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MPL Power Calculation Gen-2

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Patient Information

Patient Name/ID: Physician:

Age: Gender: Eye: Dominant Eye:

Profession/Hobby: Remarks:

Measurements (IOLMaster by Default)

AL (mm): BCVA:

K1 (mm): K2 (mm): Mean K:

MRSphere (D): MRCylinder (D):

Internal ACD by Orbscan/Petacam/Others (mm):

External ACD (mm): CCT (µm):

WTW (mm): Vertex (mm): ECD (cells/mm):

WTW by Orbscan/Pentacam/Manual (mm):

Manifest Refraction: Cyclo Refraction:

Required Lens

SN:

MPL Calculation	Lens Diopter	Expected Error	MPL Model

Phakic Implants

Cataract Solutions

Dry Eye

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MPL Power Calculation Gen-2

customerservice@medennium.com

Patient Information

Measurements (IOLMaster by Default)

Calculated MPL Power

Remark: This calculation is based on

cylinder

Verified/confirmed by (Chop/Sign)