Maximizing Your Cataract Surgery Outcomes in Corneal Disease
|
|
- Piers McCoy
- 8 years ago
- Views:
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? Douglas D. Koch, MD Mariko Shirayama, MD* Li Wang, MD, PhD* Mitchell P. Weikert, MD Cullen Eye Institute Baylor College of Medicine Houston,
More informationTechniques 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 informationCurtin 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 informationLASIK. 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 informationCornea 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 informationCataract 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 informationOverview 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 informationOverview. 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 informationPage: 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 informationPremium 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 informationHow 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 informationOptimizing 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 information5/24/2013 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 informationWhen 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 informationBy 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 informationTABLE 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 informationRefractive 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 informationMEDICAL 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 informationCLINICAL 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 informationVISION 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 informationKensington 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 informationComparison 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 informationDescemet 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 informationAnterior 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 informationEUROPEAN 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 informationPost 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 informationCONSENT 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 informationAcrySof 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 informationREFRACTIVE 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 informationWhat 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 informationTHE 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 informationCall 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 informationIncision 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 informationINFORMED 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 informationIOL 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 informationNew 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 informationCommon 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 informationMedicare 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 informationChallenging 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 informationCataract 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 informationDescemet 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 informationINFORMATION 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 informationOphthalmic 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 informationMinimally 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 informationPhacoemulsification: 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 informationKerry 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 informationRichard 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 informationCORNEAL 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 informationefocus 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 information415.922.9500 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 informationCorporate 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 informationCourse # 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 informationSurface 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 informationDepartment 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 informationCase 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 informationManaging 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 informationProviding 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 informationLASIK & 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 informationLASIK 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 informationDr. 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 informationINFORMED 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 informationManaging 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 informationSimple 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 informationRetreatment 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 informationPremium 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 informationSurgical 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 informationREFRACTIVE 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 informationConsumer 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 informationComplications 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 informationPosterior 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 informationRefractive 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 informationWVI 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 informationFor 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 informationREFRACTIVE 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 informationAlexandria 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 informationWAKE 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 informationOptometric 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 informationNew 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 informationTHE 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 informationInformed 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 informationI 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 informationCataract 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 informationSCHWIND 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 informationBY 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 informationIrregular 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 informationIOL 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 informationAnalysis 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 informationCommon 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 informationManagement 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 informationANTERIOR 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 informationPATIENT 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 informationCurriculum 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 informationIs 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 informationSurgical 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 informationCustom 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 informationInformed 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 informationYour 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 informationR 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 informationCATARACT 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 informationResidency 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