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Nidek EC 5000 This laser has a lot of coupling of sphere and cylinder such that the sphere has to be reduced more with increasing cyl. The nomogram for the "ordinary" Nidek EC-5000 is on an Excel spreadsheet at EC5000. Roughly, you have to add 30-40% onto the cylinder and take 40% of the original cylinder off the sphere. e.g. -2 / -2 x 180 would be entered into the laser as -1.2 / -2.8 x 180. This only applies as long as no other nomogram is already put on the laser (F5 or "Nidek standard" ). However, every surgeon has to develop his/her own nomogram for each machine as they all vary slightly.
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