CENTRO OFTALMOLOGICO GUSTAVO TAMAYO BOGOTA COLOMBIA LASIK XTRA GUSTAVO TAMAYO MD CLAUDIA CASTELL MD PILAR VARGAS MD
|
|
- Charles Knight
- 8 years ago
- Views:
Transcription
1 CENTRO OFTALMOLOGICO GUSTAVO TAMAYO BOGOTA COLOMBIA LASIK XTRA GUSTAVO TAMAYO MD CLAUDIA CASTELL MD PILAR VARGAS MD From: BOGOTA LASER REFRACTIVE INSTITUTE Bogota, Colombia
2 DISCLOSURES FOR GUSTAVO TAMAYO MD 1. Member of the Advisory Board for AMO Inc. 2. Member of the Advisory Board PRESBIA Corp. 3. Member of the Advisory Board EYEGENICS Corp. 4. Latin America Medical Coordinator for AVEDRO Inc. 5. Member of speakers group of KERAMED Corp.
3 LASIK XTRA 1. Is a new concept: KXL at the time of a LASIK surgery. 2. Is new and therefore it should be seen as a procedure in development, with indications in progress and still not accepted for the entire Ophthamology community. 3. With the pass of time as with any new procedure, more and more indications will be found and eventually came to the point of making it in any Lasik surgery.
4 LASIK XTRA 4. It is a surgery that involves two reasons behind it: a) The proven fact creation of a flap will produce weakening of the cornea regardless of the method used. b) The proven fact Cross Linking works increasing the strength of the cornea. 5. With those two conditions together, sounds logical to increase the strength of the cornea when we perform a debilitating procedure such as Lasik.
5 DOES CROSS LINKING WORK? Of course!! Works in industry to strengthen polymers. It stabilizes tissues: -Chemical Crosslinking (Glutaraldehide) in preparation of heart valves and prothesis -Crosslinking with UV light in Dentistry for strengthening filling cavity paste THEO SEILER APPLIED THIS TECHNOLOGY TO EYE SURGERY (CORNEAL STRENGTH).
6 CLINICAL STUDIES CROSS LINKING Pilot study 1998 Prospective Documented progression of Keratoconus years 23 eyes F/U 3-47 months No progression in all cases after the treatment Wollensak, G., Spoerl E, Seiler T.: Riboflavin/Ultraviolet - A - Induced Collagen Crosslinking for the treatment of Keratoconus. Am J Ohthalmol 2003; 135 :
7 CLINICAL STUDIES CROSS LINKING Mean F/U 6 years 480 eyes. 272 patients 241 eyes were followed at least 12 months. Progressive Keratoconus: 1.0 D increase in K in one year UCVA and BCVA decrease Refraction change at least once in two years Raiskup-Wolf F, Hoyer A, Spoerl E, Pillunat L.: Collagen Crosslinking with Riboflavin and Ultraviolet A light in Keratoconus: Long term results. J Cataract Refract Surg, 2008; 34:
8 CLINICAL STUDIES CROSS LINKING 6 years : BCVA: 1 line increase in 53% p< 0.01 Astigmatism decreased 0.93 D in 50% p < 0.01 K apex : decreased 2.68 D in 62% p < 0.01 K highest : decreased 1.46 D in 56% p< 0.01 Stability: progression in only two patients Raiskup-Wolf F, Hoyer A, Spoerl E, Pillunat L.: Collagen Crosslinking with Riboflavin and Ultraviolet A light in Keratoconus: Long term results. J Cataract Refract Surg, 2008; 34:
9 Wollensack G et al Corneal Biomechanics SPEED Corneal Young s Modulus/MPa Increasing Stiffness 0 Control UV Cross-Linked 3mW 30Min UV Cross-Linked 30mW 3Min
10 FUERZA TENSIL CORNEANA Estroma anterior central 150 um 35 g/mm Membrana de Bowman 4% 1/3 anterior 61% sin MB 2/3 posteriores 30% sin MD Membrana descement 5% Epitelio 50 um 2g/mm Esclera g/mm E. medio y posterior central 20 g/mm E. anterior periferico 200um 40 g/mm E. Medio y posterior periferico 30 g/mm
11 Weak Cornea 6 mm Strong Cornea 160mm Weak Cornea 340mm Strong Cornea 8mm
12 LASIK INDUCED CORNEAL WEAKENING 40% % Corneal Weakening Due to Flap Creation Corneal Weakening 30% 20% 10% 0% 80µm 140µm 160µm 180µm Flap Depth Courtesy of Prof. John Marshall
13 LASIK XTRA 1. Jaycock PD, Lobo L, Ibrahim J, Tyrer J, Marshall J. Interferometric technique to measure biomechanical changes in the cornea induced by refractive surgery. Journal of cataract and refractive surgery. 2005;31(1): Tamayo, Castell, Vargas: ORA decrease after Femtosecond flap creation vs Microkeratome flap creation. White paper released and presented Subspecialty Day Refractive Surgery, AAO 2007
14 LASIK XTRA 1. Very short procedure: one and a half minute soaking time (Vibex Xtra) and one minute fifteen seconds UV. 2. Does not change the normal LASIK procedure itself. 3. Same ablation, same handling of the flap. 4. In my own cases we did not detect any change in the refractive result. 5. No complications added at all to the normal regular procedure of LASIK.
