I have no financial interests to disclose.
|
|
- Candice Summers
- 8 years ago
- Views:
Transcription
1 Double Trouble: Post surgical surgical Strabismus I have no financial interests to disclose. Anya Trumler, MD Wilmer Pediatric Ophthalmology What is strabismus? DIPLOPIA Misalignment of the eyes Strabismus Double Can have double vision out of one eye Some patients only use one eye at a time. Causes of Binocular Double Vision Infantile / Childhood onset Need for glasses Cranial nerve palsy Tendency for eye misalignment that decompensated Trauma Thyroid eye disease Loss or poor vision in one eye Post surgical Anesthesia Post Surgical Strabismus Cataract surgery Refractive surgery Retina Glaucoma
2 Anesthesia Retrobulbar Block Reported incidence of new onset diplopia after cataract surgery: Retrobulbar anesthesia: 1% Topical anesthesia: 0% 0.2% Yangüela J, Gómez Arnau JI, Martín Rodrigo JC, Andueza A, Gili P, Paredes B, Porras MC, González del Valle F, Arias A. Diplopia after cataract surgery: comparative results after topical or regional injection anesthesia. Ophthalmology Apr;111(4): What is it about the block? Needle injury to muscle? Ischemia? Injection in perimusclar space causing compression Neurogenic injury? Toxic effect of the meds? Lidocaine Marcaine Hyaluronidase Epinephrine A 1.5 inch retrobulbar needle from the inferiortemporal approach can reach any extraocular muscle. Incidence: Inferior rectus > Superior rectus > all others Capo H, Roth E, Johnson T, Munoz M, Siatokowski RM. Vertical strabismus after cataract surgery. Ophthalmology. 1996; 103: Guyton DL. Strabismus compliations of local anesthetics. Seminars in Ophthalmology. 2008; 23: Anesthetic Agent All anesthetic agents directly injected into muscle are myotoxic Bupivicaine (Marcaine) is most and Procaine least Hyaluronidase protective Dispersive Initial paresis in in some followed by progressive segmental fibrosis. Reversal of direction of diplopia. Hyaluronidase Medication added to help spread the anesthetic In 2002 there was a shortage of Hyaluronidase throughout world In a single French hospital, 7205 cataract surgeries were performed under RB anesthesia between : 2003: Wydase available 3582 patients no diplopia No Wydase available 3623 patients 27 with diplopia (0.75%) Hamada S, Devys JM, Xuan TH, Ganem S, Sahel JA, Héran F, Plaud B. Role of hyaluronidase in diplopia after peribulbar anesthesia for cataract surgery. Ophthalmology May;112(5): Jehan FS, Hagan JC 3rd, Whittaker TJ, Subramanian M. Diplopia and ptosis following injection of local anesthesia without hyaluronidase. J Cataract Refract Surg Nov;27(11):
3 Bupivicaine to treat esotropia Cataract Surgery 1,600,000 cataract surgeries performed in US each year. Incidence of complications: 0.1% to 6.8% Pre injection 5 months post injection 1 1 year post injection 2 ET 25 ET 15 ET 11 Images pre (A) and post (B) injection of Bupivicaine Scott AB, Alexander DE, Miller JE. Bupivacaine injection of eye muscles to treat strabismus. Br J Ophthalmol : Risks: Endophthalmitis Retinal Detachment Cystoid Macular Edema Posteriorly dislocated lens material Suprachoroidal hemorrhage Increased dintraocular pressure Loss of eye Diplopia H, Kersey JP, Oystreck DT, Cline RA, Lyons J. Diplopia following cataract surgery: a review of 150 patients. Eye : Cataract Surgery 1950 s 1970 s 1980 s to present Patients left aphakic (no lens implant) High power glasses magnify Create difference in image size IOL s and Phaco Increased patient expectations Diplopia is discussed more often in literature Why would patients in today s age get double vision? Retrobulbar anesthesia Patients with previous eye misalignment Monovision Monovision Correct one eye to make distance sharp and the other eye to make near vision sharp. Contact lenses, cataract surgery, refractive surgery Benefit: No glasses needed dd Drawback: Double vision, decreased depth perception 70% of patients developed diplopia two years after monovision 50% recovered 4 months after discontinuing monovision. Pollard ZF, Greenberg MF, Bordenca M, Elliott J, Hsu V. Strabimus precipitated by monovision. Am J Ophthalmol Sept;152(3):
