Maximizing Your Cataract Surgery Outcomes in Corneal Disease

Size: px
Start display at page:

Download "Maximizing Your Cataract Surgery Outcomes in Corneal Disease"

Transcription

1 Maximizing Your Cataract Surgery Outcomes in Corneal Disease W. Barry Lee, M.D., F.A.C.S. Cornea & Refractive Surgery Eye Consultants of Atlanta Piedmont Hospital Co-Medical Director Georgia Eye Bank Atlanta, Georgia

2 Financial Disclosures Allergan (S) Bausch & Lomb (S) BioTissue (S) Merck (S) Medevex Imaging System (C) (S = Speaker Bureau, C= Consultant) 2

3 Cornea Considerations Before Cataract Surgery Dry Eye Disease / Blepharitis Corneal Ectatic Disorders Anterior Corneal Dystrophies (EBMD) Corneal Degenerations (Salzmann s, pterygium) Posterior Corneal Dystrophies (Fuchs) IOL selection in corneal disease

4 Cornea Considerations Before Cataract Surgery Dry Eye Disease / Blepharitis Corneal Ectatic Disorders Anterior Corneal Dystrophies (EBMD) Corneal Degenerations (Salzmann s, pterygium) Posterior Corneal Dystrophies (Fuchs) IOL selection in corneal disease

5 Anterior Corneal Dystrophies Epithelial Basement Membrane Dystrophy Most common

6 Basement Membrane Dystrophy

7 Basement Membrane Dystrophy Alters corneal surface May obscure visual axis Distorts biometry and topography Inaccurate IOL prediction

8 Basement Membrane Dystrophy Alters corneal surface May obscure visual axis Distorts biometry and topography Inaccurate IOL prediction Best post-operative visual results Staged Procedures Epithelial debridement first Cataract removal 4-6 weeks later Repeat biometry and topography prior to cataract removal

9 Epithelial Debridement

10 Epithelial Debridement

11 Pterygium / Salzmann s Nodule Corneal Degenerations

12 Corneal Degenerations Induced astigmatism Abnormal biometry and topography

13 Treatment Remove pterygium or Salzmann s nodule first Cataract removal in 6-8 weeks Repeat biometry and topography prior to surgery

14 Salzmann s Nodular Degeneration Visual acuity - 20/80 (Best-corrected acuity) Pre-op Sim K s (39.62 / 44.25) x =

15 Salzmann s Nodular Degeneration Visual acuity - 20/80 (Best-corrected acuity) Pre-op Sim K s (39.62 / 44.25) x =

16 11

17 Repeat Topography 12

18 Repeat Topography 6 Weeks after Lamellar Keratectomy Visual acuity 20/40 (Best-corrected acuity) 12

19 Repeat Topography 6 Weeks after Lamellar Keratectomy Visual acuity 20/40 (Best-corrected acuity) Post-op Sim K s (43.37 / 44.62) x = D (41.9) 1.2 D (44) 12

20 Posterior Corneal Dystrophies Fuchs Dystrophy most common Make the diagnosis of guttae! Postop vision affected by degree of guttae Risk of corneal decompensation Blurred vision in AM Increased corneal thickness Seitzman et al. Ophth 2005;112:441-6 Dense guttae

21 Considerations (Fuchs & Cataract) Counsel regarding future of Endothelial Keratoplasty (EK) Alter cataract surgical technique to maximize endothelial protection Stage surgery or combine with EK IOL Selection If EK needed in future, leave myopic Avoid hydrophilic acrylic lenses Avoid multifocal lenses

22 Refractive Outcomes of DSAEK AUTHOR EYES (n) REFRACTIVE CHANGE (D) Jun Price Yoo Koenig Covert Koenig Price Lee [ Hyperopic shift ]

23 IOL Opacification after DSAEK

24 IOL Opacification Has been described in eyes following DSAEK after cataract surgery Occurs with Hydrophilic acrylic lenses Hydroxyapatite deposition on IOL surface Often requires IOL exchange Werner et al. JCRS 2010 Patryn et al. Cornea 2012

25 Corneal Reasons to Avoid Multifocal Lenses Corneal dystrophies (EBMD, Fuchs dystrophy) High corneal astigmatism Corneal degenerations Pterygium Salzmann s nodules Severe dry eye disease Prior refractive surgery (controversial)

26 Summary 19

27 Summary Look for corneal disease Pre-operatively 19

28 Summary Look for corneal disease Pre-operatively Be aware that corneal conditions can affect biometry / topography 19

29 Summary Look for corneal disease Pre-operatively Be aware that corneal conditions can affect biometry / topography Be aware that corneal conditions can create IOL calculation inaccuracy if untreated 19

30 Summary Look for corneal disease Pre-operatively Be aware that corneal conditions can affect biometry / topography Be aware that corneal conditions can create IOL calculation inaccuracy if untreated Be prepared to stage treatments in the setting of cataract surgery and corneal disease to maximize visual outcomes 19

31 THANK YOU 20

How do we use the Galilei for cataract and refractive surgery?

