Managing Challenging Cases in Refractive Surgery
|
|
- Gwen Merritt
- 8 years ago
- Views:
Transcription
1 Managing Challenging Cases in Refractive Surgery Missouri Optometric Association Stephen A. Wexler, MD Eric E. Polk, OD, FAAO Outline The presenters will review challenging cases they have managed in refractive surgery. The cases presented are representative of challenges that the affiliate optometrist may experience when co managing refractive surgery. Case Report #1 I) Patient experiences loose epithelium during LASIK surgery. He also experiences diffuse lamellar keratitis and epithelial ingrowth as a result of this complication. Treatment involves intensive steroid treatment and surgery with a YAG laser to treat the epithelial ingrowth. II) Loose Epithelium during LASIK surgery a. Some patients have sub clinical EBMD b. Difficult to screen patients for this problem c. Not apparent on slit lamp exam prior to age 40 d. Risk factors e. Fair skinned patients f. Fitzpatrick skin typing test g. Type 1 3 skin tpe i. Loose Epithelium 1. Frustrating for patient 2. Frustrating for surgeon 3. Loose epithelium with flap creation increases risk for 4. Blurred vision 5. Epithelial ingrowth 6. Infection 7. DLK III) Diffuse Lamellar Keratitis (DLK) i. DLK is a non infectious inflammation that presents with inflammatory cells in the interface between the flap and normal cornea ii. Occurs secondary to response to injury or exaggerated response to surgery
2 IV) iii. Wash out needed 1/1000 cases iv. Almost always seen on day one but sometimes not seen until day 2 b. DLK Risk Factors i. Epithelial defects ii. Contaminants in interface iii. Heme iv. Highly allergic individuals v. Higher incidence in spring and fall c. Stages i. Grade I in periphery of flap ii. Grade II progresses to center iii. Grade III involves clumping and lining up of the cells iv. Grade IV has central plaque with induced hyperopic astigmatism and loss of BCVA d. Grade 3 or 4 DLK leads to: i. hyperopic astigmatism ii. Irregular astigmatism iii. loss of BCVa iv. flap melts v. lawsuits e. Treatment i. Pred Forte 1% q 1 hour while awake ii. Oral prednisone 40 to 60 mg/day iii. Wash out procedure on day 3 or 4 iv. Almost always very effective Epithelial Ingrowth a. Influx of epithelial cells under the LASIK flap b. Typically do not occur with primary procedure c. Risk factors i. Flap lifts ii. Flap displacement iii. Corneal abrasions d. Epi ingrowth can cause loss of BCVA and flap melt e. Epi ingrowth is much more common following enhancements f. Much less common with Intralase g. May occur when epithelium is loose during surgery
3 h. Treatment i. Re lift, remove epithelium, replace flap 1. 50% recurrence rate ii. Re lift, remove epithelium, suture flap iii. Re lift, remove epithelium, Tisseel glue V) Case Report: Glare and Halo s following LASIK surgery a. Etiology i. Corneal edema ii. Decentered ablation iii. Post surgical irregular astigmatism iv. Laser ablation v. Pupil Size vi. Optical zone of laser vii. Spherical Aberration b. Does Pupil Size Matter? i. Villa, et al. Night vision disturbances after succesful LASIK Surgery.Br J Ophthalmol 2007;91(8): ii. Reports of halo at night were same with large pupils vs normal pupils c. Risk Factors for Night Vision problems i. Amount of correction ii. High myopia iii. High Astigmatism iv. Post operative aberrations v. Spherical Aberration vi. Coma vii. Secondary astigmatism d. Treatment i. Miotics 1. Pilocarpine 1% 2. Alphagan P ii. Spectacles 1. Over minus patient iii. PRK Enhancement 1. Correct spherical aberration iv. Correct residual RX 1. Astigmatism, myopia, hyperopia