4 Refractive Surgery What should be included in the pre operative evaluation? Does strabismus preclude a patient from refractive surgery? Can some forms of strabismus be treated with ih refractive surgery? Pre operative Evaluation History of strabismus / diplopia p BCVA Manifest Refraction If hyperopic check cycloplegic refraction Use a lensometer make sure no prism Cross Cover Trial of contact lenses if not aiming for emmetropia Kushner BJ, Kowal L. Diplopia after refractive surgery: occurrence and prevention. Arch Ophthalmol Mar;121(3): Can refractive surgery correct an eye misalignment? In a study of 16 hyperopic esotropes and 12 myopic exotropes. Improved ocular alignment in all. No patient experienced decompensation of strabismus or diplopia. Why? The patients need for glasses is contributing to the eye misalignment. Treatment If strabismus have them evaluated by a strabismus specialist Under promise and over deliver ethos Clear documentation of discussion and awareness of all relevant issues is imperative i Kirwan C, O'Keefe M, O'Mullane G, Sheehan C. Refractive surgery in patients with accommodative and non accommodative strabismus one year prospective follow up. Br J Ophthalmol Nov 30 Retinal Detachment Diplopia p is a well known complication of scleral buckling for retinal detachment. 3 20% for retrospective 73% with transient diplopia in prospective. Why? Scarring of eye muscles Decreased vision post operatively Macular not in same position Large change in glasses prescription buckle and/or oil Sauer A, Bouyon M, Bourcier T, Speeg Schatz C. Diplopia complicating scleral buckling surgery for retinal detachment. J Fr Ophtalmol Oct;30(8): Kasbekar SA, Wong V, Young J, Stappler T, Durnian JM. Strabismus following retinal detachment repair: a comparison between scleral buckling and vitrectomy procedures. Eye. 2011: 25: Type of Diplopia Diplopia popa0.5% 20% ate after retinal detachmente t Hypertropia 58% Horizontal deviation 17% Torsional 46% More common in those with a scleral buckle. Cooper LL, Harrison S, Rosenbaum AL. Ocular torsion as a complication of scleral buckle procedures for retinal detachments. J AAPOS Oct;2(5):
5 Scleral Buckle Treatment Time Prisms Blurring of second image Scleral buckle removal??? Strabismus surgery Santiago AP, Rosenbaum AL. Strabismus following scleral buckle. In: Rosenbaum AL, Santiago AP. (eds). Clinical Strabismus Management - Principles and Surgical Techniques, Chap. 28. WB Saunders Company: Philadelphia, Treatment Removal of buckle has minimal improvement on strabismus. Re detachment rate of 4 33% for scleral buckle removal for various reasons. Recommend minimizing i i i tissue manipulation i to perform strabismus surgery. Diplopia Glaucoma Trabeculectomy Glaucoma drainage device Wong V, Kasbekar S, Young J, Stappler T, Marsh I, Durnian JM. The effect of scleral exoplant removalon strabismus following retinal detachment repair. J of APPOS. 2011;14: Goezinne F, Berendschot TJM, Van Daal EWM, Janssen LCH, Liem ATA, Lundqvist IJ, Hendriskse F, Heij EC. Diplopia was not predictable and not associated with buckle position after scleral buckling surgery for retinal detachment. Retina. 2012;32 (8); Glaucoma Drainage Devices Molteno and Double Plate Molteno Type of Implant Highest incidence cde cewith Baerveldt e and Krupin glaucoma implant. Largest plates. Plates are tucked under rectus muscles Baerveldt Krupin Ahmed Molteno 3 Frank JW, Perkins TW, Kushner BJ. Ocular motility defects in patients with the Krupin valve implant. Ophthalmic Surg May Jun;26(3): westcoastglaucoma.com
6 Etiology Space occupying effect from the plate. Ischemia, Necrosis or Muscle trauma. Poor vision causing sensory exotropia Scarring Limits movement in the direction of action of the muscle. Santiago AP, Rosenbaum AL. Strabismus following glaucoma drainage device. In: Rosenbaum AL, Santiago AP. (eds). Clinical Strabismus Management Principles and Surgical Techniques, Chap. 28. WB Saunders Company: Philadelphia, Surgical Treatment Discussion between glaucoma and strabismus specialist. Treatment: Complete removal scarring around implant. Size reduction of the implant plate is hlfl helpful. In one study of 7 patients, it did not interfere with IOP control. Strabismus surgery on the contralateral eye if mild restriction. Diplopia after Eye Surgery Not as uncommon as we would like Try and identify those patients at risk Modify surgical techniques to limit i risk. ik Thanks and have a great evening!
