LASIK/PRK following previous eye Surgery
|
|
|
- Lorin Chase
- 8 years ago
- Views:
Transcription
1 AAO San Francisco 2009 LASIK/PRK following previous eye Surgery A. John Kanellopoulos, MD Associate Clinical Professor, NYU Medical School Director: Laservision.gr Eye Institute, Athens, Greece 1
2 Indications Penetrating keratoplasy Pseudophakia Glaucoma Sx Radial / Astigmatic keratotomy Retinal Surgery PRK/ Lasik Bioptics Following CXL 2
3 LASIK Following Radial Keratotomy Special Concerns Treat epithelial linclusions i and wound gapes prior to LASIK (re-suture if ness.) Careful surface marking Carefully handle flap to avoid tearing RK along incisionsi i Thicker flaps Enhancements difficult Higher incidence of DLK? 3
4 LASIK following Radial Keratotomy PERK Study: 43% of eyes had a 1D hyperopic shift at 10 years Following LASIK 91% improvement or no change in BCVA 1 Following LASIK no loss of 2 lines in BCVA 2 1 Attia. Journal of Cataract t and Refractive Surgery, Lindstrom. Ophthalmology,
5 LASIK following Radial Keratotomy Hyperopic shift/ Visual fluctuation may continue Ineffective for irregular astigmatism (except with wavefront-guided and/or topo-guided) 5
6 50 y/o male, s/p RK for about 8 UCVA 20/40-, 20/40 in USSR /25 (8/10) /25- (7/10) Significant night glare (dec) 6
7 Pre-op 7
8 Post-opop 8
9 46 y/o male 10 years s/p RK for x? and subsequent hyperopic shift 9
10 46 y/o male 10 years s/p RK for x? and subsequent hyperopic shift sc: 20/80 diplopia Rx x 17 gives 20/25 LASIK with the Moria M2 and the Allegretto-wave Post-op 3 months: Sc 20/30! x 40 20/
11 LASIK Following Penetrating Keratoplasty 39-70% of PK s are within 3D of emmetropia Mean cylinder following PK is 4-5 D Following LASIK 100% are within 3 D emmetropia 1 91% of eyes BCVA remained the same or improved 1 Contact lens remains standard of care 1 Donnenfeld. Ophthalmology,
12 12
13 13
14 14
15 15
16 LASIK Following Penetrating Keratoplasty Special Concerns Avoid graft-host interface Flap adherence 5 minutes Increased postoperative corticosteriods i Endothelial dysfunction and flap slippage 1 Keratoconus and progressive ectasia 1 Donnenfeld. ASCRS,
17 34 y/o male 2 years s/p Therapeutic PK for a CL-related ulcer Good cell counts: top= OD unaffected eye Bottom= OS eye with PK Rx x 56 with the Allegretto-wave Post-op 3 months: Sc 20/30! x 50 20/
18 LASIK Following Cataract Surgery No significant concerns with PC/IOL Careful with endothelial dysfunction around phaco wound site (flap slippage, poor adhesion)? PRK with AC/IOL Future of cataract surgery 18
19 LASIK and the Glaucoma Patient Absolute Contraindications Filtering/Valve Surgery -End stage disease Significant ON damage and/or Visual Field Loss Uncontrolled Glaucoma More than 2 Medications 19
20 20
21 LASIK and the Glaucoma Patient Special Concerns Epithelial Sloughing: Discontinue topical meds pre-op Oral CAIs Nerve Fiber Layer Analysis(HRT, GDx) Post-operative IOP Measurement Mean Decrease in IOPi is 4.3 mm Hg 1 Beware of low IOP and progressive ON damage (interface fluid-maloney Ophathalmology2002) 1 Danasoury. Journal ofrefractive Surgery,
22 LASIK Following Retinal Detachment Pre-LASIK vitreoretinal consultation Avoid LASIK in high buckles-risk of poor suction/ irregular flap Treatment of asymptomatic holes controversial il Avoid silicone oil eyes 22
23 LASIK after Previous PRK Central keratometry/ Orbscan Consider Epithelial hyperplasia (If suspected plan for thicker flap) Increased postoperative steroids 23