4 VI) Case Report: LASIK Infection a. Serious complication of LASIK surgery b. Can quickly cause degradation of flap tissue and loss of BCVA c. Incidence 0.1% of LASIK surgeries d. Typically presents the first week after corneal refractive surgery i. Healthcare workers, insulin dependent diabetics, dialysis patients, intravenous drug users, patients with dermatologic conditions, and patients with long term indwelling intravascular catheters have higher rates of colonization than the general population. ii. If it occurs in the first two weeks after surgery, be suspicious of gram positive Staphylococcus iii. After two weeks, think of opportunistic organisms like atypical mycobacteria, fungus, or Nocardia. iv. It is logical to suspect MRSA if the patient is a health care worker or has had recent exposure to a hospital, 1. Eric Donnenfed, MD e. Infectious Keratitis i. Methicillin resistant staphylococcus tend to cause the majority of infections ii. Mycobacteria is less of a concern then before iii. Moxifloxacin and gatifloxacin cover the atypical mycobacteria iv. Infections are 6 times more common with PRK than with the femtosecond laser f. Differential Diagnosis of infection i. DLK ii. Sterile Infiltrate iii. Surgical Debris iv. Microbial Keratitis v. Bacterial vi. Mycobacterial vii. Fungal viii. Viral g. Symptoms i. Pain, photophobia and redness ii. Tearing iii. Foreign body sensation
5 VII) iv. Decreased vision v. Increase of glare and halos h. Presentation of Infection i. Pain and Photophobia ii. Redness iii. Anterior chamber reaction. iv. Epithelial defect over infiltrate. v. Anterior or posterior extension of infiltrate i. Treatment i. Culture ii. Fortified Vancomycin and Gentamycin or fortified Cefazolin iii. Polytrim for MRSA infections or when fortified antibiotics are unavailable iv. Fourth generation fluoroquinolones v. Discontinue steroid if open wound defect vi. Oral Antibiotics vii. Azithromycin or Clarithromycin PO viii. Doxycycline to decrease collagen destruction Conclusion
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 informationMaximizing Surgery Co Management
Maximizing Surgery Co Management Number One Goal Happy Patients! Vandi Rimer, OD Diplomat, American Board of Optometry vrimer@spivack.com 303 740 5475 May 6, 2014 Refractive Surgery from Start to Finish
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 informationConsent for LASIK (Laser In Situ Keratomileusis) Retreatment
Consent for LASIK (Laser In Situ Keratomileusis) Retreatment Please read the following consent form very carefully. Please initial at the bottom of each page where indicated. Do not sign this form unless
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 information9/15/2013. Bill Tullo, OD, FAAO, Diplomate Vice President Clinical Services TLC Laser Eye Centers. Pubmed Search yielded 164 citations
Bill Tullo, OD, FAAO, Diplomate Vice President Clinical Services TLC Laser Eye Centers Cause: Disruption of corneal nerves = decreased tear production Goblet cell damage from pressure during flap creation
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 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 informationWhat is Refractive Error?