RAPID CLINICAL REPORT
RAPID CLINICAL REPORT ADVERSE EFFECTS ASSOCIATED WITH THE ABSENCE OF HYALURONIDASE IN ANESTHESIA FOR CATARACT SURGERY Background: Issued February 13, 2001 Hyaluronidase (Wydase ) is a medical preparation
More informationFourth Nerve Palsy (a.k.a. Superior Oblique Palsy)
Hypertropia Hypertropia is a type of strabismus characterized by vertical misalignment of the eyes. Among the many causes of vertical strabismus, one of the most common is a fourth nerve palsy (also known
More informationExotropias: A Brief Review. Leila M. Khazaeni, MD November 2, 2008
Exotropias: A Brief Review Leila M. Khazaeni, MD November 2, 2008 Exotropia Myths Myth #1 He/she will grow out of it FALSE 75% of XTs show progression over a 3 year period Myth #2 The only treatment choice
More informationEsotropia (Crossed Eye(s))
Esotropia (Crossed Eye(s)) Esotropia is a type of strabismus or eye misalignment in which the eyes are "crossed," that is, while one eye looks straight ahead, the other eye is turned in toward the nose.
More informationSurgical Outcome Of Incomitant Exotropia In Patients With Partial Third Nerve Palsy
Surgical Outcome Of Incomitant Exotropia In Patients With Partial Third Nerve Palsy Amit Mohan, MS ; Sudhir Singh, MS ; Dr V.C. Bhatnagar, MS, DNB Dr Amit Mohan, MS Jr.Consultant Global Hospital Institute
More informationiocutouchtm for ipad Contents of Videos and Still Images Anatomy 906. Normal Eye and Orbit - no labels 907. Normal Eye and Orbit - with labels
iocutouchtm for ipad Contents of Videos and Still Images Anatomy 906. Normal Eye and Orbit - no labels 907. Normal Eye and Orbit - with labels Normal Eye 474. Normal Eye overview 476. Cornea - overview
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 informationTorsional Diplopia 1,2
Supplement Handout American Orthoptic Council Workshop: When the Patient Sees Double and the Doctor Sees Nothing A Guide to Double Vision AAPOS 37 th Annual Meeting San Diego, CA April 1, 2011 Torsional
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 informationTucson Eye Care, PC. Informed Consent for Cataract Surgery And/Or Implantation of an Intraocular Lens
Tucson Eye Care, PC Informed Consent for Cataract Surgery And/Or Implantation of an Intraocular Lens INTRODUCTION This information is provided so that you may make an informed decision about having eye
More informationNick Strouthidis MBBS MD PhD FRCS FRCOphth FRANZCO CONSULTANT OPHTHALMIC SURGEON
TUBES/SHUNTS TUBES/SHUNTS Implantation of a glaucoma drainage device (GDD - also known as a tube or aqueous shunt) works by diverting aqueous from the front of the eye via a tube to a drainage plate stitched
More informationWHAT IS A CATARACT, AND HOW IS IT TREATED?
4089 TAMIAMI TRAIL NORTH SUITE A103 NAPLES, FL 34103 TELEPHONE (239) 262-2020 FAX (239) 435-1084 DOES THE PATIENT NEED OR WANT A TRANSLATOR, INTERPRETOR OR READER? YES NO TO THE PATIENT: You have the right,
More informationTHE EYES IN MARFAN SYNDROME
THE EYES IN MARFAN SYNDROME Marfan syndrome and some related disorders can affect the eyes in many ways, causing dislocated lenses and other eye problems that can affect your sight. Except for dislocated
More informationArticle. Diagnosis of a Superior Rectus Overaction After Cataract Surgery
Article Diagnosis of a Superior Rectus Overaction After Cataract Surgery Angel F. Romero Ayala, OD Assistant Professor, Interamerican University of Puerto Rico, School of Optometry ABSTRACT Background.