24 LASIK after Previous LASIK Relift flap if possible (unless limited by thin cornea) Ud Undercorrect consecutive ametropia 1 1 Jacobs. Journal of cataract and refractive surgery,
25 LASIK after Previous LASIK New flap should be larger and deeper than the original flap or narrower and thinner (the same MK will cut a thinner consecutive flap on a thinner cornea) Posterior flap ablation when residual stromal bed not adequate (not possible with flying-spot excimers) Personal preference: minimum i cornea thickness> 400nm 35<K s<
26 Artisan/Verisyse 26
27 OD Bioptics 6 months postop 20/
28 WG enhancement-poor result Pre: Post: 28
29 Same pt other eye RMSH improved from 1,2 to 0.36 (!) LCS improved from C3 to C7 (!) 29
30 Q value adjustment 30
31 Re-treatments: 1-Q value calculated at 20 degrees 2-Possible on almost 100% of cases 3-Little risk of making worse 4-Less tissue demands 31
32 RESULT at 6 months Post-op op Q values: OD: +1.2 to OS: +1.5 to +0.1 CS to from 5 to 7 at 12 degrees 32
33 Topography guided 33
34 Enlarging myopic optical zone: Initially -10, 505µ LASIK: 4,5mmOZ,, 125µ flap M2->plano ^BCVA 2 lines, but night halostopo-guided Tx to enlarge OZ to6mm and adjusting Q value to - 1,46Initially halos gone, RE
35 Post-trauma irregular astigmatism Old K perf, s/p CE, IOL,s/p LASIK for now -1, irregularbcva 20/40+Topo-guided, Q adjustment to -0.3 Postop: UCVA 20/30, BCVA 20/
36 Post-surgery irregular astigmatism Complicated CE-Aphakia-Artisan IOL-in an old LASIK pt P BCVA 20/60 Postop UCVA 20/
37 Centering optical zone-hyperopia Initially: , plasik: UCVA 20/40 BCVA 20/25 ptopog: plano UCVA 20/
38 Enlarging optical zone-rk 10 year post-rk, Post-LASIK: +2,50-1,50Cyl, debilitating night vision. P topo-guided marked improvement 38
39 Enlarging optical zone-hyperopia S/p LASIK for +4.50, now and night vision down C3, s/p topo-guided CS=C7 39
40 Post-keratitis irregular astigmatism Patient t with old severe Cornea ulcer and paracentral flattening irregular cyl UCVA 20/200 to 20/25 BSCVA from 20/40- to 20/
41 Re-centering OZ, smoothing irregularities (Loss of K sliver in recuts) 41
42 Topo-guided epi LASIK with the Moria EpiK and Wavelight Eye-Q laser improve cyl 6 months 20/20-, cyl 42
43 How do we select topo- or waveguided? 43
44 Topo-wavefronts OD OS PRE POST 44
45 Clinical Case Treatment Results Corneal ltopography pre- and post-enhancement t Pre-enhancement enhancement Post-enhancement Difference 45
46 Patient 2 75y/o male s/p PRK in the Pseudophakic OS has now significant haze, irregular hyperopic astigmatism UCVA 20/200 BSCVA 20/50 with @ Significant superficial and anterior stromal haze exists He is referred dfor a cornea graft 46 A. John Kannellopoulos, M.D., PhD, WaveLight Global Ambassador, Athens, Greece & New York, USA 46
47 Pre-operative Topography: Topolyzer 47 A. John Kannellopoulos, M.D., PhD, WaveLight Global Ambassador, Athens, Greece & New York, USA 47
48 Pre-operative Topography: Oculyzer 48 A. John Kannellopoulos, M.D., PhD, WaveLight Global Ambassador, Athens, Greece & New York, USA 48
49 Pre-operative Wavefront Map Non available K haze 49 A. John Kannellopoulos, M.D., PhD, WaveLight Global Ambassador, Athens, Greece & New York, USA 49
50 50 A. John Kannellopoulos, M.D., PhD, WaveLight Global Ambassador, Athens, Greece & New York, USA 50