Currently, about 55% of the civilian pilots in the United States must utilize some form of refractive correction to meet the vision requirements for medical certification. While spectacles are the most
More informationIntended Benefits. Who Is Not Eligible For the Procedure? (Intralase Sub-Bowman s Keratomileusis)
PATIENT CONSENT FORM Intralase SBK / WGA SBK (Intralase Sub-Bowman s Keratomileusis) Intralase Sub-Bowman s Keratomileusis (SBK) is a term used to describe a Laser Vision Correction procedure where a laser
More informationRisks and Limitations of LASIK Procedure
Drs. Fine, Hoffman & Packer, LLC 1550 Oak Street, Suite #5 Eugene, OR 97401 541-687-2110 From Drs. Fine, Hoffman, & Packer Risks and Limitations of LASIK Procedure Infection, serious injury, or even death,
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 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 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 informationVISX Wavefront-Guided LASIK for Correction of Myopic Astigmatism, Hyperopic Astigmatism and Mixed Astigmatism (CustomVue LASIK Laser Treatment)
CustomVue Advantage Patient Information Sheet VISX Wavefront-Guided LASIK for Correction of Myopic Astigmatism, Hyperopic Astigmatism and Mixed Astigmatism (CustomVue LASIK Laser Treatment) Statements
More informationLASIK EPILASIK FEMTOSECOND LASER. Advantages
LASIK EPILASIK FEMTOSECOND LASER Advantages There are many advantages to having laser vision correction. Laser vision correction gives most patients the freedom to enjoy their normal daily activities without
More informationFemto-LASIK. Pulsewidth: Ultrashort-pulse micro- machining can make sub- wavelength holes. micromachining
All-laser laser LASIK (Femto( Femto-LASIK) Femto-LASIK 台 大 眼 科 王 一 中 IntraLase 2/1 Perfect Vision Ziemer (DaVinci) Carl Zeiss Meditec Pulsewidth: Femtosecond laser (Nd:Glass)) 153 nm (near infrared) Each
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 informationLASIK Complications: Fact vs. Fiction
LASIK Complications: Fact vs. Fiction Advances have vanquished many of the old bogeymen, but some potential problems remain. BY RENÉ LUTHE, SENIOR ASSOCIATE EDITOR The announcement last fall that the FDA
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 informationAssociated Eye Surgeons
Associated Eye Surgeons 45 Resnik Road, Suite 301 Plymouth, MA 02360 Henry J Kriegstein MD, FACS Board Certified Lois M. Townshend, MD, FRCSC Board Certified Kristin S. Kenney, OD LASIK CONSENT FORM I.
More informationA Center for VisionCare 4418 Vineland Avenue, Suite 106 North Hollywood, CA 91607 818/762-0647
A Center for VisionCare 4418 Vineland Avenue, Suite 106 North Hollywood, CA 91607 818/762-0647 Alan I. Mandelberg, M.D. Donald I. Goldstein, M.D. Glossary of Refractive Surgery Terms Aberration: An irregularity
More informationThe 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
More informationRefractive Surgery Education and Informed Consent
Refractive Surgery Education and Informed Consent Tripler Army Medical Center Refractive Surgery Center Warfighter Refractive Eye Surgery Program (WRESP) Goals of this Briefing To explain the Warfighter
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 informationEitan S. Burstein, MD, MS SUNY Downstate Medical Center Department of Ophthalmology April 24, 2014
Eitan S. Burstein, MD, MS SUNY Downstate Medical Center Department of Ophthalmology April 24, 2014 HPI- 38 y/o female from China with past ocular history of laser surgery presents with vision loss after
More informationExcimer 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
More informationRefractive errors are caused by an imperfectly shaped eyeball, cornea or lens, and are of three basic types:
Tips on Lasik Eye Surgery If you re tired of wearing glasses or contact lenses, you may be considering Lasik eye surgery one of the newest procedures to correct vision problems. Before you sign up for
More informationAccelerated Refractive Performance
Accelerated Refractive Performance Get There at the Speed of WaveLight Designed to accommodate your refractive technology goals now and into the future, the WaveLight Workstation is a faster way to get
More informationVision Correction Surgery Patient Information
Vision Correction Surgery Patient Information Anatomy of the eye: The eye is a complex organ composed of many parts, and normal vision requires these parts to work together. When a person looks at an object,
More informationPRK: Simple, Safe & Reliable
OSN New York 2013 PRK: Simple, Safe & Reliable Technique & Pearls Christopher E. Starr, MD Associate Professor of Ophthalmology Director, Refractive Surgery Service Director, Ophthalmic Education Director,
More informationHow To Know If You Can See Without Glasses Or Contact Lense After Lasik
The LASIK experience I WHO CAN HAVE LASIK? To be eligible for LASIK you should be at least 21 years of age, have healthy eyes and be in good general health. Your vision should not have deteriorated significantly
More informationWARFIGHTER REFRACTIVE EYE SURGERY PROGRAM
WARFIGHTER REFRACTIVE EYE SURGERY PROGRAM Military personnel perform their duties in a variety of operational environments that may not be the ideal situations for the wear of eyeglasses or contact lens.
