What We Do and Don t Know about Corneal Crosslinking. Roy Rubinfeld, MD
|
|
|
- Derek Johnathan Goodwin
- 8 years ago
- Views:
Transcription
1 What We Do and Don t Know about Corneal Crosslinking Roy Rubinfeld, MD Washington Eye Physicians and Surgeons Chevy Chase, MD Georgetown University Medical Center, Washington Hospital Center, Washington, DC
2 Disclosures This presentation describes investigational medical technology that is not FDA-approved. The author has financial and IP interests in CXL technology and research.
3 Quick History
4 1998 Cross-linking
5 Dresden Technique Anesthetic drops Remove epithelium Riboflavin drops for 30 mins UV light for 30 mins at 3mW/cm 2 Bandage contact lens
6 CXL Approved 2006 All 25 EU Nations
7 2012 Clinical Trials
8 CXL for KCN, Ectasia Over a hundred published studies Shown safe and effective worldwide Arrests KCN progression (~90+%) UCV, BCSVA, CL tolerance (40-80%)
9 37 y/o Man 2009: KCN Dxd by OD 2010: CXL recommended (by OD) 2011: CXL firmly recommended
10
11 KCN Progressing 2009 OD MRfx X /30+ OS MRfx X / OD MRfx X /40-1 OS MRfx X /25-2 Pachs thinner, Ks steeper, getting worse
12 Pre/Post CXL OD
13 Doyle Stulting, MD EBAA 2006 data
14 Typical Epi Off CXL Pain, photophobia Worse vision for 1-3 mo Steeper Ks Haze SPEs/surface issues
15 Haze after Epi-Off CXL
16 Epi-Off: VA & Ks 1-2 Mo Thicker Variable Epithelial Thickness Thinner Consistent Epithelial Thickness Steeper Ks R. Stein, MD Preop 1 mo Postop
17
18 Delayed Epithelial Healing and Infiltrate after Epi-Off CXL Zymar & polytrim Q2 hrs started; BCTL removed, Punctal plugs placed, W. Trattler, MD Postop Day 2
19 Postop Day 5
20 Epi-off CXL AEs Corneal melting in both eyes after simultaneous corneal cross-linking in a patient with keratoconus and Down syndrome. Ophthalmologe Oct;107(10):951-5 Corneal melting corneal collagen cross-linking for keratoconus: A case report. Labiris. Journal of Medical Case Reports 5: Early ocular surface-related complications after CXL. Gutman. Modern Medicine Sept, 2012.
21 Why Wouldn t We Want to do CXL Without Removing Epithelium?
22 Normal Corneal Epithelium Barrier to riboflavin penetration of stroma? Epithelium Stroma
23
24 Evolution of a Technique
25 Let s Compromise Hybrid Approaches Criss cross PTK Femtosecond channels Disrupters
26 Daya Disruptor
27
28 Well Loaded TransEpi
29 Epi-on Flare
30 Clear Cornea POD 1 (Epi-On)
31 US Multicenter CXL Study Actively Recruiting Patients since 10/09 8 or older FFKC, KCN or PMD Postop Ectasia Post RK with Visual Fluctuations Cornea at least 300 microns thick At least 6 mo since last corneal Sx
32 Marwa Adi, MD Neil Martin, MD Roy Rubinfeld, MD Jodi Luchs, MD William Trattler, MD Parag Majmudar, MD Lance Forstot, MD Sandy Feldman, MD Jay Schwartz, MD Ty McCall, MD John Talamo, MD Ranjan Malahotra, MD Gregg Berdy, MD David Wallace, MD Dan Goodman, M D Richard Lindstrom, MD Study Centers Chevy Chase, MD Chevy Chase, MD Chevy Chase, MD Long Island, NY Miami, FL Chicago, IL Littleton, CO San Diego, CA Phoenix, AZ Dallas, TX Boston, MA St. Louis, MO St. Louis, MO Los Angeles, CA San Francisco, CA Minneapolis, MN 15 centers 37 Investigators
33 But Does Epi-On Work? and How Do We Know the Patient is Better?
34 CXL & Curvature Change Change in avg or steep K is not enough Diff maps can help show true curvature changes
35 Preop Postop 6 Wks Left Eye Difference Map 7 D Steeper 4 D Flatter Roy Rubinfeld, MD Epi-ON case
36 Kmax Reproducibility with Pentacam: 3 scans of 1 Eye (c/o William Trattler, MD) OD QS:LID QS:LID QS:LID Kmax range: 69.2 to 71.6= 2.4D
37 Treatment Failures 5% in Seiler s report CXLUSA 14 eyes out of 1250 (0.01%) Epi-On CXL related adverse events:0
38 CXL Mythbusting
39 Is Higher Better? Higher irradiance = faster crosslinking? 30 mw/cm2 X 3 min = 3 mw/cm2 X 30 min 300 degrees for 30 min = 3000 degrees for 3 min Roy Rubinfeld, MD
40 CXL plus LASIK Ectasia Flap adds little or no strength LASIK weakens corneas CXL strengthens corneas RSB strength may be a more important variable than thickness
