric IOLs for CLE AcrySoft IQ Toric IOL (SN6AT2-9) 3. Toric IOLs for CLE AcrySoft IQ Toric IOL Calculator 4. Toric IOLs for CLE AcrySoft IQ Toric IOL Calculator 5. Toric IOLs for CLE AcrySoft IQ Toric IOL Calculator 6. Toric IOLs for CLE AcrySoft IQ Toric IOL Calculator 7. Study Cohort 2 CLE Groups n=30 eyes for Dv n=30 eyes for Nv Overall average demographics: Age: Sphere: Cylinder: IOL Power: Toricity:54 7 yrs (38 to 69 yrs) -2.38 6.43 D (-17.25 to +6.25D) +1.04 1.24 D (0 to +5.00 D) 20.7 8.60 D (6.0 to 34.0 D) 1.95 1.32 D (1.0 to 6.0 D) 8. Study Cohort Study Parameters All eyes treated by 1 surgeons (JC) All with AcrySoft IQ toric IOLs (T2 - T9) SIA 0.3 D Incision location: OD is 185 and OS is 5Post-op Zymar qid x 1 week PF qid x 2weeks then bid x 2 weeks Voltaren qid x 1 month DFE at 1 month exam 9. Avg Rx (D) over Time 0.75 0.50SE (D)0.25 0.00Distance Rx +0.23 +0.251W1M3M -0.31-0.25 -0.44-0.40Sph Equivalent Sphere-0.50 -0.57-0.75Cylinder+0.26-0.52-0.44 10. Avg Rx (D) over Time -1.50 -1.75Near RxSE (D)-2.001W -2.25 -2.50 -2.75 -3.001M-2.35-2.39-2.423M -2.31Sph Equivalent Sphere-2.48-2.49 11. Avg Cyl (D) over Time 0.75 0.50SE (D)0.25 0.00Near Rx+0.131W+0.191M-0.25 -0.50 -0.75 * 2 pending retx for residual cyl 1.00 & 1.25 DCylinder * +0.393M 12. CLE UCVA (Distance) 1009390 8575 506367 6347 403725 0>20/20>20/25 1 Week1 Month>20/40 3 Months 13. CLE UCVA (Distance) 96100 7910083 8175 58 50504825 0>20/20>20/25 1 WeekRemoved retx1 Month>20/40 3 Months100 14. CLE BCVA (Distance) 97100 75737373100100100100 1001008150 25 0>20/20 Pre-op>20/25 1 Week1 Month>20/40 3 Months100 15. CLE BCVA (Distance) 100 100100100100100 10010090 79797975 50 25 0>20/20 Pre-opRemoved retx>20/25 1 Week1 Month>20/40 3 Months100 16. CLE BCVA (Near) 100 1009710090100938375 575750404125 0>20/20 Pre-op>20/25 1 Week1 Month>20/40 3 Months100 17. SE Intended vs Achieved Dv 3M +/- 1.0D8 0Achieved SE (D)2 0 -4-10-16 -16-10-4 Intended SE (D)28 18. SE Intended vs Achieved Nv 3M 42 pending retx+/- 0.5DAchieved SE (D)3210 012 Intended SE (D)34 19. Cyl Intended vs Achieved 3M +/- 0.5D 5Achieved SE (D)4 3 2 Distance1Near 0 -1 -101 2 3 Intended SE (D)45 20. CLE Bioptic WGA PRK will be considered at 3 months post-op Bioptic rates: Distance: Near:17% (7% due to residual cyl) 0% (2 are pending) 21. Summary Toric IOL for CLE is an excellent method of correcting astigmatism On average +0.25 D of residual cyl (7% retx for residual cyl) Targeted near vision achieved in all but 2 patients pending retx. 22. Thank You for your Attention. Questions?