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,

More information

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. 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

More information

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 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)

More information

LASIK. Complications. Customized Ablations. Photorefractive Keratectomy. Femtosecond Keratome for LASIK. Cornea Resculpted

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,

More information

Cornea and Refractive Surgery Update

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

More information

Cataract Testing. What a Patient undergoes prior to surgery

Cataract Testing. What a Patient undergoes prior to surgery Cataract Testing What a Patient undergoes prior to surgery FINANCIAL DISCLOSURE I have no financial interest or relationships to disclose What do most Technicians find to be the most mundane yet very important

More information

Overview of Refractive Surgery

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

More information

Overview. Addressing Astigmatism with Toric IOL Implantation: Pre-Operative and Operative Considerations. Where are we now? How have we progressed?

Overview. Addressing Astigmatism with Toric IOL Implantation: Pre-Operative and Operative Considerations. Where are we now? How have we progressed? Addressing Astigmatism with Toric IOL Implantation: Pre-Operative and Operative Considerations Jason Wang, M.D. Spring Symposium 2012 OMNI Eye Specialists / Spivack Vision Center March 3, 2012 Overview

More information

Page: 1 of 6. Corneal Topography/Computer-Assisted Corneal Topography/ Photokeratoscopy

Page: 1 of 6. Corneal Topography/Computer-Assisted Corneal Topography/ Photokeratoscopy Section: Surgery Effective Date: July 15, 2015 Last Review Status/Date: June 2015 Page: 1 of 6 Corneal Topography/ Photokeratoscopy Description Computer-assisted topography/photokeratoscopy provides a

More information

Premium IOL Implantation Calculations in Post-LASIK Cataract Eyes Using ASCRS IOL Calculator

Premium IOL Implantation Calculations in Post-LASIK Cataract Eyes Using ASCRS IOL Calculator Premium IOL Implantation Calculations in Post-LASIK Cataract Eyes Using ASCRS IOL Calculator Sahiba K Chailertborisuth, Saneha K. C. Borisuth, Navaneet S.C. Borisuth, MD, PhD Virdi Eye Clinic & Laser Vision

More information

How To Implant A Keraring

How To Implant A Keraring Corneal Remodeling Using the Keraring A variety of thicknesses, arc lengths, and optical zone sizes allows tailoring of the procedure to the individual patient. BY DOMINIQUE PIETRINI, MD; AND TONY GUEDJ

More information

Optimizing outcomes with toric IOLs

Optimizing outcomes with toric IOLs digital.eyeworld.org The news magazine of the American Society of Cataract & Refractive Surgery Optimizing outcomes with toric IOLs Supplement to EyeWorld May 2015 Supported by an educational grant from

More information

5/24/2013 ESOIRS 2013. Moderator: Alaa Ghaith, MD. Faculty: Ahmed El Masri, MD Mohamed Shafik, MD Mohamed El Kateb, MD

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

More information

When To Laser, When To Implant, When To Do Both

When To Laser, When To Implant, When To Do Both When To Laser, When To Implant, When To Do Both Scott MacRae, MD Professor of Ophthalmology Professor of Visual Sciences StrongVision Refractive Surgery Center University of Rochester Eye Institute Refractive

More information

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. 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

More information

TABLE OF CONTENTS: LASER EYE SURGERY CONSENT FORM

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

More information

Refractive Surgery. Common Refractive Errors

Refractive Surgery. Common Refractive Errors Refractive Surgery Over the last 25 years developments in medical technology and Refractive Surgery allow almost all need for glasses and contact lenses to be eliminated. Currently there are a number of

More information

MEDICAL POLICY No. 91529-R2 REFRACTIVE KERATOPLASTY / LASIK

MEDICAL POLICY No. 91529-R2 REFRACTIVE KERATOPLASTY / LASIK REFRACTIVE KERATOPLASTY / LASIK Effective Date: August 18, 2010 Review Dates: 7/07, 6/08, 6/09, 6/10, 8/10, 8/11, 8/12, 8/13, 8/14 Date Of Origin: July 2007 Status: Current I. POLICY/CRITERIA Keratoplasty

More information

CLINICAL SCIENCE. Conclusion: Postoperative results of DSAEK using donor tissue excluded from use in penetrating keratoplasty as a result of stromal

CLINICAL SCIENCE. Conclusion: Postoperative results of DSAEK using donor tissue excluded from use in penetrating keratoplasty as a result of stromal CLINICAL SCIENCE Descemet s Stripping Automated Endothelial Keratoplasty (DSAEK) Using Corneal Donor Tissue Not Acceptable for Use in Penetrating Keratoplasty as a Result of Anterior Stromal Scars, Pterygia,

More information

VISION PATTERN. What Can you Expect from the ReSTOR procedure?