41 Is it Safe?
42 LASIK plus CXL
43
44 LASIK and CXL Shinegawa data on thousands of eyes CXLUSA data Excellent UCVA No effect on nomogram No ectasias
Corneal Collagen Crosslinking: An Introduction to the New Paradigm in Keratoconus. Michael Waggoner DO McDonald Eye Associates Fayetteville AR
Corneal Collagen Crosslinking: An Introduction to the New Paradigm in Keratoconus Michael Waggoner DO McDonald Eye Associates Fayetteville AR Learning Objectives Gain knowledge in: The history of the development
Collagen Cross Linking in the limelight: The Universal Dream of Keratoconus Treatment
Collagen Cross Linking in the limelight: The Universal Dream of Keratoconus Treatment Andrew S. Morgenstern, OD FAAO Booz Allen Hamilton Contractor at The Vision Center of Excellence Who We Work For My
Complications of Combined Topography-Guided Photorefractive Keratectomy and Corneal Collagen Crosslinking in Keratoconus
Complications of Combined Topography-Guided Photorefractive Keratectomy and Corneal Collagen Crosslinking in Keratoconus Michelle Cho, M.D. 1 Anastasios John Kanellopoulos, M.D 1,2 New York University
UPDATE ON AVEDRO CROSSLINKING STUDIES
UPDATE ON AVEDRO CROSSLINKING STUDIES Peter S. Hersh, M.D. Director, Cornea & Laser Eye Institute CLEI Center for Keratoconus Clinical Professor of Ophthalmology, Rutgers Medical School Visiting Researcher,
Surgical Advances in Keratoconus. Keratoconus. Innovations in Ophthalmology. New Surgical Advances. Diagnosis of Keratoconus. Scheimpflug imaging
Surgical Advances in Keratoconus Keratoconus Ectatic disorder 1 in 1,000 individuals Starts in adolescence & early adulthood Uncertain cause 20% require corneal transplant Innovations in Ophthalmology
Short and long term complications of combined. Protocol) in 412 keratoconus eyes (2 7 years follow up)
Short and long term complications of combined topography guided PRK and CXL (the Athens Protocol) in 412 keratoconus eyes (2 7 years follow up) Anastasios John Kanellopoulos, MD Director, Laservision.gr
Overview of Refractive Surgery
Overview of Refractive Surgery Michael N. Wiggins, MD Assistant Professor, College of Health Related Professions and College of Medicine, Department of Ophthalmology Jones Eye Institute University of Arkansas
(Mazzotta et al, 2007) Human corneal rigidity increases 329 % (Wollensak, 2006)
Simultaneous PRK and CXL Corneal Crosslinking (CXL): UV-A light, 365 nm, causes riboflavin, 0.1 %, to release oxygen radicals which create new cross-linking bonds between collagen lameller fibres and within
Transepithelial Crosslinking vs. Corneal Pocket Crosslinking. Christoph Kranemann MD Anna Yu OD
Transepithelial Crosslinking vs. Corneal Pocket Crosslinking Christoph Kranemann MD Anna Yu OD Rome 2013 We have no financial interests in this presentation. Corneal collagen cross linking Creates new
CXL With the Epithelium on or off: Which Is Better?
CXL With the Epithelium on or off: Which Is Better? Transepithelial CXL Is Gaining Ground By Roy S. Rubinfeld, MD, and the CXL-USA Study Group At its simplest, corneal collagen cross-linking (CXL) is a
Cross-Linking with Refractive Surgery: Pros and Cons
Cross-Linking with Refractive Surgery: Pros and Cons Raj K. Rajpal, M.D. Medical Director and Founder See Clearly Vision Group Mclean, Virginia Clinical Associate Professor Georgetown University Washington,
By Dr Waleed Al-Tuwairqi, MD Dr Omnia Sherif, MD Ophthalmology Consultants, Elite Medical & Surgical Center Riyadh -KSA.