51 Wavefront Ablation Profile Non available 51 A. John Kannellopoulos, M.D., PhD, WaveLight Global Ambassador, Athens, Greece & New York, USA 51
52 Topography Ablation Profile 52 A. John Kannellopoulos, M.D., PhD, WaveLight Global Ambassador, Athens, Greece & New York, USA 52
53 OcuLink Ablation Profile 53 53
54 Wavefront Optimized TM Ablation Profile 54 54
55 Treatment: 50 microns PTK at 7mm OZ Topolyzer-guided treatment (due to the haze a nd irregularity was anticipated to be more accurate than the Oculyzer-guided Tx UVA CCL 3 mw/cm % riboflavin 30 minutes 55 A. John Kannellopoulos, M.D., PhD, WaveLight Global Ambassador, Athens, Greece & New York, USA 55
56 At 3 m UCVA 20/40, : 20/
57 Summary-Custom Q Q adjustment may be an effective and tissue sparing primary treatment and re-treatment approach It may not change unwanted Zernickes as in wavefront-guided It appears to improve the most predictable factor in night vision problems: Cornea asphericity or spherical aberration C12 It appears to optimise mesopic and scotopic visual quality 57
58 DSEAK with anterior scarring treated t with PTK/PRK
59 Post PTK/PRK
60 Anterior K clarity before and after
61 Topo-guided PRK Kanellopoulos MD
62 J Ophthalmol hh ljune 07: CXL and then topo-guided d PRK in postwww.brilliantvision.com LASIK ectasia
63
64 J Cornea August
65 Over the last 7 years we have treated over 800 cases of KCN and ectasia with CXL J Cornea August 2007 CXL followed 6 months later by a partial tprk Kanellopoulos MD 65
66 Kanellopoulos MD 66
67 Conclusion With intelligent pre-operative selection and surgical planning, LASIK and PRK can be invaluable in the visual rehabilitation of patients following previous ocular surgery. 67
68 Thank you Thank you Kanellopoulos MD 68
LASIK/PRK following previous eye Surgery
AAO Chicago 2010 LASIK/PRK following previous eye Surgery A. John Kanellopoulos, MD Associate Clinical Professor, NYU Medical School Director: Laservision.gr Eye Institute, Athens, Greece www.brilliantvision.com
LASIK Following Radial Keratotomy and Glaucoma Patient Interaction
AAO Atlanta 2008 Course 446 Nov 10th 2007, room A404 LASIK following previous eye Surgery A. John Kanellopoulos, MD Associate Clinical Professor, NYU Medical School Director: Laservision.gr Eye Institute,
LASIK following previous eye Surgery
AAO Anaheim 2003 Course 584 Nov18th, 2-415PM LASIK following previous eye Surgery A. John Kanellopoulos, MD Associate Clinical Professor, NYU Medical School Director: Laservision.gr Eye Institute, Athens,
LASIK complications and their management ESCRS Munich 9.2003
LASIK complications and their management ESCRS Munich 9.2003 A. John Kanellopoulos, M.D. Associate Professor NYU Medical School Director, LaserVision.gr Eye Institute Case report 1 2 years s/p PK LASIK
Short and long term complications of combined. Protocol) in 412 keratoconus eyes (2 7 years follow up)
Short and long term complications of combined topography guided PRK and CXL (the Athens Protocol) in 412 keratoconus eyes (2 7 years follow up) Anastasios John Kanellopoulos, MD Director, Laservision.gr
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
Initial clinical experience with the FS200 Femto and EX500 excimer
Initial clinical experience with the FS200 Femto and EX500 excimer lasers for LASIK ASCRS, San Diego 2011 A. John Kanellopoulos, MD Professor NYU Medical School, NY Director, Laservision.gr Institute,
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
The pinnacle of refractive performance.