VISION PATTERN. What Can you Expect from the ReSTOR procedure? RESTOR Presbyopia is the normal aging process that everyone experiences over the age of 40 which affects near vision. This usually results in the need for reading glasses or bifocals. The crystalline lens

More information

Kensington Eye Center 4701 Randolph Road, #G-2 Rockville, MD 20852 (301) 881-5701 www.keceyes.com

Kensington Eye Center 4701 Randolph Road, #G-2 Rockville, MD 20852 (301) 881-5701 www.keceyes.com Kensington Eye Center 4701 Randolph Road, #G-2 Rockville, MD 20852 (301) 881-5701 www.keceyes.com Natasha L. Herz, MD INFORMED CONSENT FOR DESCEMET S STRIPPING and AUTOMATED ENDOTHELIAL KERATOPLASTY (DSAEK)

More information

Comparison Combined LASIK Procedure for Ametropic Presbyopes and Planned Dual Interface for Post-LASIK Presbyopes Using Small Aperture Corneal Inlay

Comparison Combined LASIK Procedure for Ametropic Presbyopes and Planned Dual Interface for Post-LASIK Presbyopes Using Small Aperture Corneal Inlay Comparison Combined LASIK Procedure for Ametropic Presbyopes and Planned Dual Interface for Post-LASIK Presbyopes Using Small Aperture Corneal Inlay Minoru Tomita, MD, PhD 1,2 1) Shinagawa LASIK, Tokyo,

More information

Descemet s Stripping Automated Endothelial Keratoplasty (DSAEK)

Descemet s Stripping Automated Endothelial Keratoplasty (DSAEK) Descemet s Stripping Automated Endothelial Keratoplasty (DSAEK) John D. Goosey, MD Introduction DSAEK is a corneal transplant technique where the unhealthy, diseased, posterior portion of a patient s cornea

More information

Anterior Elevation Maps as the Screening Test for the Ablation Power of Previous Myopic Refractive Surgery

Anterior Elevation Maps as the Screening Test for the Ablation Power of Previous Myopic Refractive Surgery Anterior Elevation Maps as the Screening Test for the Ablation Power of Previous Myopic Refractive Surgery Soo Yong Jeong, MD, Hee-Seung Chin, MD, PhD, Jung Hyub Oh, MD, PhD Department of Ophthalmology,

More information

EUROPEAN JOURNAL OF PHARMACEUTICAL AND MEDICAL RESEARCH www.ejpmr.com

EUROPEAN JOURNAL OF PHARMACEUTICAL AND MEDICAL RESEARCH www.ejpmr.com ejpmr, 2015,2(3), 436-440 EUROPEAN JOURNAL OF PHARMACEUTICAL AND MEDICAL RESEARCH www.ejpmr.com Tumram et al. SJIF Impact Factor 2.026 Research Article ISSN 3294-3211 EJPMR CLINICAL OUTCOME OF TORIC IOL

More information

Post LASIK Ectasia. Examination: Gina M. Rogers, MD and Kenneth M. Goins, MD

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

More information

CONSENT FOR CATARACT SURGERY

CONSENT FOR CATARACT SURGERY CONSENT FOR CATARACT SURGERY INTRODUCTION The natural crystalline lens can become cloudy due to aging, trauma, disease or medications. This condition is called a cataract. When cataracts become visually

More information

AcrySof IQ Toric IOL (SN6ATT) Surgeon Keys for Success & Acknowledgement

AcrySof IQ Toric IOL (SN6ATT) Surgeon Keys for Success & Acknowledgement AcrySof IQ Toric IOL (SN6ATT) Surgeon Keys for Success & Acknowledgement Alcon Laboratories, Inc is pleased to announce the availability of the AcrySof IQ Toric intraocular lens, and delighted that you

More information

REFRACTIVE ERROR AND SURGERIES IN THE UNITED STATES

REFRACTIVE ERROR AND SURGERIES IN THE UNITED STATES Introduction REFRACTIVE ERROR AND SURGERIES IN THE UNITED STATES 150 million wear eyeglasses or contact lenses 2.3 million refractive surgeries performed between 1995 and 2001 Introduction REFRACTIVE SURGERY:

More information

What is the main target for all phaco surgeons?