More informationBACKGROUND INFORMATION AND INFORMED CONSENT FOR CATARACT SURGERY AND IMPLANTATION OF AN INTRAOCULAR LENS
OMNI EYE SPECIALISTS A Madison Street Company Proudly Owned by Employees Specializing in Medical and Surgical Care of the Eye 55 Madison St, Suite 355 Denver CO 80206 303-377-2020 800-GO-2-OMNI www.omnieye.com
More informationTips on Glaucoma Surgical Coding for Medicare. Riva Lee Asbell Philadelphia, PA
Tips on Glaucoma Surgical Coding for Medicare Riva Lee Asbell Philadelphia, PA INTRODUCTION Glaucoma surgical coding is usually rather straightforward, but occasionally some problems occur. Although the
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 informationOutcome of Surgery for Bilateral Third Nerve Palsy
CLINICAL INVESTIGATIONS Outcome of Surgery for Bilateral Third Nerve Palsy Kazuhiro Aoki, Tatsushi Sakaue, Nobue Kubota and Toshio Maruo Department of Ophthalmology, Teikyo University School of Medicine,
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 informationCRYOTHERAPY FOR RETINAL BREAK, LATTICE DEGENERATION, OR LIMITED RETINAL DETACHMENT ERIC S. MANN M.D., Ph.D.
CRYOTHERAPY FOR RETINAL BREAK, LATTICE DEGENERATION, OR LIMITED RETINAL DETACHMENT ERIC S. MANN M.D., Ph.D. A. INTRODUCTION: Retinal break is an opening on the retina, usually located at the periphery.
More informationInformed Consent For Cataract Surgery And/Or Implantation of an Intraocular Lens
Informed Consent For Cataract Surgery And/Or Implantation of an Intraocular Lens INTRODUCTION This information is given to you so that you can make an informed decision about having eye surgery. Take as
More informationAgain, thank you for trusting Shady Grove Ophthalmology!
Dear Valued Patient, Thank you for choosing Shady Grove Ophthalmology for your Cataract procedure. Our excellent staff is committed to offering you the highest quality eye care using state of the art technologies.
More informationInformation For Consent For Cataract Surgery
Information For Consent For Cataract Surgery Your Ophthalmologist has diagnosed you with a visually significant cataract. The following handout will explain your condition and give you the information
More informationInformed Consent for Cataract Surgery or Clear Lens Extraction with Implantation of an Intraocular Lens
Informed Consent for Cataract Surgery or Clear Lens Extraction with Implantation of an Intraocular Lens Please read the following pages carefully, and initial and sign where indicated. Please do not sign
More informationCataracts. Cataract and Primary Eye Care Service...215-928-3041. Main Number...215-928-3000. Physician Referral...1-877-AT-WILLS 1-877-289-4557
Main Number...215-928-3000 Physician Referral...1-877-AT-WILLS 1-877-289-4557 Emergency Service...215-503-8080 Cataract and Primary Eye Care Service...215-928-3041 Retina Service... 215-928-3300 Cataract
More informationBINOCULARITY FOLLOWING SURGICAL CORRECTION OF STRABISMUS IN ADULTS
17-Mets 12/11/03 12:55 PM Page 201 BINOCULARITY FOLLOWING SURGICAL CORRECTION OF STRABISMUS IN ADULTS BY Marilyn B. Mets MD,* Cynthia Beauchamp MD, AND Betty Anne Haldi CO ABSTRACT Introduction: This is
More informationLASER TREATMENT FOR RETINAL BREAK OR LATICE DEGENERATION ERIC MANN M.D., Ph.D.
LASER TREATMENT FOR RETINAL BREAK OR LATICE DEGENERATION ERIC MANN M.D., Ph.D. A. INTRODUCTION Retinal break is an opening on the retina, usually located at the periphery. There may be a hole, or tear.