Introducing! The pinnacle of refractive performance. REFRACTIVE SURGERY sets a new standard in LASIK outcomes More than 98% of patients would choose it again. 1 It even outperformed glasses and contacts
Διαθλαζηικη Χειροσργικη 2014
Διαθλαζηικη Χειροσργικη 2014 Επιθηλιο Femto Κεραηοκωνος Διαζσνδεζη Κολλαγονοσ Anastasios John Kanellopoulos, MD Professor: NYU Medical School, New York, NY LaserVision.gr Eye Institute, Athens, Greece
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
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
Collagen Cross-linking combined with PRK and LASIK
Collagen Cross-linking combined with PRK and LASIK./*0&1#*!"#$%%&'&(%&)2*+,* +$345"%*,46$57&62*8")$694)4&#/:6*;#)%4#45"%*?6&@$))&62*ABC*8"#:&#$*+$345"%*D51&&%2*AB!"#$%%&'&(%&)*+,!
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,
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
Lasik Xtra in: Hyperopia AK Xtra Clear cornea cataract surgery
Lasik Xtra in: Hyperopia AK Xtra Clear cornea cataract surgery A. John Kanellopoulos, M.D. Clinical Profesor of Ophthalmology New York University School of Medicine, New York, NY, USA Laservision.gr Institute,
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
Crosslinking and Long-Term Hyperopic LASIK Stability Initial Clinical Findings in Contralateral Eye Study
ASCRS 2012 Crosslinking and Long-Term Hyperopic LASIK Stability Initial Clinical Findings in Contralateral Eye Study Jonathan B. Kahn, M.D. 1 and A. John Kanellopoulos, M.D. 1,2 1 New York University School
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
Accelerated 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
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
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
Emil William Chynn, MD, FACS, MBA Park Avenue LASEK 333 Park Avenue South, New York, NY dr@parkavenuelasek.com
Emil William Chynn, MD, FACS, MBA Park Avenue LASEK 333 Park Avenue South, New York, NY dr@parkavenuelasek.com Evolu&on of Refrac&ve Surgery RK, AK (Fyodorov Russia/Ukraine) PRK (Trokel & L Esperance,
(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
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
INTRACOR. An excerpt from the presentations by Dr Luis Ruiz and Dr Mike Holzer and the Round Table discussion moderated by Dr Wing-Kwong Chan in the
INTRACOR An excerpt from the presentations by Dr Luis Ruiz and Dr Mike Holzer and the Round Table discussion moderated by Dr Wing-Kwong Chan in the 1 Dr Luis Ruiz Presbyopia treatment with INTRACOR Luis
XXXII nd Congress of the ESCRS, London, September 13, 2014 Instructional Course # 7. LASIK: basic steps for safety and great results
XXXII nd Congress of the ESCRS, London, September 13, 2014 Instructional Course # 7 LASIK: basic steps for safety and great results Microkeratomes Jérôme C. VRYGHEM, M.D. Brussels Eye Doctors Brussels
CENTRO OFTALMOLOGICO GUSTAVO TAMAYO BOGOTA COLOMBIA LASIK XTRA GUSTAVO TAMAYO MD CLAUDIA CASTELL MD PILAR VARGAS MD
CENTRO OFTALMOLOGICO GUSTAVO TAMAYO BOGOTA COLOMBIA LASIK XTRA GUSTAVO TAMAYO MD CLAUDIA CASTELL MD PILAR VARGAS MD From: BOGOTA LASER REFRACTIVE INSTITUTE Bogota, Colombia DISCLOSURES FOR GUSTAVO TAMAYO
FIRST EXPERIENCE WITH THE ZEISS FEMTOSECOND SYSTEM IN CONJUNC- TION WITH THE MEL 80 IN THE US
FIRST EXPERIENCE WITH THE ZEISS FEMTOSECOND SYSTEM IN CONJUNC- TION WITH THE MEL 80 IN THE US JON DISHLER, MD DENVER, COLORADO, USA INTRODUCTION AND STUDY OBJECTIVES This article summarizes the first US
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
How 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
Introducing TOPOGRAPHY-GUIDED REFRACTIVE SURGERY
Sponsored by Introducing TOPOGRAPHY-GUIDED REFRACTIVE SURGERY Results of the T-CAT Phase III Clinical Trial TOPOGRAPHY-GUIDED REFRACTIVE SURGERY Topography-Guided Custom Ablation Treatments (T-CAT) with
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
Ectasia after laser in-situ keratomileusis (LASIK)
Ectasia after laser in-situ keratomileusis (LASIK) 長 庚 紀 念 醫 院 眼 科 蕭 靜 熹 Post-LASIK ectasia A rare complication of LASIK Manhattan jury awarded a former investment banker a record $7.25 million for post-lasik
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).