By Dr Waleed Al-Tuwairqi, MD Dr Omnia Sherif, MD Ophthalmology Consultants, Elite Medical & Surgical Center Riyadh -KSA Rome, Italy 2013 بسم الرحمن الرحيم In the name of Allah, Most Gracious, Most Merciful
5/24/2013 ESOIRS 2013. Moderator: Alaa Ghaith, MD. Faculty: Ahmed El Masri, MD Mohamed Shafik, MD Mohamed El Kateb, MD
ESOIRS 2013 Moderator: Alaa Ghaith, MD Faculty: Ahmed El Masri, MD Mohamed Shafik, MD Mohamed El Kateb, MD 1 A systematic approach to the management of Keratoconus through the presentation of different
Corneal Collagen Cross-Linking (CXL) With Riboflavin
Dr. Paul J. Dubord, MD, FRCSC Clinical Professor Department of Ophthalmology and Visual Sciences University of British Columbia Patient Information Guide Corneal Collagen Cross-Linking (CXL) With Riboflavin
CENTRO OFTALMOLOGICO GUSTAVO TAMAYO BOGOTA COLOMBIA LASIK XTRA GUSTAVO TAMAYO MD CLAUDIA CASTELL MD PILAR VARGAS MD
CENTRO OFTALMOLOGICO GUSTAVO TAMAYO BOGOTA COLOMBIA LASIK XTRA GUSTAVO TAMAYO MD CLAUDIA CASTELL MD PILAR VARGAS MD From: BOGOTA LASER REFRACTIVE INSTITUTE Bogota, Colombia DISCLOSURES FOR GUSTAVO TAMAYO
Collagen Cross-Linking: The Promise Keeps Growing
Page 1 of 9 This Month's Issue CME Programs Archive Newsletter Archive Retina Online Archive Idea Exchange Meetings/CME Calendar of Events About the Review Author Guidelines Contact Us Subscription Services
Keratoconus. Progressive bilateral ectasia. Onset puberty. Prevalence 1:2000. 20% progress to transplantation. Pathogenesis unclear
Keratoconus Progressive bilateral ectasia Onset puberty Prevalence 1:2000 20% progress to transplantation Pathogenesis unclear Increased pepsin and catalase Decreased collagen crosslinking cf normal Conventional
FIRST EXPERIENCE WITH THE ZEISS FEMTOSECOND SYSTEM IN CONJUNC- TION WITH THE MEL 80 IN THE US
FIRST EXPERIENCE WITH THE ZEISS FEMTOSECOND SYSTEM IN CONJUNC- TION WITH THE MEL 80 IN THE US JON DISHLER, MD DENVER, COLORADO, USA INTRODUCTION AND STUDY OBJECTIVES This article summarizes the first US
Διαθλαζηικη Χειροσργικη 2014
Διαθλαζηικη Χειροσργικη 2014 Επιθηλιο Femto Κεραηοκωνος Διαζσνδεζη Κολλαγονοσ Anastasios John Kanellopoulos, MD Professor: NYU Medical School, New York, NY LaserVision.gr Eye Institute, Athens, Greece
9/15/2013. Naturally-existing Corneal Pathology Forme Fruste Keratoconus Keratoconus Pellucid Marginal Degeneration
Bill Tullo, OD, FAAO Diplomate Vice-President of Clinical Services TLC Vision 33386-PO 1 Hour Bill Tullo, OD has no financial interests in any of the products or companies discussed in this program Naturally-existing
Long-Term Outcomes of Flap Amputation After LASIK
Long-Term Outcomes of Flap Amputation After LASIK Priyanka Chhadva BS, Florence Cabot MD, Anat Galor MD, Sonia H. Yoo MD Bascom Palmer Eye Institute, University of Miami Miller School of Medicine Miami
LASIK/PRK following previous eye Surgery
AAO San Francisco 2009 LASIK/PRK following previous eye Surgery A. John Kanellopoulos, MD Associate Clinical Professor, NYU Medical School Director: Laservision.gr Eye Institute, Athens, Greece www.brilliantvision.com
Keratoconus Lasers, Lenses & Boomerangs (the journey, missing links, and management & treatment options) Moderator: Jan P G Bergmanson, OD, PhD
2014 AAO CCLRT Section Symposium Keratoconus Lasers, Lenses & Boomerangs (the journey, missing links, and management & treatment options) Moderator: Jan P G Bergmanson, OD, PhD Recurrent Keratoconus: Does
Collagen cross-linking should be done separately. Canan Asli Utine, MD, MSc, FICO Yeditepe University, Istanbul, Turkey
Collagen cross-linking should be done separately Canan Asli Utine, MD, MSc, FICO Yeditepe University, Istanbul, Turkey Collagen cross linking 1st established tx addressing the pathophysiology of corneal
Tear Osmolarity in Refractive Surgery: Its Impact on Clinical Outcomes
Tear Osmolarity in Refractive Surgery: Its Impact on Clinical Outcomes Hawaiian Eye 2013 Marguerite McDonald, MD, FACS Clinical Professor of Ophthalmology NYU Langone Medical Center New York, New York
Techniques for Enhancing Cataract Surgery Patients with Residual Refractive Error. Director of Cornea Center For Excellence In Eye Care Miami, FL
Techniques for Enhancing Cataract Surgery Patients with Residual Refractive Error William Trattler, MD Director of Cornea Center For Excellence In Eye Care Miami, FL 1 Financial Disclosures Consulting
Opening Remarks. David Muller, Ph.D. President and Chief Executive Officer Avedro, Inc.