More informationBSM Connection elearning Course
BSM Connection elearning Course Scope of the Eye Care Practice 2008, BSM Consulting All Rights Reserved. Table of Contents OVERVIEW...1 THREE O S IN EYE CARE...1 ROUTINE VS. MEDICAL EXAMS...2 CONTACT LENSES/GLASSES...2
More informationComplications of Strabismus Surgery
Complications of Strabismus Surgery Tjeerd de Faber, Martha Tjon Rutger van Ruyven Alexis Damanakis Ondercorrectie Overcorrectie Wat vind je erger? 1 DELLEN Corneal dellen are small areas of thinning associated
More informationGlenn B. Cook, M.D., Ph.D. DIPLOMATE AMERICAN BOARD OF OPHTHALMOLOGY Coronado Eye Associates
Glenn B. Cook, M.D., Ph.D. INFORMED CONSENT FOR CATARACT OPERATION AND/OR IMPLANTATION OF INTRAOCULAR LENS INTRODUCTION: RIGHT / LEFT This information is given to you so that you can make an informed decision
More informationAdvanced Eyecare of Orange County Kim Doan, M.D. Eye Physician & Surgeon
Advanced Eyecare of Orange County Kim Doan, M.D. Eye Physician & Surgeon Patient Information Sheet: Cataract Surgery And/Or Implantation of an Intraocular Lens This information is given to you so that
More informationCataract 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
More informationJames H. Hall Eye Center
James H. Hall Eye Center Established in 1979 Annual Activity Report September, 2010 to September, 2011 COMMUNITY CARE STATISTICS Served 2,000 patients including pre and post-operative visits Our physicians
More informationTHE EYES IN CHARGE: FOR THE OPHTHALMOLOGIST Roberta A. Pagon, M.D. Division of Medical Genetics, CH-25, Children's Hospital /Medical Center, Box C5371, Seattle, WA 98105-0371 bpagon@u.washington.edu (206)
More informationRobert Lingua M.D. Pediatric and Adult Strabismus Surgery www.eye.uci.edu
Robert Lingua M.D. Pediatric and Adult Strabismus Surgery www.eye.uci.edu Augmented Sinskey Extirpation Procedure for Nystagmus. Robert W. Lingua, MD Updated 12/1/2014 The following information is being
More informationClearVision. Pacific ClearVision Institute. Informed Consent For Cataract Surgery And/Or Implantation of an Intraocular Lens
ClearVision Pacific ClearVision Institute Informed Consent For Cataract Surgery And/Or Implantation of an Intraocular Lens INTRODUCTION This information is given to you so that you can make an informed
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 informationNC DIVISION OF SERVICES FOR THE BLIND POLICIES AND PROCEDURES VOCATIONAL REHABILITATION
NC DIVISION OF SERVICES FOR THE BLIND POLICIES AND PROCEDURES VOCATIONAL REHABILITATION Section: E Revision History Revised 01/97; 05/03; 02/08; 04/08; 03/09; 05/09; 12/09; 01/11; 12/14 An individual is
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 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 informationEFFECT OF MYOPIC LASIK ON RETINAL NERVE FIBER LAYER THICKNESS- IS IT SAFE OR UNSAFE?
24. Glaucoma: Imaging EFFECT OF MYOPIC LASIK ON RETINAL NERVE FIBER LAYER THICKNESS- IS IT SAFE OR UNSAFE? Chief Author: Dr. Amit porwal 1 Co-Authors: Dr. Kavita Porwal 2, Dr. Puja Rai 1 1. Choithram Netralaya,
More informationPERIOCULAR (SUBTENON) STEROID INJECTION ERIC S. MANN M.D.,Ph.D.
PERIOCULAR (SUBTENON) STEROID INJECTION ERIC S. MANN M.D.,Ph.D. A. INDICATIONS: Periocular steroid injection involves placement of steroid around the eye to treat intraocular inflammation or swelling of
More informationCataracts & Cataract surgery
Cataracts & Cataract surgery Normal Vision What is a cataract? Light passes through the cornea-the curved, clear front surface of the eye. It then passes through the pupil and the lens. The curved surface
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 informationEducational Goals & Objectives for Ophthalmology Residents at Parkland Memorial Hospital (PMH)
Educational Goals & Objectives for Ophthalmology Residents at Parkland Memorial Hospital (PMH) Competencies addressed: PC = Patient care MK = Medical knowledge Pr = Professionalism PBLI = Practice-based
More informationSt. Louis Eye Care Specialists, LLC Andrew N. Blatt, MD
St. Louis Eye Care Specialists, LLC Andrew N. Blatt, MD 675 Old Ballas Rd. Suite 220 St. Louis, MO 63141 Phone: 314-997-3937 Fax: 314997-3911 Toll Free: 866-869-3937 PEDIACTRIC CATARACT SURGERY A cataract
More information! # %&& (! )&& ) + &,. & +%) & / 0 )& )))) 1 )2 &+& 2 %&& && ) /
! # %&& (! )&& ) + &,. & +%) & / 0 )& )))) 1 )2 &+& 2 %&& && ) / 3 Blackwell Science, LtdOxford, UKADDAddiction0965-2140 2004 Society for the Study of Addiction REVIEW 99 Original Article Heroin and diplopia
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 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 informationVA 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
More informationA PATIENT GUIDE TO EYE SURGERY
A PATIENT GUIDE TO EYE SURGERY RISKS ASSOCIATED WITH SURGERY There is a one in 1000 or less than one percent chance that a cataract surgery patient will experience complications that lead to blindness
More informationSpectral domain OCT used to view and quantify choroidal vascular congestion in new subretinal fluid following scleral buckling.
