Topography guides refractive surgery decision-making

SAN DIEGO — Anterior elevation, posterior elevation, pachymetry, underlying pathology and long-term effect on patients are five key elements that Kendall E. Donaldson, MD, MS, integrates into her topographic assessment when planning refractive surgery.
First, the astigmatism value and shape as seen on the anterior corneal curvature map help inform her decision-making.
“We have to take a look at the difference between the manifest and the topographic astigmatism,” Donaldson said at Refractive Subspecialty Day at the American Society of Cataract and Refractive Surgery annual

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