Corneal Collagen Cross-linking with Photrexa Viscous (riboflavin ophthalmic solution) 20% dextran, Photrexa (riboflavin ophthalmic solution)/kxl System NDA 203324 Joint Meeting of the Dermatologic and
Ectasia Risk Scoring System (ERSS): Limitations and Variability in Predictive Value
Ectasia Risk Scoring System (ERSS): Limitations and Variability in Predictive Value Jay S. Pepose, M.D., Ph.D. Director, Pepose Vision Institute Professor of Clinical Ophthalmology Washington University
Emil William Chynn, MD, FACS, MBA Park Avenue LASEK 333 Park Avenue South, New York, NY dr@parkavenuelasek.com
Emil William Chynn, MD, FACS, MBA Park Avenue LASEK 333 Park Avenue South, New York, NY dr@parkavenuelasek.com Evolu&on of Refrac&ve Surgery RK, AK (Fyodorov Russia/Ukraine) PRK (Trokel & L Esperance,
LASIK complications and their management ESCRS Munich 9.2003
LASIK complications and their management ESCRS Munich 9.2003 A. John Kanellopoulos, M.D. Associate Professor NYU Medical School Director, LaserVision.gr Eye Institute Case report 1 2 years s/p PK LASIK
efocus Success strategies for patient education in primary eye care practice
Issue 044 March 2012 efocus Excellence in Co-Managed Care P A C I F I C V I S I O N I N S T I T U T E Life in Focus 415.922.9500 www.pacificvision.org Success strategies for patient education in primary
Lasik Xtra in: Hyperopia AK Xtra Clear cornea cataract surgery
Lasik Xtra in: Hyperopia AK Xtra Clear cornea cataract surgery A. John Kanellopoulos, M.D. Clinical Profesor of Ophthalmology New York University School of Medicine, New York, NY, USA Laservision.gr Institute,
LASIK/PRK following previous eye Surgery
AAO Chicago 2010 LASIK/PRK following previous eye Surgery A. John Kanellopoulos, MD Associate Clinical Professor, NYU Medical School Director: Laservision.gr Eye Institute, Athens, Greece www.brilliantvision.com
Excimer Laser Eye Surgery
Excimer Laser Eye Surgery This booklet contains general information that is not specific to you. If you have any questions after reading this, ask your own physician or health care worker. They know you
Collagen Cross-linking combined with PRK and LASIK
Collagen Cross-linking combined with PRK and LASIK./*0&1#*!"#$%%&'&(%&)2*+,* +$345"%*,46$57&62*8")$694)4&#/:6*;#)%4#45"%*?6&@$))&62*ABC*8"#:&#$*+$345"%*D51&&%2*AB!"#$%%&'&(%&)*+,!
Comparison of Residual Stromal Bed Thickness and Flap Thickness at LASIK and Post-LASIK Enhancement in Femtosecond Laser-Created Flaps
Comparison of Residual Stromal Bed Thickness and Flap Thickness at LASIK and Post-LASIK Enhancement in Femtosecond Laser-Created Flaps Lingo Y. Lai, MD William G. Zeh, MD Clark L. Springs, MD The authors
Corneal Cross Linking for Keratoconus and Ectasia
Corneal Cross Linking for Keratoconus and Ectasia Paul M. Karpecki, OD, FAAO Corneal Services and Ocular Disease Research Koffler Vision Group - Lexington KY 1 Paul M. Karpecki, OD, FAAO Financial Disclosures:
Refractive Surgery Issue. Inlays and Presbyopia: On the Horizon P. 24. Crack a SMILE or Raise a Flap? P. 30. LASIK Xtra: Who Should Get It? P.