Spectral domain OCT used to view and quantify choroidal vascular congestion in new subretinal fluid following scleral buckling. Robert Gizicki MD, Mohamed Haji, Flavio Rezende Retina Service, Hôpital Maisonneuve-Rosemont,
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 informationADJUSTABLE SQUINT SURGERY
ADJUSTABLE SQUINT SURGERY Information Leaflet Your Health. Our Priority. Page 2 of 8 Introduction Adjustable squint surgery is an alternative to traditional squint surgery. It has a better success rate
More informationInformed Consent for Refractive Lens Exchange (Clear Lens Extraction)
Informed Consent for Refractive Lens Exchange (Clear Lens Extraction) This form is designed to ensure that you have all the information you need to make a decision about whether or not you wish to undergo
More informationMODERN CLINICAL OPTOMETRY BILLING & CODING THE MEDICAL EYE EXAMINATION. Definitions of Eye Examinations. Federal Government Definition
MODERN CLINICAL OPTOMETRY BILLING & CODING THE MEDICAL EYE EXAMINATION Craig Thomas, O.D. 3900 West Wheatland Road Dallas, Texas 75237 972-780-7199 thpckc@yahoo.com Definitions of Eye Examinations Optometry
More informationINFORMED CONSENT FOR PHAKIC LENS IMPLANT SURGERY
INTRODUCTION INFORMED CONSENT FOR PHAKIC LENS IMPLANT SURGERY 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 informationMANAGEMENT OF VITH NERVE PALSY-AVOIDING UNNECESSARY SURGERY
MANAGEMENT OF VITH NERVE PALSY-AVOIDING UNNECESSARY SURGERY P. RIORDAN-E VA and J. P. LEE London SUMMARY Unresolved Vlth nerve palsy that is not adequately controlled by an abnormal head posture or prisms
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 informationInformed Consent for Cataract Surgery and/or Implantation of an Intraocular Lens (IOL)
Bruce H. Brumm, MD, PC 6751 North 72 nd Street, Ste 105 Omaha, NE 68122 (402) 572-2020 800-775-5909 www.brummeye.com Informed Consent for Cataract Surgery and/or Implantation of an Intraocular Lens (IOL)
More informationMacular Hole. James L. Combs, M.D. Eleanore M. Ebert, M.D. Byron S. Ladd, M.D. George E. Sanborn, M.D. Jeffrey H. Slott, M.D.
Macular Hole James L. Combs, M.D. Eleanore M. Ebert, M.D. Byron S. Ladd, M.D. George E. Sanborn, M.D. Jeffrey H. Slott, M.D. (804) 285-5300 or (804) 287-4200 www.vaeye.com Macular Hole In order to maintain
More informationInformation for adults undergoing squint surgery
Information for adults undergoing squint surgery Ophthalmology Department Delivering the best in care UHB is a no smoking Trust To see all of our current patient information leaflets please visit www.uhb.nhs.uk/patient-information-leaflets.htm
More informationALTERNATIVES 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
More informationSERENA XIAOHONG WANG, MD
SERENA XIAOHONG WANG, MD CURRICULUM VITAE Address: 5323 Harry Hines Blvd MC 9057 Dallas, Texas 75390 Phone: 2146483837 E-Mail: serena.wang@utsouthwestern.edu Medical Education and Qualifications: ECFMG
More informationDisclosure Statement. I have no financial interest in any of material presented today
The eyes have it PEARLS IN EVALUATION, TREATMENT, AND REFERRAL OF PEDIATRIC OCULAR CONDITIONS AND TRAUMA MICHAEL G. HUNT, MD PEDIATRIC EYE SPECIALISTS, LLP Disclosure Statement I have no financial interest
More informationREFRACTIVE SURGERY is becoming
Diplopia After Refractive Surgery Occurrence and Prevention Burton J. Kushner, MD; Lionel Kowal, FRANZCO CLINICAL SCIENCES Objectives: To report the occurrence of persistent diplopia manifesting after
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 informationDISTANCE LEARNING COURSE. Anatomy of the Patient Exam. 2008 2012, BSM Consulting All rights reserved.