More informationLASIK 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
More informationXXXII 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
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 information1801 West End Avenue Suite 1150 Nashville, TN 37203, USA Office: 615.321.8881 Fax: 615.321.8874
1801 West End Avenue Suite 1150 Nashville, TN 37203, USA Office: 615.321.8881 Fax: 615.321.8874 T he purpose of this consent form is to educate you on the bladeless (Intralase) LASIK procedure. It is not
More informationLASER Eye Surgery LASIK. Consumer Awareness Guide
LASIK LASER Eye Surgery Consumer Awareness Guide Spend a Few Minutes Learning About Your LASIK Center or A Lifetime Wishing You Had Refractive surgery is the most popular elective surgery in the United
More informationSLADE AND BAKER VISION CENTER INFORMED CONSENT FOR LASER VISION CORRECTION (LVC)
SLADE AND BAKER VISION CENTER INFORMED CONSENT FOR LASER VISION CORRECTION (LVC) PLEASE READ THE FOLLOWING PAGES CAREFULLY AND INITIAL AND SIGN WHERE INDICATED. PLEASE DO NOT SIGN ANY SECTION THAT YOU
More informationKeratoconus. 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
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 informationINFORMED 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
More informationLASIK Complications, Risks and Treatment
INFORMED CONSENT FOR EXCIMER LASER LASER IN SITU KERATOMILEUSIS (LASIK) Please read the following pages carefully and initial and sign where indicated. Please do not sign any section that you have not
More informationPatient-Reported Outcomes with LASIK (PROWL-1) Results
Patient-Reported Outcomes with LASIK (PROWL-1) Results Elizabeth M. Hofmeister, MD CAPT, MC, USN Naval Medical Center San Diego Refractive Surgery Advisor for Navy Ophthalmology Assistant Professor of
More informationRefractive Surgery - Correcting Eye Problems
What is LASIK? The eye and vision errors The cornea is a part of the eye that helps focus light to create an image on the retina. It works in much the same way that the lens of a camera focuses light to
More informationIntraLase and LASIK: Risks and Complications
No surgery is without risks and possible complications and LASIK is no different in that respect. At Trusted LASIK Surgeons, we believe patients can minimize these risks by selecting a highly qualified
More information1700 Whitehorse-Hamilton Square Rd, Hamilton Sq., NJ 08690
1700 Whitehorse-Hamilton Square Rd, Hamilton Sq., NJ 08690 INFORMED CONSENT FOR REFRACTIVE SURGERY INCLUDING LASER IN-SITU KERATOMILEUSIS (LASIK), PHOTOREFRACTIVE KERATECTOMY (PRK), AND ENHANCEMENTS AND
More informationINFORMED CONSENT FOR LASER REFRACTIVE EYE SURGERY
INFORMED CONSENT FOR LASER REFRACTIVE EYE SURGERY INTRODUCTION LASER IN-SITU KERATOMILEUSIS (LASIK) and PHOTOREFRACTIVE KERATECTOMY (PRK) This information is being provided to you so that you can make
More informationThe Evolution of the Optical Zone in Corneal Refractive Surgery. Bruce Drum, Ph.D.