VISX 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
Cataract Surgery after Myopic Refractive Procedures. Ray Guard Eye Center Huang Wei-Jen, MD
Cataract Surgery after Myopic Refractive Procedures Ray Guard Eye Center Huang Wei-Jen, MD Financial Disclosures : * No financial interest on products mentioned Cataract Surgery after Myopic Refractive
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
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
Associated 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.
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
Risks 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,
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
Short and long term complications of combined. Protocol) in 412 keratoconus eyes (2 7 years follow up)
Short and long term complications of combined topography guided PRK and CXL (the Athens Protocol) in 412 keratoconus eyes (2 7 years follow up) Anastasios John Kanellopoulos, MD Director, Laservision.gr
Keratoconus is a bilateral, nonsymmetric, and noninflammatory
CASE REPORT Collagen Cross-Linking (CCL) With Sequential Topography-Guided PRK A Temporizing Alternative for Keratoconus to Penetrating Keratoplasty A. John Kanellopoulos, MD* and Perry S. Binder, MS,
Comparison of Residual Stromal Bed Thickness and Flap Thickness at LASIK and Post-LASIK Enhancement in Femtosecond Laser-Created Flaps
Comparison of Residual Stromal Bed Thickness and Flap Thickness at LASIK and Post-LASIK Enhancement in Femtosecond Laser-Created Flaps Lingo Y. Lai, MD William G. Zeh, MD Clark L. Springs, MD The authors
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
Maximizing 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
INFORMED CONSENT FOR LASIK SURGERY
IMPORTANT: READ EVERY WORD! This information is to help you make an informed decision about having laser assisted in-situ keratomileusis (LASIK) surgery to treat your nearsightedness, farsightedness and/or
Corneal Collagen Crosslinking: An Introduction to the New Paradigm in Keratoconus. Michael Waggoner DO McDonald Eye Associates Fayetteville AR
Corneal Collagen Crosslinking: An Introduction to the New Paradigm in Keratoconus Michael Waggoner DO McDonald Eye Associates Fayetteville AR Learning Objectives Gain knowledge in: The history of the development
Keratoconus surgery: what works best and why-
Keratoconus surgery: what works best and why-./-0&1#-!"#$%%&'&(%&)*-+,-,23$45&3*-6")$372)2&#/83-9#):5(5$*-.51$#)*-;3$$4$-
Keratoconus. Progressive bilateral ectasia. Onset puberty. Prevalence 1:2000. 20% progress to transplantation. Pathogenesis unclear
Keratoconus Progressive bilateral ectasia Onset puberty Prevalence 1:2000 20% progress to transplantation Pathogenesis unclear Increased pepsin and catalase Decreased collagen crosslinking cf normal Conventional
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
Clinical Results of Topography-based Customized Ablations in Highly Aberrated Eyes and Keratoconus/Ectasia With Cross-linking
Clinical Results of Topography-based Customized Ablations in Highly Aberrated Eyes and Keratoconus/Ectasia With Cross-linking David T.C. Lin, MD, FRCSC; Simon Holland, MD, FRCSC; Johnson C.H. Tan, MBBS,
LASIK, Epi LASIK and PRK Past present and future
LASIK, Epi LASIK and PRK Past present and future Ioannis G. Pallikaris MD, PhD Institute of Vision and Optics University of Crete Medical School Heraklion Crete Greece Photorefractive Keratectomy Kerr-Muir
Patient 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
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
Collagen cross-linking should be done separately. Canan Asli Utine, MD, MSc, FICO Yeditepe University, Istanbul, Turkey
Collagen cross-linking should be done separately Canan Asli Utine, MD, MSc, FICO Yeditepe University, Istanbul, Turkey Collagen cross linking 1st established tx addressing the pathophysiology of corneal
Our Commitment To You