DISTANCE LEARNING COURSE Anatomy of the Patient Exam 2008 2012, BSM Consulting All rights reserved. Table of Contents OVERVIEW... 1 PRELIMINARY WORK-UP... 1 OTHER DIAGNOSTIC TESTING... 3 DIAGNOSIS... 4
More informationANESTHESIA FOR CATARACT SURGERY
Chapter - 4 ANESTHESIA FOR CATARACT SURGERY Good anesthesia is essential for the performance of safe intraocular surgery. Anesthesia for cataract surgery today aims at creating a comfortable environment
More informationSquints (Strabismus)
Squints (Strabismus) Squints (Strabismus) What is a squint (strabismus)? A squint or strabismus is present when the two eyes are not looking in the same direction. It may be apparent all the time or only
More informationINFORMED CONSENT FOR LASER IN-SITU KERATOMILEUSIS (LASIK)
Lasik Center 2445 Broadway Quincy, IL 62301 217-222-8800 INFORMED CONSENT FOR LASER IN-SITU KERATOMILEUSIS (LASIK) INTRODUCTION This information is being provided to you so that you can make an informed
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 information11/11/2015. Glaucoma: Diagnosis and Treatment. Financial disclosures. Glaucoma: the problem. Joshua J. Ney, M.D. No disclosures to report
Glaucoma: Diagnosis and Treatment Joshua J. Ney, M.D. No disclosures to report Financial disclosures Glaucoma: the problem Glaucoma is second most common cause of blindness worldwide 7 million people are
More informationBRANCH RETINAL VEIN OCCLUSION (BRVO) AND LASER TREATMENT
INTRODUCTION: BRANCH RETINAL VEIN OCCLUSION (BRVO) AND LASER TREATMENT Branch Retinal Vein Occlusion (BRVO) involves the obstruction of a major venous blood vessel which prevents adequate drainage of blood
More informationPatient information factsheet. Cataract surgery. Consent for cataract surgery
Patient information factsheet Cataract surgery Consent for cataract surgery This leaflet gives you information that will help you decide whether to have cataract surgery. You might want to discuss it with
More informationRetinal Detachments Mark E. Hammer, M.D. Ivan J. Suñer, M.D. Marc C. Peden, M.D.
Retinal Detachments Mark E. Hammer, M.D. Ivan J. Suñer, M.D. Marc C. Peden, M.D. What is a retinal detatchment? The retina is the light sensitive layer covering the inside of the back of the eye. It is
More informationPANRETINAL PHOTOCOAGULATION (PRP) FOR RUBEOSIS AND NEOVASCULAR GLAUCOMA ERIC S. MANN M.D., Ph.D.
PANRETINAL PHOTOCOAGULATION (PRP) FOR RUBEOSIS AND NEOVASCULAR GLAUCOMA ERIC S. MANN M.D., Ph.D. A. INTRODUCTION Rubeosis involves the growth of abnormal blood vessels on the iris (the diaphragm-like structure
More informationBinocular vision adds depth to life. PEDIATRIC. Eye Care. Amblyopia, Strabismus and Orthoptics
Binocular vision adds depth to life. PEDIATRIC Eye Care Amblyopia, Strabismus and Orthoptics Amblyopia, Strabismus and Orthoptics TABLE OF CONTENTS 2 How the eyes work 3 What is strabismus? 4 How is strabismus
More informationTRUSTED LASIK SURGEONS. Eye Conditions Correctable by Refractive Surgical Procedures
Eye Conditions Correctable by Refractive Surgical Procedures How does the eye focus? Light rays are focused on to the retina (where the image is relayed to the brain) by the cornea and the lens of the
More informationICD-10 Workshop. Financial Disclosure. Quick Guide (if you missed Part I) Tool Box. GEM Files. 2014 Corcoran Consulting Group (800) 399-6565
Financial Disclosure ICD-10 Workshop Mary Pat Johnson is a Senior Consultant at Corcoran Consulting Group and acknowledges a financial interest in the subject matter of this presentation. Mary Pat Johnson,
More informationPhysical and Mental Conditions Guidelines VISION CONDITIONS AND ACTIONS Page 5.4
Physical and Mental Conditions Guidelines VISION CONDITIONS AND ACTIONS Page 5.4 AMBLYOPIA (Lazy Eye) A reduction in the acuteness of vision without apparent eye disease. This condition cannot be entirely
More informationThe cataract laser technology of tomorrow is here for you today.
The cataract laser technology of tomorrow is here for you today. See inside to learn about all your exciting new options Thanks to new advancements, this is a great time to have cataract surgery Laser
More informationCATARACT SURGERY. Information Leaflet. Your Health. Our Priority.
