|
Surgeon Name |
|
Patient Name |
|
|
Case Number |
|
Sex |
|
|
Age |
|
Eye |
|
|
Exam Date |
|
|
|
|
Keratometer Notation |
|
Keratometer Index |
|
|
Flat Meridian (K1) |
|
Flat Axis in ° |
|
|
Steep Meridian (K2) |
|
Steep Axis in ° |
|
|
SE IOL Power in dpt |
|
|
|
|
Surgically Induced Astigmatism (SIA) in dpt |
|
Incision Location in ° |
|
|
Corneal Data |
|
|
|
|
Back Surface Flat K |
|
Back Surface Flat Axis in ° |
|
|
Back Surface Steep K |
|
Back Surface Steep Axis in ° |
|
|
Lens Model |
|