The Evolution of the Optical Zone in Corneal Refractive Surgery. Bruce Drum, Ph.D. FDA, Division of Ophthalmic and ENT Devices, Rockville, MD Disclaimer This presentation represents the professional opinion
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 informationHow To See With An Cl
Deciding on the vision correction procedure that s right for you is an important one. The table below provides a general comparison of the major differences between Visian ICL, LASIK and PRK. It is NOT
More informationCorneal refractive surgery challenges
Sponsored by Academy of Vision Care Corneal refractive surgery challenges Michael DelGiodice OD, FAAO and Attefa Sultani OD, FAAO Corneal refractive surgery is an ever-evolving field with over 60 years
More informationROCKWALL EYE ASSOCIATES
ROCKWALL EYE ASSOCIATES Edward P. Hurst, M.D. Claire Y. Chu, M.D. PHOTO-REFRACTIVE KERATOMILEUSIS (PRK) SECTION 1: GENERAL INFORMATION It is our intention to fully inform you concerning side effects, limitations,
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 informationLaser 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
More informationBladeless 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
More informationmaria@sjonlag.is THIS BOOKLET ALONE DOES NOT REPLACE A VISIT WITH OUR DOCTORS.
INTRODUCTION A full third of the population needs glasses and contact lenses in order to see things in focus. This is caused by common conditions called myopia, hyperopia and astigmatism. The 20th century
More informationUpcoming Appointments
CONTACT DATE APPOINTMENT DOCTOR PHONE 605-718-3937 Contact Lenses If you are a contact lens wearer, you should remove your contact lenses 7 days prior to your exam. Contact lenses can affect the shape
More informationRELEX SMILE AND SMILE EXTRA.. OUR 1 YEAR RESULTS AND PATIENTS SURVEY
RELEX SMILE AND SMILE EXTRA.. OUR 1 YEAR RESULTS AND PATIENTS SURVEY DR SANDIP MITRA MD FRCS CORNEA AND REFRACTIVE FELLOW (ROYAL VICTORIA EYE AND EAR HOSPITAL, AUSTRALIA) RELEX SMILE UNIT AT THE ALZAHRA
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 informationLASIK S PARAG A. MAJMUDAR, MD ASSOCIATE PROFESSOR OF OPHTHALMOLOGY RUSH UNIVERSITY MEDICAL CENTER CHICAGO CORNEA CONSULTANTS, LTD.
LASIK S PARAG A. MAJMUDAR, MD ASSOCIATE PROFESSOR OF OPHTHALMOLOGY RUSH UNIVERSITY MEDICAL CENTER CHICAGO CORNEA CONSULTANTS, LTD. LASIK in the news April 2008: FDA hearings on LASIK Increased public awareness
More informationINFORMED 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
More information1-1 INDIAN OIL CORPORATION - REFRACTIVE SURGERY CENTRE ( LASIK) SANKARA NETHRALAYA (JKCN BRANCH) NO 21, PYGROFTS GARDEN ROAD, CHENNAI 6
1-1 1-2 How do we see? Eye Structure (Normal) The eye is like a camera. In a camera, light passes through a lens system back onto the film. The cornea and lens are at the front of the eye (anterior chamber)
More informationReferrals to the Wills Eye Institute Cornea Service after laser in situ keratomileusis: Reasons for patient dissatisfaction
ARTICLE Referrals to the Wills Eye Institute Cornea Service after laser in situ keratomileusis: Reasons for patient dissatisfaction Brett A. Levinson, MD, Christopher J. Rapuano, MD, Elisabeth J. Cohen,
More informationINFORMED CONSENT LASER IN SITU KERATOMILEUSIS (LASIK)
Edward C. Wade, M. D Christopher D. Allee, O. D. Ting Fang-Suarez, M. D. Jill Autry, O. D. Mark L. Mayo, M. D. Amanda Bachman, O. D. Randall N. Reichle, O. D Julie Ngo, O. D. INFORMED CONSENT LASER IN