CATARACT SURGERY Information Leaflet Your Health. Our Priority. Page 2 of 11 Introduction You are likely to have recently been told that you have a cataract and been referred to the Eye Department at Stockport
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 informationINFORMED CONSENT FOR CATARACT SURGERY WITH INTRAOCULAR LENS IMPLANTATION
INFORMED CONSENT FOR CATARACT SURGERY WITH INTRAOCULAR LENS IMPLANTATION This booklet contains informed consent information about cataract surgery and a copy of the Patient Consent. Please review these
More information2203 Priority Categories. Following are the order of selection categories currently applicable to the Division s vocational rehabilitation program:
2200 ORDER OF SELECTION. Final Revised Policy, March 2010 2203 Priority Categories. Following are the order of selection categories currently applicable to the Division s vocational rehabilitation program:
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 informationEye 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
More informationINFORMED 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
More informationMacular translocation surgery was first reported by Machemer. Strabological Findings after Macular Translocation Surgery with 360 Retinotomy
Strabological Findings after Macular Translocation Surgery with 360 Retinotomy Miho Sato, 1,2 Hiroko Terasaki, 2 Nobuchika Ogino, 3 Yoko Okamoto, 2 Emi Amano, 2 Kiyoko Ukai, 2 and Toshie Hirai 2 PURPOSE.
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 informationMonitoring Visual Outcomes of Cataract Surgery performed by a Non-physician Cataract Surgeon, at New Sight Eye Center, Paynesville City, Liberia
Monitoring Visual Outcomes of Cataract Surgery performed by a Non-physician Cataract Surgeon, at New Sight Eye Center, Paynesville City, Liberia Presentation at Unite For Sight, Global Health & Innovation
More information1981-1982 Ophthalmic Consultants Northwest, Seattle, Washington Retinal and vitreous consultation and surgery
EDUCATION Richard S. Munsen Jr., MD University of Washington Eye Institute HMC Box 359608, 325 Ninth Ave, Seattle WA 98104-2499 (206) 744-2020 for patient appointments, Fax (206) 897-4320 Academic phone
More informationCare of the Patient with Strabismus: Esotropia and Exotropia
OPTOMETRIC CLINICAL PRACTICE GUIDELINE OPTOMETRY: THE PRIMARY EYE CARE PROFESSION Doctors of optometry are independent primary health care providers who examine, diagnose, treat, and manage diseases and
More informationGlaucoma filtration surgery (Tube surgery)
Oxford Eye Hospital Glaucoma filtration surgery (Tube surgery) Information for patients page 2 This leaflet gives you information that will help you decide whether to have glaucoma tube surgery. You might
More informationEYE MUSCLE SURGERY. I am on staff and perform surgery at the following facilities: HCA Gulf Coast Surgery Center of Bradenton
1 EYE MUSCLE SURGERY Prepared by Scott E. Silverman, M.D. Strabismus is a misalignment of the eyes. The eyes may cross or drift up or out. Strabismus may be present from birth or may develop in childhood.
More informationPage 1 of 1 Origination Date: 4/08 Revision Date(s): 4/09, 2/11, 2/12, 12/12, 11/13, 11/14 Developed By: Medical Criteria Committee
Page 1 of 1 Approved: Mary Engrav, MD Date: 12/03/2014 Description: Aphakia is an absence of the lens in the eye. It may occur congenitally or from trauma, but is most commonly caused by extraction of
More informationDr. Yoganarasimha N* #, Dr. Raghavendra TR* %, Dr. Radha MK** %, Dr. Satish C*** *Associate Professor, ** Professor and HOD, *** Consultant
Quest Journals Journal of Medical and Dental Science Research Volume 2~ Issue 7 (2015) pp:10-16 ISSN(Online) : 2394-076X ISSN (Print):2394-0751 www.questjournals.org Research Paper A clinical study to
More informationDIPLOPIA - DON T PANIC (JUST PUT ON YOUR THINKING CAP)
DIPLOPIA - DON T PANIC (JUST PUT ON YOUR THINKING CAP) Lisa Rovick, CO, COMT This article and accompanying quiz are worth.5 JCAHPO Group A continuing education credit. CONTINUING EDUCATION CREDITS ARE
More informationNEW YORK UNIVERSITY SCHOOL OF MEDICINE DEPARTMENT OF OPHTHALMOLOGY SUPERVISION OF RESIDENTS POLICY
NEW YORK UNIVERSITY SCHOOL OF MEDICINE DEPARTMENT OF OPHTHALMOLOGY SUPERVISION OF RESIDENTS POLICY Applies to: All Ophthalmology Residents, including those in ACGME- and non-acgme-accredited specialty
More information