i-med fish

Nomograms

Carriazo-Barraquer (CB) Nomogram & CBSu

Courtesy of Dr. Cezar Carriazo M.D., Colombia
Vacuum Ring Selection
Selection based on K reading in the AXIS of where your HINGE is placed 

Desired OZ

K<=39

39<K<=41

41<K<=43

43<K<=46
46<K
8.0mm
0
+1
+2
 
 
8.5mm
-1
0
+1
+2
 
9.0mm
 
-1
0
+1
+2
9.5mm
H
 
-1
0
+1
10.0mm
 
H
 
-1
0
10.5mm
 
 
H
 
-1

(Suggested Combinations only-individual patient selection may vary)

H ring must be used with caution-verify OZ with applanator lens. Be aware of the large flap diameters created with the H ring.

One-Use Plus Nomogram

one use nomogram

LSK One-Use Nomogram

Average K
Ring
Stop
Flap OZ
Stroma Available Ablation
Hinge Chord Length
See Below

38

-1

7.5

8.5

8

4.0

*

 

 

 

 

 

 

39

-1

7.5

8.75

8.13

4.5

*

 

 

 

 

 

 

40

-1

7.5

9

8.25

5.0

 

 

 

 

 

 

41

-1

7.75

9.25

8.5

5.0

 

0

7.5

8.75

8.125

4.5

 

 

 

 

 

 

42

-1

8

9.5

8.75

5.1

 

0

7.5

9

8.25

5.0

 

 

 

 

 

 

43

-1

8.25

9.75

9

5.2

 

0

7.75

9.25

8.5

5.0

 

 

 

 

 

 

44

-1

8.5

10

9.25

5.3

**

 

0

8

9.5

8.75

5.1

 

 

 

 

 

 

45

-1

8.75

10.25

9.5

5.3

**

 

0

8.25

9.75

9

5.2

 

 

 

 

 

 

46

0

8.25

9.75

9

5.2

 

 

 

 

 

 

47

0

8.5

10

9.25

5.3

**

 

 

 

 

 

 

48

0

8.75

10.25

9.5

5.3

**

* Caution – small hinge. *Corneas > 12mm may decrease flap by .25mm

** Caution of corneas < 11.0mm. Lubricate well and make slower pass.

Notes:  Determine your Average K, then select appropriate ring and stop position.
For corneas greater than 11.5mm in diameter, OZ size will decrease by .25mm.
For corneas less than 11.0mm in diameter, OZ size will increase by .25mm.
Suggested combinations only – individual patient selection may vary!

LSK One Nomogram

Courtesy of Dr. Michael Belin M.D., Albany NY
Vacuum Ring And Stop Ring Selection
Selection based on HORIZONTAL K reading

Desired OZ

K<=39

39<K<=41

41<K<=43

43<K<=46

46<K

8.0mm

-1/7.0

0/7.0

+1/7.0

+2/7.0

N/A

8.5mm

0/7.0

+1/7.0

+2/7.0

N/A

N/A

9.0mm

 

-1/7.5

0/7.5

+1/7.5

+2/7.5

9.5mm

H/8.0

 

-1/8.0

0/8.0

+1/8.0

10.0mm

 

H/8.5

 

-1/8.5

0/8.5

10.5mm

 

H/9.0

 

-1/9.0