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