What is the main target for all phaco surgeons? CORRECTION C O OF ASTIGMATISM DURING CATARACT SURGERY Abdallah dllh K. Hassouna, M.D. Sherein S. Wahba, M.D. Ain Shams University 2009 Main target What is the main target for all phaco surgeons? Main Target

More information

THE BEST OF BOTH WORLDS Dual-Scheimpflug and Placido Reaching a new level in refractive screening

THE BEST OF BOTH WORLDS Dual-Scheimpflug and Placido Reaching a new level in refractive screening THE BEST OF BOTH WORLDS Dual-Scheimpflug and Placido Reaching a new level in refractive screening GALILEI G4 Clinical Applications Corneal Implant Planning The comes with a licensable corneal inlay software

More information

Call today at 1 877 702 2020

Call today at 1 877 702 2020 Call today at 1 877 702 2020 VISIAN ICL LASIK is a well known, successful, and accurate laser vision correction procedure which has been FDA approved in the U.S. for 15 years. The majority of patients

More information

Incision along Steep Axis

Incision along Steep Axis Toric IOL An option or a must? ~ 15% cataract surgical patients >1.5 D Options: spectacles, CLs, Incision along steep axis, LRI, AK, toric IOL, Excimer Laser or a combination Walter J. Stark, MD Professor

More information

INFORMED CONSENT FOR CATARACT AND LENS IMPLANT SURGERY

INFORMED CONSENT FOR CATARACT AND LENS IMPLANT SURGERY INFORMED CONSENT FOR CATARACT AND LENS IMPLANT SURGERY 1. GENERAL INFORMATION This information is given to you to help you make an informed decision about having cataract and/or lens implant surgery. Once

More information

IOL Calculation After LASIK. Chapter (3)

IOL Calculation After LASIK. Chapter (3) the cornea (P) may be considered as the sum of the power of the anterior (Pa) and posterior (Pp) corneal surfaces, as shown in the formula: P = Pa + Pp = (n2 n1)/r1 + (n3 n2)/r2, where n1 is the refractive

More information

New topographic custom ablation procedure for treating irregular astigmatism post keratoplasty with high frequency (1 KHz) excimer laser.

New topographic custom ablation procedure for treating irregular astigmatism post keratoplasty with high frequency (1 KHz) excimer laser. New topographic custom ablation procedure for treating irregular astigmatism post keratoplasty with high frequency (1 KHz) excimer laser. G. COLONNA M.D., G. Lorusso M.D., S. Santoro M.D. ESCRS Berlin

More information

Common Co-management Questions

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

More information

Medicare and Corneal Surgery: Cosmetic versus Functional

Medicare and Corneal Surgery: Cosmetic versus Functional Medicare and Corneal Surgery: Cosmetic versus Functional Riva Lee Asbell INTRODUCTION With the introduction of several new CPT (Current Procedural Terminology) codes for cornea, corneal coding is in the

More information

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 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

More information

Cataract Surgery in Small Eyes Richard S. Hoffman, MD Clinical Associate Professor of Ophthalmology Oregon Health & Science University No Financial Interests Anatomic Classification Short AC depth with

More information

Descemet s Stripping Endothelial Keratoplasty (DSEK)

Descemet s Stripping Endothelial Keratoplasty (DSEK) Descemet s Stripping Endothelial Keratoplasty (DSEK) Your doctor has decided that you will benefit from a corneal transplant operation. This handout will explain your options to you. It explains the differences

More information

INFORMATION REGARDING DILATING EYE DROPS

INFORMATION REGARDING DILATING EYE DROPS INFORMATION REGARDING DILATING EYE DROPS Dilating eye drops are used to dilate or enlarge the pupils of the eye to allow the doctor to get a better view of the inside of your eye. Dilating drops frequently

More information

Ophthalmic Consultants of Long Island

Ophthalmic Consultants of Long Island Case History Improving Cataract and Refractive Surgery Outcomes Through Ocular Surface Optimization 59 year old healthy white female History increased IOP Mother has history of glaucoma Presents for refractive

More information

Minimally Invasive Surgery: Femtosecond Lasers and Other Innovative Microsurgical Techniques

Minimally Invasive Surgery: Femtosecond Lasers and Other Innovative Microsurgical Techniques Minimally Invasive Surgery: Femtosecond Lasers and Other Innovative Microsurgical Techniques Julio Narváez MD Associate Professor of Ophthalmology Loma Linda University Non-Refractive Applications of Femtosecond

More information

Phacoemulsification: Considerations for Astigmatism Management Jason P. Brinton, MD and Thomas A. Oetting, MS, MD June 10, 2011

Phacoemulsification: Considerations for Astigmatism Management Jason P. Brinton, MD and Thomas A. Oetting, MS, MD June 10, 2011 Phacoemulsification: Considerations for Astigmatism Management Jason P. Brinton, MD and Thomas A. Oetting, MS, MD June 10, 2011 Introduction Patient expectations for cataract surgery have increased significantly

More information

Kerry D. Solomon, MD, is Director of the Carolina Eyecare Research Institute at Carolina Eyecare Physicians in Charleston, S.C.

