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