More informationInformed Consent Enhancement Laser In Situ Keratomileusis (Lasik)
Edward C. Wade, M. D Christopher D. Allee, O. D. Ting Fang-Suarez, M. D. Jill Autry, O. D. Mark L. Mayo, M. D. Amanda Bachman, O. D. Randall N. Reichle, O. D. Julie Ngo, O. D. 6565 West Loop South Suite
More informationHow To Treat Eye Problems With A Laser
1550 Oak St., Suite 5 1515 Oak St., St Eugene, OR 97401 Eugene, OR 97401 (541) 687-2110 (541) 344-2010 INFORMED CONSENT FOR PHOTOREFRACTIVE KERATECTOMY (PRK) This information is to help you make an informed
More informationINFORMED CONSENT FOR LASER IN-SITU KERATOMILEUSIS (LASIK) AND LASIK ENHANCEMENTS
1700 Whitehorse-Hamilton Square Rd, Hamilton Sq., NJ 08690 INFORMED CONSENT FOR LASER IN-SITU KERATOMILEUSIS (LASIK) AND LASIK ENHANCEMENTS Please read the following pages carefully and initial and sign
More informationINFORMED CONSENT FOR LASIK AND PRK SURGERY
INFORMED CONSENT FOR LASIK AND PRK SURGERY Please read the following very carefully. Please initial each page where indicated. Do not sign this form unless you read and understand each page. Patient s
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 informationPre-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
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 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 informationLong Island Vision Experts
GENERAL INFORMATION Long Island Vision Experts 2 Lincoln Avenue, Suite 401 Rockville Centre, NY 11570 (516) 763-4106 INTACS INFORMED CONSENT Intacs (Keratoconus) The following information is intended to
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 informationCorneal 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
More informationMAZAHERI LASIK METHOD FOR VISUAL ENHANCEMENT TECHNICAL FIELD OF THE INVENTION. [0001] The present invention is directed, in general, to
MAZAHERI LASIK METHOD FOR VISUAL ENHANCEMENT TECHNICAL FIELD OF THE INVENTION [0001] The present invention is directed, in general, to a surgical procedure and, more particularly, to surgical procedure
More informationExplanation of the Procedure
Informed Consent Cataract Surgery with Intraocular Lens Implant Please initial below indicating that you have read and understand each section Introduction The internal lens of the eye can become cloudy
More informationMOST FREQUENTLY ASKED CLIENT QUESTIONS
6/2 Victor Crescent Narre Warren VIC 3805 Ph: (03) 8794 8255 Fax: (03) 8794 8256 www.ortho-k.com.au Sleep your way to great vision MOST FREQUENTLY ASKED CLIENT QUESTIONS What is ortho-k? Ortho-k (Orthokeratology)
More informationRefractive Errors & Correction
Super Vision 6 Chapter Lasik is currently the most sophisticated procedure for correction of refractive errors. Lasik is an acronym for Laser Assisted Insitu Keratomileusis. In Lasik, Excimer laser is
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 informationEmil 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,
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 informationLong-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
More informationPatient Information Booklet Information for patients considering Laser Assisted In-Situ Keratomileusis (LASIK) Surgery
WaveLight EX500 Patient Information Booklet Information for patients considering Laser Assisted In-Situ Keratomileusis (LASIK) Surgery Information for patients considering: LASIK surgery for the elimination
More informationLASIK What is LASIK? Am I a good candidate for LASIK? What happens before surgery? How is LASIK done?