Kerry D. Solomon, MD, is Director of the Carolina Eyecare Research Institute at Carolina Eyecare Physicians in Charleston, S.C. I think the ideal diagnostic technology for all of us would be a device where we could take a measurement, make an adjustment based on the patient s history, including past surgery, and come up with an

More information

Richard S. Hoffman, MD. Clinical Associate Professor of Ophthalmology Oregon Health & Science University

Richard S. Hoffman, MD. Clinical Associate Professor of Ophthalmology Oregon Health & Science University Zeiss Mel 80 and Visumax Refractive Laser Systems Richard S. Hoffman, MD Clinical Associate Professor of Ophthalmology Oregon Health & Science University No Financial Interest ZEISS Workstation CRS-Master

More information

CORNEAL TOPOGRAPHY. Refractive power of the eye

CORNEAL TOPOGRAPHY. Refractive power of the eye CORNEAL TOPOGRAPHY Anne Faucher, M.D., FRCS University of Toronto Refractive power of the eye Eye has 3 refractive elements: 1. Cornea 2. Lens 3. Axial length Cornea (air/tear film interface) provides

More information

efocus Anterior Segment Case Management Tips on Cornea, External Diseases, Cataract and Lens patient management

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

More information

415.922.9500 www.pacificvision.org

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

More information

Corporate Medical Policy Implantation of Intrastromal Corneal Ring Segments

Corporate Medical Policy Implantation of Intrastromal Corneal Ring Segments Corporate Medical Policy Implantation of Intrastromal Corneal Ring Segments File Name: Origination: Last CAP Review: Next CAP Review: Last Review: implantation_of_intrastromal_corneal_ring_segments 8/2008

More information

Course # Intra Corneal Ring Segments Contact Lens Management of Irregular Astigmatism

Course # Intra Corneal Ring Segments Contact Lens Management of Irregular Astigmatism Course # 772 Intra Corneal Ring Segments Contact Lens Management of Irregular Astigmatism Intra Corneal Ring Segments Contact Lens Management of Irregular Astigmatism Financial Disclosure I do not own

More information

Surface Ablation After Corneal

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

More information

Department of Ophthalmology

Department of Ophthalmology OUTCOMES Division of Medicine Department of Ophthalmology About Cleveland Clinic Florida Cleveland Clinic Florida s medical staff are dedicated physicians who have joined the clinic as salaried doctors

More information

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 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:

More information

Managing Astigmatism in your Cataract Practice

Managing Astigmatism in your Cataract Practice Managing Astigmatism in your Cataract Practice KAREN S. BACHMAN, COMT, COE, OCS THE EYE INSTITUTE OF UTAH Disclaimer Ms. Bachman: Member of Alcon Speakers Alliance Mr. Larson: Employee of Corcoran Consulting

More information

Providing Optimal Optics For Your Astigmatic Cataract Patients. While the cornea remains relatively stable and prolate throughout life

Providing Optimal Optics For Your Astigmatic Cataract Patients. While the cornea remains relatively stable and prolate throughout life Providing Optimal Optics For Your Astigmatic Cataract Patients David I. Geffen, OD, FAAO Why keep the crystalline lens? While the cornea remains relatively stable and prolate throughout life Unless we

More information

LASIK & Refractive Surgery

LASIK & Refractive Surgery LASIK & Refractive Surgery LASIK PRK ICL RLE Monovision + + + For over 30 years, The Eye Institute of Utah has been giving people vision for life... The Eye Institute of Utah was the first medical facility

More information

LASIK and Refractive Surgery. Laser and Lens Vision Correction Options

LASIK and Refractive Surgery. Laser and Lens Vision Correction Options LASIK and Refractive Surgery Laser and Lens Vision Correction Options For over 30 years, The Eye Institute of Utah has been giving people vision for life... Dr. Andrew Lyle, vision pioneer and founder

More information

Dr. Booth received his medical degree from the University of California: San Diego and his bachelor of science from Stanford University.