SYSTEM SUPPORT Quality-crafted, the system boasts dependability with high efficiency and low gas usage. We provide responsive service and maintenance contract options, supported by our nationwide direct
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
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
The 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
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
Laser-assisted In Situ Keratomileusis for Correction of Astigmatism and Increasing Contact Lens Tolerance after Penetrating Keratoplasty
pissn: -9 eissn: 9-9 Korean J Ophthalmol ;(5):59- http://dx.doi.org/./kjo...5.59 Original Article Laser-assisted In Situ Keratomileusis for Correction of Astigmatism and Increasing Contact Lens Tolerance
Wavefront-guided Enhancements Using the WaveLight Excimer Laser in Symptomatic Eyes Previously Treated With LASIK
Wavefront-guided Enhancements Using the WaveLight Excimer Laser in Symptomatic Eyes Previously Treated With LASIK A. John Kanellopoulos, MD; Lawrence H. Pe, MD ABSTRACT PURPOSE: To describe our clinical
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:
BY A. JOHN KANELLOPOULOS, MD
Sequential Versus Simultaneous CXL and Topography-Guided PRK Simultaneous treatment appears to provide superior rehabilitation of keratoconus. BY A. JOHN KANELLOPOULOS, MD * Editor s note: The following
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,
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
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
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
ALTERNATIVES TO LASIK
EYE PHYSICIANS OF NORTH HOUSTON 845 FM 1960 WEST, SUITE 101, Houston, TX 77090 Office: 281 893 1760 Fax: 281 893 4037 INFORMED CONSENT FOR LASER IN-SITU KERATOMILEUSIS (LASIK) INTRODUCTION This 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 Minoru Tomita, MD, PhD 1,2 1) Shinagawa LASIK, Tokyo,
CustomVue Treatments for Monovision in Presbyopic Patients with Low to Moderate Myopia and Myopic Astigmatism
CustomVue Treatments for Monovision in Presbyopic Patients with Low to Moderate and Myopic Introduction Pre-Operative Examination Surgical Technique 1 2 IMPORTANT INFORMATION CustomVue Monovision treatments
VA high quality, complications low with phakic IOL
Page 1 of 5 VA high quality, complications low with phakic IOL Use in keratoconus will continue, one surgeon predicts; another ponders long-term safety Nov 1, 2007 By:Nancy Groves Ophthalmology Times Several
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
LASIK Complications. Anastasios John Kanellopoulos, M.D. Associate Professor NYU Medical School Director, LaserVision.
LASIK Complications Anastasios John Kanellopoulos, M.D. Associate Professor NYU Medical School Director, LaserVision.gr Eye Institute www.brilliantvision.com LASIK Adverse events Damage to epithelium 7
Laser Vision Correction: A Tutorial for Medical Students
Laser Vision Correction: A Tutorial for Medical Students Written by: Reid Turner, M4 Reviewed by: Anna Kitzmann, MD Illustrations by: Steve McGaughey, M4 November 29, 2011 1. Introduction Laser vision
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
INFORMED CONSENT FOR PRK SURGERY
INFORMED CONSENT FOR PRK SURGERY Please read the following consent form carefully. Please initial each page where indicated. Do not sign this from unless you read and understand each page. Patient s Name:
UPDATE ON AVEDRO CROSSLINKING STUDIES
UPDATE ON AVEDRO CROSSLINKING STUDIES Peter S. Hersh, M.D. Director, Cornea & Laser Eye Institute CLEI Center for Keratoconus Clinical Professor of Ophthalmology, Rutgers Medical School Visiting Researcher,
Life Science Journal 2014;11(9) http://www.lifesciencesite.com. Cross cylinder Challenging cases and their resultswith Nidek Quest (EC-5000)
Cross cylinder Challenging cases and their resultswith Nidek Quest (EC-5000) Gamal Mostafa Abo El Maaty, Mohamed Elmoddather, Mahmoud Ibrahem Ghazy, Mohamed Al-Taher Ophthalmology Department, Faculty of