MULTIMODAL IMAGING OF PLACOID DISORDERS P. 42 WILLS RESIDENT CASE SERIES P. 67 NTG: THE NOCTURNAL BLOOD PRESSURE FACTOR P. 54 WISE CHOICES FOR OCULAR DIAGNOSES P. 50 NEW WAYS TO DETECT KERATOCONUS P. 58
Short and long term complications of combined. Protocol) in 412 keratoconus eyes (2 7 years follow up)
Short and long term complications of combined topography guided PRK and CXL (the Athens Protocol) in 412 keratoconus eyes (2 7 years follow up) Anastasios John Kanellopoulos, MD Director, Laservision.gr
Ectasia after laser in-situ keratomileusis (LASIK)
Ectasia after laser in-situ keratomileusis (LASIK) 長 庚 紀 念 醫 院 眼 科 蕭 靜 熹 Post-LASIK ectasia A rare complication of LASIK Manhattan jury awarded a former investment banker a record $7.25 million for post-lasik
Surface Ablation After Corneal
Surface Ablation After Corneal Surgery: Management of Haze Helen K. Wu, MD New England Eye Center Tufts University School of Medicine Boston, MA Financial Disclosures Travel Stipend/Honoraries: IOP Ophthalmics
LASIK or PRK, the identified surgery, is referred to as the Procedure in the following:
At LASIK MD, we strongly believe that you should have all of the necessary information on-hand in order to make an informed decision about your procedure. The content of this consent form is not intended
ASPEN CORNEAL SOCIETY THIRTY-FIRST ANNUAL MEETING FEBRUARY 19-26, 2011. The Viceroy Snowmass Snowmass-at-Aspen COLORADO
ASPEN CORNEAL SOCIETY THIRTY-FIRST ANNUAL MEETING FEBRUARY 19-26, 2011 The Viceroy Snowmass Snowmass-at-Aspen COLORADO FACULTY ASPEN CORNEAL SOCIETY THIRTY-FIRST Annual Meeting Quentin B. Allen, Peoria,
Collagen Crosslinking and Management of Keratoconus Christopher Chow, M.D. Michigan Cornea Consultants Oakland University William Beaumont School of Medicine May 11, 2012 2 Keratoconus First described
Bascom Palmer Eye Institute. LASIK and Your Vision Correction
Bascom Palmer Eye Institute LASIK and Your Vision Correction For Many Patients, the Wait is Over The Vision Correction Center at Bascom Palmer For many patients who want to see near, far and everywhere
415.922.9500 www.pacificvision.org
Issue 046 September 2012 efocus Excellence in Co-Managed Care P A C I F I C V I S I O N I N S T I T U T E Life in Focus 415.922.9500 www.pacificvision.org Last month, we held a dinner with the Bay Area
Post LASIK Ectasia. Examination: Gina M. Rogers, MD and Kenneth M. Goins, MD
Post LASIK Ectasia Gina M. Rogers, MD and Kenneth M. Goins, MD October 6, 2012 Chief Complaint: Decreasing vision after laser- assisted in- situ keratomileusis (LASIK) History of Present Illness: This
Dr. Booth received his medical degree from the University of California: San Diego and his bachelor of science from Stanford University.
We've developed this handbook to help our patients become better informed about the entire process of laser vision correction. We hope you find it helpful and informative. Dr. Booth received his medical
New Surgical Intervention in Keratoconus. Diary Date AGM and members meeting in London. Keratoconus Group Newsletter Spring 2013 Page 1 of 8
Keratoconus Group Newsletter Spring 2013 Page 1 of 8 Keratoconus Group Newsletter Spring 2013 Diary Date AGM and members meeting in London Saturday 23 rd March 2013 at 10:30am at the Clinical Tutorial
Crosslinking and Long-Term Hyperopic LASIK Stability Initial Clinical Findings in Contralateral Eye Study
ASCRS 2012 Crosslinking and Long-Term Hyperopic LASIK Stability Initial Clinical Findings in Contralateral Eye Study Jonathan B. Kahn, M.D. 1 and A. John Kanellopoulos, M.D. 1,2 1 New York University School
Original Article Corneal Collagen Cross Linking Pak Armed Forces Med J 2015; 65(1): 105-9
Original Article Corneal Collagen Cross Linking Pak Armed Forces Med J 2015; 65(1): 105-9 COMPARISON OF RAPID AND CONVENTIONAL CORNEAL COLLAGEN CROSS LINKING IN PATIENTS HAVING KERATOCONUS Intisar ul Haq,
refractive surgery a closer look
2011-2012 refractive surgery a closer look How the eye works Light rays enter the eye through the clear cornea, pupil and lens. These light rays are focused directly onto the retina, the light-sensitive
Curtin G. Kelley, M.D. Director of Vision Correction Surgery Arena Eye Surgeons Associate Clinical Professor of Ophthalmology The Ohio State
Curtin G. Kelley, M.D. Director of Vision Correction Surgery Arena Eye Surgeons Associate Clinical Professor of Ophthalmology The Ohio State University Columbus, Ohio Refractive Errors Myopia (nearsightedness)
XXXII nd Congress of the ESCRS, London, September 13, 2014 Instructional Course # 7. LASIK: basic steps for safety and great results
XXXII nd Congress of the ESCRS, London, September 13, 2014 Instructional Course # 7 LASIK: basic steps for safety and great results Microkeratomes Jérôme C. VRYGHEM, M.D. Brussels Eye Doctors Brussels
Management of Epithelial Ingrowth after LASIK. Helen K. Wu, MD New England Eye Center Tufts University School of Medicine Boston, MA
Management of Epithelial Ingrowth after LASIK Helen K. Wu, MD New England Eye Center Tufts University School of Medicine Boston, MA Acknowledgements IOP Ophthalmics Staar Surgical Case Presentation 46
Laser Vision Correction: A Tutorial for Medical Students
Laser Vision Correction: A Tutorial for Medical Students Written by: Reid Turner, M4 Reviewed by: Anna Kitzmann, MD Illustrations by: Steve McGaughey, M4 November 29, 2011 1. Introduction Laser vision
Epi-LASIK Surgery. The procedure of choice for surface ablation.