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

More information

INFORMED CONSENT FOR PHOTOREFRACTIVE KERATECTOMY (PRK)

INFORMED CONSENT FOR PHOTOREFRACTIVE KERATECTOMY (PRK) INFORMED CONSENT FOR PHOTOREFRACTIVE KERATECTOMY (PRK) This information and the Patient Information booklet must be reviewed so you can make an informed decision regarding Photorefractive Keratectomy (PRK)

More information

Managing Post-Operative Complications for LASIK and PRK

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

More information

Simple regression formula for intraocular lens power adjustment in eyes requiring cataract surgery after excimer laser photoablation

Simple regression formula for intraocular lens power adjustment in eyes requiring cataract surgery after excimer laser photoablation J CATARACT REFRACT SURG - VOL 32, MARCH 26 Simple regression formula for intraocular lens power adjustment in eyes requiring cataract surgery after excimer laser photoablation Samuel Masket, MD, Seth Everett

More information

Retreatment by Lifting the Original Laser in Situ Keratomileusis Flap after Eleven Years

Retreatment by Lifting the Original Laser in Situ Keratomileusis Flap after Eleven Years Retreatment by Lifting the Original Laser in Situ Keratomileusis Flap after Eleven Years Hassan Hashemi, MD 1,2 Mehrdad Mohammadpour, MD 3 Abstract Purpose: To describe a case of successful laser in situ

More information

Premium Lenses in Problematic Patients

Premium Lenses in Problematic Patients Premium Lenses in Problematic Patients How to be successful with presbyopic lenses in eyes that have already had LASIK surgery. Walter Bethke, Managing Editor If implanting a monofocal intraocular lens

More information

Surgical Advances in Keratoconus. Keratoconus. Innovations in Ophthalmology. New Surgical Advances. Diagnosis of Keratoconus. Scheimpflug imaging

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

More information

REFRACTIVE SURGERY OVERVIEW 2007 Lecture notes Professor Charles McGhee PhD FRCOphth

REFRACTIVE SURGERY OVERVIEW 2007 Lecture notes Professor Charles McGhee PhD FRCOphth REFRACTIVE SURGERY OVERVIEW 2007 Lecture notes Professor Charles McGhee PhD FRCOphth Importance of refractive surgery Refractive surgery increasingly popular Essentially healthy eyes with normal visual

More information

Consumer s Guide to LASIK

Consumer s Guide to LASIK Consumer s Guide to LASIK A Community Service Project brought to you by Price Vision Group Your Guide To A Successful LASIK Procedure The purpose of this educational guide is to help prospective patients

More information

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 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

More information

Posterior Corneal Astigmatism: Is It Important? MP Weikert, MD Baylor College of Medicine October 23, 2011

Posterior Corneal Astigmatism: Is It Important? MP Weikert, MD Baylor College of Medicine October 23, 2011 : Is It Important? MP Weikert, MD Baylor College of Medicine October 23, 2011 Corneal Imaging What major challenge do we face when imaging the cornea? Measuring the curvature & refractive power of the

More information

Refractive Surgery. Evolution of Refractive Error Correction

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

More information

WVI Co-management Update 2012

WVI Co-management Update 2012 WVI Co-management Update 2012 Ming Wang, MD, PhD Clinical Associate Professor of Ophthalmology, UT International President, Shanghai Aier Eye Hospital Director, Wang Vision Institute Attending Surgeon,

More information

For the cover focus on decision-making in refractive surgery in this issue, we asked CRST Europe Editorial

For the cover focus on decision-making in refractive surgery in this issue, we asked CRST Europe Editorial Evaluate This: Surgeon- Submitted Case Presentations A panel of refractive surgery experts proposes treatment plans for a variety of cases. BY SUPHI TANERI, MD; ROBERT EDWARD T. ANG, MD; DETLEF HOLLAND,

More information

REFRACTIVE SURGERY NIGHTMARES Dr.ATHIYA AGARWAL

REFRACTIVE SURGERY NIGHTMARES Dr.ATHIYA AGARWAL REFRACTIVE SURGERY NIGHTMARES Dr.ATHIYA AGARWAL POST LASIK INFECTION Infection occurring after photorefractive keratectomy (PRK) may be 1. Secondary to the defect in the epithelium as well as the use of

More information

Alexandria s Guide to LASIK

Alexandria s Guide to LASIK Alexandria s Guide to LASIK A Community Service Project sponsored by: Wallace Laser Center Your Guide To A Successful LASIK Procedure The word LASIK is actually an acronym for Laser Assisted In-Situ Keratomileusis.

More information

WAKE FOREST BAPTIST HEALTH EYE CENTER. LASIK Consent Form

WAKE FOREST BAPTIST HEALTH EYE CENTER. LASIK Consent Form 1 WAKE FOREST BAPTIST HEALTH EYE CENTER LASIK Consent Form 1. GENERAL INFORMATION The following information is intended to help you make an informed decision about having Laser In-Situ Keratomileusis (LASIK).