Eye Associates Custom LASIK With IntraLASIK Correction Of Nearsightedness, Farsightedness, and Astigmatism Using IntraLase TM Technology
Eye Associates Custom LASIK With IntraLASIK Correction Of Nearsightedness, Farsightedness, and Astigmatism Using IntraLase TM Technology INDICATIONS AND PROCEDURE This information is being provided to
INFORMED CONSENT FOR LASER IN-SITU KERATOMILEUSIS (LASIK) USING INTRALASE TM BLADE-FREE TECHNOLOGY
EYE PHYSICIANS OF NORTH HOUSTON 845 FM 1960 WEST, SUITE 101, Houston, TX 77090 Office: 281 893 1760 Fax: 281 893 4037 INFORMED CONSENT FOR LASER IN-SITU KERATOMILEUSIS (LASIK) USING INTRALASE TM BLADE-FREE
ORIGINAL ARTICLES. Anastasios John Kanellopoulos, MD; Perry S. Binder, MS, MD
ORIGINAL ARTICLES Management of Corneal Ectasia After LASIK With Combined, Same-day, Topographyguided Partial Transepithelial PRK and Collagen Cross-linking: The Athens Protocol Anastasios John Kanellopoulos,
Looking for Keratoconus
07.31.06 Screening for LASIK: Tips and Techniques Surgeons share helpful strategies for identifying which patients are good candidates and which could be trouble. Christopher Kent, Senior Editor Screening
What 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
Corneal Collagen Cross-Linking (CXL) With Riboflavin
Dr. Paul J. Dubord, MD, FRCSC Clinical Professor Department of Ophthalmology and Visual Sciences University of British Columbia Patient Information Guide Corneal Collagen Cross-Linking (CXL) With Riboflavin
How do you adjust for IOP in a LASIK patient?
How do you adjust for IOP in a LASIK patient? Sunita Radhakrishnan, M.D Glaucoma Center of San Francisco Glaucoma Research and Education Group Principle of applanation tonometry Imbert Fick law Applanation
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)
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
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
Financial Disclosure. LASIK Flap Parameters IntraLase Microkeratome 6/9/2008. Femtosecond LASIK Flaps: What Could We Customize Yesterday?
Financial Disclosure Arturo Chayet, MD Tijuana, BC Mexico Perry S. Binder, MS, MD San Diego CA USA I have the following financial interests or relationships to disclose: AMO/IntraLase Corporation - C Acufocus
Excimer Laser Eye Surgery
Excimer Laser Eye Surgery This booklet contains general information that is not specific to you. If you have any questions after reading this, ask your own physician or health care worker. They know you
Shinagawa LASIK Center. Examination rooms
Examination rooms Since was established in October 2004 and from that time through March 2010 we have performed over 700,000 cases. in Tokyo (70% of operations) and 3 branch clinics in Osaka, Nagoya, and
Long 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
Ophthalmology Department,Tanta University, Egypt
Moataz M. Sabry, MD, PhD. Ophthalmology Department,Tanta University, Egypt 1 SHOULD WE ABONDONE MECHANICAL MICROKERATOMES? 2 With Mechanical, LASIK is a one-laser procedure, there s no moving of patient
Anterior Lamellar Keratoplasty With a Microkeratome: A Method for Managing Complications After Refractive Surgery
Anterior Lamellar Keratoplasty With a Microkeratome: A Method for Managing Complications After Refractive Surgery Farhad Hafezi, MD; Michael Mrochen, PhD; Franz Fankhauser II, MD; Theo Seiler, MD, PhD
Epi-LASIK Surgery. The procedure of choice for surface ablation.
Epi-LASIK Surgery The procedure of choice for surface ablation. powered by Moria Preservation of Corneal Biomechanical Integrity, minimizing the risks of ectasia Post-LASIK CH decrease (Reichert ORA) 0-1
Shawn R. Klein, MD Klein & Scannapiego MD PA
Shawn R. Klein, MD Klein & Scannapiego MD PA Patient Authorization for Laser Vision Correction Surgery 1. General information The following information is intended to help you make an informed decision