Epi-LASIK Surgery The procedure of choice for surface ablation. powered by Moria Preservation of Corneal Biomechanical Integrity, minimizing the risks of ectasia Post-LASIK CH decrease (Reichert ORA) 0-1
LASIK Surgery. One Use-Plus. The Moria Option for SBK
LASIK Surgery One Use-Plus The Moria Option for SBK One Use-Plus Accuracy and predictability equivalent to Femto-SBK One Use-Plus SBK Flap thickness using ultrasound pachymetry 1 Flap thickness with Femto-SBK
Case Reports Post-LASIK ectasia treated with intrastromal corneal ring segments and corneal crosslinking
Case Reports Post-LASIK ectasia treated with intrastromal corneal ring segments and corneal crosslinking Kay Lam, MD, Dan B. Rootman, MSc, Alejandro Lichtinger, and David S. Rootman, MD, FRCSC Author affiliations:
TABLE OF CONTENTS: LASER EYE SURGERY CONSENT FORM
1 BoydVision TABLE OF CONTENTS: LASER EYE SURGERY CONSENT FORM Risks and Side Effects... 2 Risks Specific to PRK... 3 Risks Specific to LASIK... 4 Patient Statement of Consent... 5 Consent for Laser Eye
A Simple LASIK and Then It Came Astigmatism
A Simple LASIK and Then It Came Astigmatism Fabrizio I. Camesasca, MD Istituto Clinico Humanitas Milan, Italy Financial Disclosure I have no financial interests or relationships to disclose. 2001 35 y.o.
How do we use the Galilei for cataract and refractive surgery?
How do we use the Galilei for cataract and refractive surgery? Douglas D. Koch, MD Mariko Shirayama, MD* Li Wang, MD, PhD* Mitchell P. Weikert, MD Cullen Eye Institute Baylor College of Medicine Houston,
Ectasia Risk Factors: Lessons Learned
Ectasia Risk Factors: Lessons Learned Lewis R Groden, MD Execu-ve Medical Director, LasikPlus Vision Centers/LCA Vision Associate Professor University of South Florida, Department of Ophthalmology Tampa,
12/2/2013. Cause: David I. Geffen, OD, FAAO. Pubmed Search yielded 164 citations
David I. Geffen, OD, FAAO Cause: Disruption of corneal nerves = decreased tear production Goblet cell damage from pressure during flap creation Change in corneal curvature Changes how the tear film covers
Management of Unpredictable Post-PRK Corneal Ectasia with Intacs Implantation
Management of Unpredictable Post-PRK Corneal Ectasia with Intacs Implantation Mohammad Naser Hashemian, MD 1 Mahdi AliZadeh, MD 2 Hassan Hashemi, MD 1,3 Firoozeh Rahimi, MD 4 Abstract Purpose: To present
Diego Fernando Suárez Sierra, MD Fellow Cornea and Refractive Surgery Fellow Lens and Ocular Surface Vejarano Laser Vision Center
Corneal crosslinking with riboflavin and ultraviolet light before or after subepithelial keratectomy laser-assisted (LASEK) in patients with thin corneas. Diego Fernando Suárez Sierra, MD Fellow Cornea
Refractive Surgery. Evolution of Refractive Error Correction
Refractive Surgery Techniques that correct for refractive error in the eye have undergone dramatic evolution. The cornea is the easiest place to place a correction, so most techniques have focused on modifying
Ocular Surface Syndrome after LASIK
Alaa Atef Ghaith, MD Professor of Ophthalmology Alexandria University Ocular Surface Syndrome after LASIK Up to 33% of eyes Multifactorial entity which causes distress to the patients and physicians 1
Bladeless LASIK and PRK
Bladeless LASIK and PRK Bladeless LASIK and PRK The specialists at North Shore-LIJ Laser Vision Correction understand how valuable your sight is to you, which is why we use the safest, most advanced technology
Uniquely Safe. predictably better for our patients. enhancement, may be significantly reduced.