More information

Optometric Co-Management of Refractive Surgery:

Optometric Co-Management of Refractive Surgery: CLINICAL PRACTICE RECOMMENDATIONS Optometric Co-Management of Refractive Surgery: LASER ASSISTED IN SITU KERATOMILEUSIS ADVANCED SURFACE ABLATION CONDUCTIVE KERATOPLASTY FOR HYPEROPIA American Optometric

More information

New and Improved Femtosecond Laser Applications. Karl Stonecipher, MD Wavefront Congress 2008

New and Improved Femtosecond Laser Applications. Karl Stonecipher, MD Wavefront Congress 2008 New and Improved Femtosecond Laser Applications Karl Stonecipher, MD Wavefront Congress 2008 When birds don t fly, neither should you. When cows bunch together in a field, a storm is coming. When ants

More information

THE GUIDE TO REFRACTIVE LENS EXCHANGE SEE CLEARLY.

THE GUIDE TO REFRACTIVE LENS EXCHANGE SEE CLEARLY. THE GUIDE TO REFRACTIVE LENS EXCHANGE SEE CLEARLY. EVERYBODY WANTS TO SEE CLEARLY Many of us take our sight for granted, whether it s forgetting how often we rely on it to guide us through our day-to-day

More information

Informed Consent for Refractive Lens Exchange (Clear Lens Replacement)

Informed Consent for Refractive Lens Exchange (Clear Lens Replacement) Mark Packer, M.D. Informed Consent for Refractive Lens Exchange (Clear Lens Replacement) This surgery involves the removal of the natural lens of my eye, even though it is not a cataract. The natural lens

More information

I have read and understood this page. Patient Initials

I have read and understood this page. Patient Initials INFORMED CONSENT FOR PHOTOREFRACTIVE KERATECTOMY (PRK) AND ADVANCE SURFACE ABLATION (ASA) This information and the Patient Information booklet must be reviewed so you can make an informed decision regarding

More information

Cataract and Refractive Surgery Congress

Cataract and Refractive Surgery Congress Cataract and Refractive Surgery Congress February 21-22, 2014 Bascom Palmer Eye Institute MIAMI, FLORIDA Sponsored by the University of Miami Miller School of Medicine BASCOM PALMER EYE INSTITUTE Cataract

More information

SCHWIND CAM Perfect Planning wide range of applications

SCHWIND CAM Perfect Planning wide range of applications SCHWIND CAM Perfect Planning wide range of applications ORK-CAM PresbyMAX PALK-CAM PTK-CAM 2 SCHWIND CAM the system solution The latest version of the modular SCHWIND CAM represents an even more efficient

More information

BY JOHN F. DOANE, MD, FACS; PERRY S. BINDER, MD, MS; PARAG A. MAJMUDAR, MD; LOUIS E. PROBST, MD; STEPHEN G. SLADE, MD, FACS; AND WILLIAM B

BY JOHN F. DOANE, MD, FACS; PERRY S. BINDER, MD, MS; PARAG A. MAJMUDAR, MD; LOUIS E. PROBST, MD; STEPHEN G. SLADE, MD, FACS; AND WILLIAM B What Is Your Diagnosis? Surgeons discuss their analyses of various topographies of possibly keratoconic cases and converse about their treatment recommendations. BY JOHN F. DOANE, MD, FACS; PERRY S. BINDER,

More information

Irregular astigmatism:

Irregular astigmatism: Irregular astigmatism: definition, classification, topographic and clinical presentation Ming X. Wang, MD, PhD Clinical Associate Professor of Ophthalmology of University of Tennessee Director, Wang Vision

More information

IOL Power Calculation After Myopic LASIK. Hany Helaly, Lecturer of Ophthalmology, Faculty of Medicine, Alexandria University.

IOL Power Calculation After Myopic LASIK. Hany Helaly, Lecturer of Ophthalmology, Faculty of Medicine, Alexandria University. IOL Power Calculation After Myopic LASIK Hany Helaly, Lecturer of Ophthalmology, Faculty of Medicine, Alexandria University. SUPERVISORS Prof. Dr. Mohammad El-Hifnawy Professor of Ophthalmology Faculty

More information

Analysis of posterior donor corneal parameters 1 year after Descemet stripping automated endothelial keratoplasty (DSAEK) triple procedure

Analysis of posterior donor corneal parameters 1 year after Descemet stripping automated endothelial keratoplasty (DSAEK) triple procedure DOI 10.1007/s00417-009-1284-2 CORNEA Analysis of posterior donor corneal parameters 1 year after Descemet stripping automated endothelial keratoplasty (DSAEK) triple procedure Marco Lombardo & Mark A.