LASIK What is LASIK? Laser assisted in situ keratomileusis, or LASIK, is an outpatient surgical procedure used to treat myopia (nearsightedness), hyperopia (farsightedness), and astigmatism. With LASIK,
More informationAnastasios John Kanellopoulos, M.D., Clinical Professor of Ophthalmology in NYU Medical School, Director of the Laser Vision Institute, Athens, Greece
Femtosecond LASIK Practical pearls from 5 years of experience Anastasios John Kanellopoulos, M.D., Clinical Professor of Ophthalmology in NYU Medical School, Director of the Laser Vision Institute, Athens,
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 informationConsent for Bilateral Simultaneous Refractive Surgery PRK
Consent for Bilateral Simultaneous Refractive Surgery PRK Please sign and return Patient Copy While many patients choose to have both eyes treated at the same surgical setting, there may be risks associated
More informationLASIK. Cornea. Iris. Vitreous
LASIK Introduction LASIK surgery is a procedure that improves vision and can decrease or eliminate the need for eyeglasses or contact lenses. If you and your doctor decide that LASIK surgery is right for
More informationCO MANAGEMENT. 18325 North Allied Way, Suite 100 Phoenix, AZ 85054 (602) HORIZON (602) 467 4966
CO MANAGEMENT 18325 North Allied Way, Suite 100 Phoenix, AZ 85054 (602) HORIZON (602) 467 4966 www.horizonlaservision.com 602 HORIZON or 602 467 4966 CO MANAGEMENT CONTACTS 18325 N. Allied Way, Suite 100
More informationCONSENT FOR INTRALASIK CORRECTION OF NEARSIGHTEDNESS, FARSIGHTEDNESS, AND ASTIGMATISM USING INTRALASE TM TECHNOLOGY BY AMJAD KHOKHAR, M.D.
CONSENT FOR INTRALASIK CORRECTION OF NEARSIGHTEDNESS, FARSIGHTEDNESS, AND ASTIGMATISM USING INTRALASE TM TECHNOLOGY BY AMJAD KHOKHAR, M.D. INDICATIONS AND PROCEDURE This information is being provided to
More informationLASIK: Clinical Results and Their Relationship to Patient Satisfaction
LASIK: Clinical Results and Their Relationship to Patient Satisfaction Lien Thieu Tat A thesis submitted in fulfilment of the requirements for the degree of Doctor of Philosophy School of Applied Vision
More informationApplications in Dermatology, Dentistry and LASIK Eye Surgery using LASERs
Applications in Dermatology, Dentistry and LASIK Eye Surgery using LASERs http://www.medispainstitute.com/menu_laser_tattoo.html http://www.life123.com/bm.pix/bigstockphoto_close_up_of_eye_surgery_catar_2264267.s600x600.jpg
More informationDaniel F. Goodman, M.D. 2211 Bush Street, 2nd Floor San Francisco, CA 94115 Phone: 415-474-3333 Fax: 415-474-3939
Daniel F. Goodman, M.D. 2211 Bush Street, 2nd Floor San Francisco, CA 94115 Phone: 415-474-3333 Fax: 415-474-3939 INFORMED CONSENT FOR LASIK (LASER IN SITU KERATOMILEUSIS) and PRK (PHOTOREFRACTIVE KERATECTOMY)
More informationINFORMED CONSENT FOR PHAKIC IMPLANT SURGERY
INFORMED CONSENT FOR PHAKIC IMPLANT SURGERY INTRODUCTION This information is being provided to you so that you can make an informed decision about having eye surgery to reduce or eliminate your nearsightedness.
More informationIs LASIK Good Enough? 75% of flights have a CL wearer 53% of all EVAs have either a spectacle or CL wearer Microbial keratitis has occurred
Optical Correction of Astronauts 21 Sept 27: NASA Approves LASIK 75% of flights have a CL wearer 53% of all EVAs have either a spectacle or CL wearer Microbial keratitis has occurred Staph epi Presbyopia
More informationBEACH EYE MEDICAL GROUP INFORMED CONSENT FOR LASER VISION CORRECTION (LVC)
BEACH EYE MEDICAL GROUP INFORMED CONSENT FOR LASER VISION CORRECTION (LVC) PLEASE READ THE FOLLOWING PAGES CAREFULLY AND INITIAL AND SIGN WHERE INDICATED. PLEASE DO NOT SIGN ANY SECTION THAT YOU HAVE NOT
More information(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
More informationTypes of Refractive Surgery. Infection and Inflammation in the Refractive Surgery Patient. Inflammation vs Infection. Types of Infection
Types of Refractive Surgery Infection and Inflammation in the Refractive Surgery Patient Kurt Buzard MD FACS Assistant Clinical Professor University of Nevada Medical School Tulane University Medical School
More information