Uniquely Safe Clinical Support: Six different studies verify the improved safety of flap creation with the INTRALASE FS laser when compared to traditional microkeratomes. Clinical studies validate the
INFORMED CONSENT FOR LASIK SURGERY
IMPORTANT: READ EVERY WORD! This information is to help you make an informed decision about having laser assisted in-situ keratomileusis (LASIK) surgery to treat your nearsightedness, farsightedness and/or
10/9/2014. Basics of Scleral Lens Fitting: Its as Easy as 1-2-3
Basics of Scleral Lens Fitting: Its as Easy as 1 2 3 Melissa Barnett, OD, FAAO, FSLS Bruce Baldwin, OD, FAAO, FSLS Michael Lipson, OD, FAAO, FSLS Jason Jedlicka, OD, FAAO, FSLS Mindy Toabe, OD, FAAO, FSLS
Common Co-management Questions
Issue 037 efocus Innovation. Leadership. Passion for Perfection 415.922.9500 --- www.pacificvision.org Common Co-management Questions Top questions recently asked by optometrists co-managing refractive
The state-of-the-art LASIK Laser Eye Center. Connie S. McCaa, MD,PhD LASIK Laser Eye Center 4800 Lakeland Drive Flowood, MS 39232 601-933-1080
The state-of-the-art Connie S. McCaa, MD,PhD LASIK is a proven procedure Connie S. McCaa, MD, PhD, was one of the first ophthalmologists in the United States to be trained in the LASIK procedure. She has
LASIK. Complications. Customized Ablations. Photorefractive Keratectomy. Femtosecond Keratome for LASIK. Cornea Resculpted
Refractive Surgery: Which Procedure for Which Patient? David R. Hardten, M.D. Minneapolis, Minnesota Have done research, consulting, or speaking for: Alcon, Allergan, AMO, Bausch & Lomb, Inspire, Medtronic,
Atlanta Rankings 2014
Atlanta Rankings Major National Magazine and Study Rankings BUSINESS FACILITIES Metro Business Rankings Lowest Cost of Doing Business 2. Orlando, FL 3. Charlotte, NC 4. San Antonio, TX 5. Tampa, FL 6.
Medical Director, Shinagawa LASIK Center, Tokyo, Japan Adjunct Professor, Department of Ophthalmology, Wenzhou Medical College, Wenzhou, China
Medical Director,, Tokyo, Japan Adjunct Professor, Department of Ophthalmology, Wenzhou Medical College, Wenzhou, China Financial disclosure: Ziemer Group AG, Switzerland AcuFocus, CA Schwind Eye-Tech-Solutions,
The pinnacle of refractive performance.
Introducing! The pinnacle of refractive performance. REFRACTIVE SURGERY sets a new standard in LASIK outcomes More than 98% of patients would choose it again. 1 It even outperformed glasses and contacts
PATIENT CONSENT FOR LASER IN-SITU KERATOMILEUSIS (LASIK)
INTRODUCTION: You have been diagnosed with myopia (nearsightedness) or hyperopia (farsightedness) with or without astigmatism, or astigmatism alone. Myopia is a result of light entering the eye and focusing
THE SMILE THAT CAN TRANSFORM YOUR VISION
THE SMILE THAT CAN TRANSFORM YOUR VISION THE SMILE THAT CAN TRANSFORM YOUR VISION AND YOUR LIFE What is SMILELASER? The technology used to perform laser eye surgery has remained the same for almost a decade.