More information

Common visual problems in older LASIK patients

Common visual problems in older LASIK patients 丘 子 宏 LASIK 手 術 後 的 視 覺 Visual acuity:the measurement of high contrast Snellen acuity but not other functions under different condition Quality of vision: measure the visual functions in variable condition

More information

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 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

More information

ANTERIOR SEGMENT SURGERY FEMTO 2013

ANTERIOR SEGMENT SURGERY FEMTO 2013 International Meeting on ANTERIOR SEGMENT SURGERY FEMTO 2013 Verona, 21 st - 23 rd June 2013 Organizer: Dr. Roberto Bellucci MD PROGRAMME Last update: May 27 th 2013 FRIDAY, JUNE 21 st Live surgery and

More information

PATIENT CONSENT FOR LASER IN-SITU KERATOMILEUSIS (LASIK)

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

More information

Curriculum Vitae. Irwin Y. Cua, M.D. Present Positions:

Curriculum Vitae. Irwin Y. Cua, M.D. Present Positions: Curriculum Vitae Name: Irwin Y. Cua, M.D. Present Positions: Affiliate Consultant, Vision Laser Center, St. Luke s Medical Center Affiliate Consultant, Section of Cornea and External Disease, St. Luke

More information

Is there a fundamental limit of efficacy when aberrations arising from one point along visual axis (lens) are corrected at another point (cornea)?

Is there a fundamental limit of efficacy when aberrations arising from one point along visual axis (lens) are corrected at another point (cornea)? Is there a fundamental limit of efficacy when aberrations arising from one point along visual axis (lens) are corrected at another point (cornea)? Ming Wang, M.D.,Ph.D. Medical Director of Refractive Surgery,

More information

Surgical Management of Irregular Astigmatism

Surgical Management of Irregular Astigmatism Peer-Reviewed Literature: Surgical Management of Irregular Astigmatism Editor: Ming Wang, MD, PhD, Clinical Associate Professor of Ophthalmology at the University of Tennessee and Director of the Wang

More information

Custom Cataract Surgery. Laser and Lens Options

Custom Cataract Surgery. Laser and Lens Options Custom Cataract Surgery Laser and Lens Options What is a Cataract? More than fifty percent of people over the age of 60, and quite a few younger than that, suffer from cataracts. In fact, cataracts are

More information

Informed Consent for Refractive Lens Exchange (Clear Lens Replacement)

Informed Consent for Refractive Lens Exchange (Clear Lens Replacement) Drs. Fine, Hoffman and Packer, LLC PHYSICIANS AND SURGEONS, EyeMDs OPHTHALMOLOGY I. Howard Fine, M.D. Richard S. Hoffman, M.D. Mark Packer, M.D. 1550 Oak Street, Suite 5 www.finemd.com Eugene, OR 97401-7701

More information

Your one stop vision centre Our ophthalmic centre offers comprehensive eye management, which includes medical,

Your one stop vision centre Our ophthalmic centre offers comprehensive eye management, which includes medical, sight see OLYMPIA EYE & LASER CENTRE Your one stop vision centre Our ophthalmic centre offers comprehensive eye management, which includes medical, At the Olympia Eye & Laser Centre, our vision is to improve

More information

R NE A C CME CONFERENCE MARCH 28 30, 2014 THE RITZ-CARLTON FORT LAUDERDALE, FLORIDA

R NE A C CME CONFERENCE MARCH 28 30, 2014 THE RITZ-CARLTON FORT LAUDERDALE, FLORIDA R NE A C O C A CC O NF ERENCE VANCED D A CME CONFERENCE MARCH 28 30, 2014 THE RITZ-CARLTON FORT LAUDERDALE, FLORIDA COURSE DIRECTOR Thomas John, MD Loyola University at Chicago Tinley Park, Illinois SPEAKERS

More information

CATARACT SURGERY A GUIDE FOR PATIENTS

CATARACT SURGERY A GUIDE FOR PATIENTS CATARACT SURGERY A GUIDE FOR PATIENTS f. 02 9232 6639 p. 02 9233 7333 Level 12, 187 Macquarie St Sydney 2000 www.corneaclinic.com.au info@corneaclinic.com.au DR JOHN MALES Recovery Time This is variable

More information

Residency Program in Ocular Disease and. Refractive and Ocular Surgery

Residency Program in Ocular Disease and. Refractive and Ocular Surgery Mission Statement: Residency Program in Ocular Disease and Refractive and Ocular Surgery The mission of the Eye Center of Texas (ECT) residency program is to provide qualified postdoctoral optometry graduates

More information