Challenging Refractive Surgery Cases. Vance Thompson, MD, FACS Refractive and Cataract Surgery Vance Thompson Vision Sioux Falls, South Dakota
Challenging Refractive Surgery Cases Vance Thompson, MD, FACS Refractive and Cataract Surgery Vance Thompson Vision Sioux Falls, South Dakota Financial Disclosures Research/consulting: Alcon AMO B & L
Cornea and Refractive Surgery Update
Cornea and Refractive Surgery Update Fall 2015 Optometric Education Dinner Sebastian Lesniak MD Matossian Eye Associates Disclosures: None Bio: Anterior Segment and Cornea Surgery Fellowship Wills Eye
Ophthalmology Department,Tanta University, Egypt
Moataz M. Sabry, MD, PhD. Ophthalmology Department,Tanta University, Egypt 1 SHOULD WE ABONDONE MECHANICAL MICROKERATOMES? 2 With Mechanical, LASIK is a one-laser procedure, there s no moving of patient
FULL PRESCRIBING INFORMATION: CONTENTS*
HIGHLIGHTS OF PRESCRIBING INFORMATION These highlights do not include all the information needed to use PHOTREXA VISCOUS and PHOTREXA safely and effectively. See full prescribing information for PHOTREXA
Trends in U.S. Consumer Broadband Pricing
Trends in U.S. Consumer Broadband Pricing (January 2010 to December 2012) Broadband Unlimited CES 2012 Table of Contents Overview / Purpose Trends in Broadband Pricing Downstream Speeds Data Usage Caps
Status: Terminated Study Phase: Phase 3 Start Date: July 2012 Completion Date: January 2016 Condition(s): Keratoconus, Corneal Ectasia
A Multi-Center, Randomized, Controlled Evaluation of the Safety and Efficacy of the KXL System With VibeX (Riboflavin Ophthalmic Solution) for Corneal Collagen Cross-Linking in Eyes With Keratoconus or
efocus Anterior Segment Case Management Tips on Cornea, External Diseases, Cataract and Lens patient management
Issue 038 November 2010 efocus Excellence in Co-Managed Care PACIFIC V I S I O N I N S T I T U T E Life in Focus 415.922.9500 www.pacificvision.org Anterior Segment Case Management Tips on Cornea, External
Managing Post-Operative Complications for LASIK and PRK
Managing Post-Operative Complications for LASIK and PRK LASIK Flap Complications Epithelial defects o Cause Basement membrane dystrophy Recurrent erosion syndrome Dry eyes Trauma PRK as alternative Pre-treat
PRK CONSENT FORM Photorefractive Keratectomy
PRK CONSENT FORM Photorefractive Keratectomy EDOW LASER CENTER- CHEVY CHASE, MD EDOW LASER CENTER- TYSONS, VA 2 Wisconsin Circle, Suite 200 Chevy Chase, MD 20815 8230 Boone Blvd, Suite 125 Vienna, VA 22182
Ophthalmology Symposium
Thursday 22, January 2015 T1A Cornea and Refractive Surgery Course: Abdulhameed Al Ghamdi, MD 17:00 18:00 Corneal Topography A-Z 18:00 18:20 Prayer and Break T2A Cornea and Keratoconus Course: Serene Jouhargy,
FLAP LAP : FLAP LAP : Is precision io and accuracy Is precision io and accuracy impor o ta t nt twh w en making a impor o ta t nt twh w en making a
March 3, 2010 SECO Updates in Corneal Refractive Laser Vision Correction Welcome! Eugene M. Smith, Jr., M.D. Surgeon & Medical Director LasikPlus Lasik Plus Vision Centers Atlanta, GA Education & Training
Pre-Operative Laser Surgery Information
Pre-Operative Laser Surgery Information Contact 1800 10 20 20 Our Facility The Canberra Eye Laser Centre has always been at the forefront of refractive technology employing the most up to date equipment
INFORMED CONSENT TO HAVE LASIK
A Division of Scott & Christie and Associates INFORMED CONSENT TO HAVE LASIK This information is to help you make an informed decision about having Laser Assisted Intrastromal Keratomileusis (LASIK), an
Looking for Keratoconus
07.31.06 Screening for LASIK: Tips and Techniques Surgeons share helpful strategies for identifying which patients are good candidates and which could be trouble. Christopher Kent, Senior Editor Screening
VA high quality, complications low with phakic IOL
Page 1 of 5 VA high quality, complications low with phakic IOL Use in keratoconus will continue, one surgeon predicts; another ponders long-term safety Nov 1, 2007 By:Nancy Groves Ophthalmology Times Several
National Bureau for Academic Accreditation And Education Quality Assurance PUBLIC HEALTH
1 GEORGE WASHINGTON UNIVERSITY WASHINGTON DC B Athletic Training 1 MA B 1 BROWN UNIVERSITY PROVIDENCE RI B EAST TENNESSEE STATE UNIVERSITY JOHNSON CITY TN B 3 HUNTER COLLEGE NEW YORK NY B 4 UNIVERSITY
The Most Affordable Cities For Individuals to Buy Health Insurance
The Most Affordable Cities For Individuals to Buy Health Insurance Focusing on Health Insurance Solutions for Millions of Americans Copyright 2005, ehealthinsurance. All rights reserved. Introduction:
Architectural hardware consulting services
Architectural hardware consulting services Architectural hardware consulting services Door hardware may only be a small percentage of the cost of the design and construction process, but it encompasses
How To Consent To Laser Eye Surgery
Please review all instructions for your Lasik/ASA procedure carefully. Call our office (425-899-2020) with any questions you may have before the day of your procedure. If you are a gas permeable or hard
Keratoconus Detection Using Corneal Topography
Keratoconus Detection Using Corneal Topography Jack T. Holladay, MD, MSEE, FACS ABSTRACT PURPOSE: To review the topographic patterns associated with keratoconus suspects and provide criteria for keratoconus