15 INCORPORATING LASIK XTRA INTO STANDARD LASIK SURGERY 1. Following excimer laser ablation in the flap bed Avedro s VīBex Riboflavin is applied to the flap bed: Isotonic 0.1% riboflavin 20% Dextran T500 ph The flap is repositioned and the cornea is then exposed to 30mW/cm 2 UVA for 2 minutes
16 LASIK XTRA PROTOCOL COMPARISONS Safety Energy Absorbed by Riboflavin vs. Corneal Depth (Flap Depth 120 µm) CXL- 30 minute 3 mw/cm² Kanellopoulos- 10 minute 7 mw/cm² Lasik Xtra 1.25 minute 30 mw/cm² MA-00057, Rev. A
17 LASIK XTRA ADVANTAGES 1. Can be carried out with Intralase or with Microkeratome flap. 2. Does not change the regular procedure. 3. Easy and simple for Doctor and Patient. 4. Does not change the final result of the ablation. 5. Can also be used regardless of the thickness of the flap, depth of ablation or type of Excimer Laser.
18 LASIK XTRA DISADVANTAGES 1. Slows down the procedure for a couple of minutes. 2. Increases the cost.
19 LASIK XTRA INDICATIONS STRONG CONSIDERATIONS 1. ABSOLUTELY CONTRAINDICATED IN THE PRESENCE OF ECTASIA. 2. ABSOLUTELY NOT INDICATED WHEN DEVELOPMENT OF ECASIA IS WARRANTED. 3. In such a case I prefer Surface Ablation plus Accelerated Cross Linking.
20 LASIK XTRA INDICATIONS 1. Young patients for Lasik (under 24 years of age). 2. Patients with severe ocular allergies, due to the risk of heavy rubbing. 3. Completely normal corneas, with no one sign of Keratoconus, but family history. 4. Thin corneas with complete normal preoperative evaluation (Risk of ectasia has been ruled out). 5. High myopes (large resections)
21 LASIK XTRA INDICATIONS 6. Retreatments, particularly if the thickness of the flap is not known. 7. Unexpected thick flap. 8. Irregular flaps with different thickness. 9. FINALLY IN ALL LASIK CASES: IF IT DOES NOT CHANGE THE RESULT WHY NOT???
22 LASIK XTRA: Predictable Visual Outcomes Retrospective Comparison of 66 Lasik eyes to 42 LASIK eyes treated for myopia Mean age: in the Lasik Xtra cohort and in the LASIK cohort Mean preoperative MRSE was D (Lasik Xtra), and D (LASIK). No adjustment was made to the excimer laser treatment nomogram to account for acxl, which was performed immediately following stromal ablation
23 LASIK XTRA: Predictable Visual Outcomes Retrospective Comparison of 66 Lasik eyes to 42 LASIK eyes treated for myopia Mean UCVA at 1 Day Post-Op 20/21 Lasik Xtra vs 20/20 LASIK Mean UCVA at 1 Week Post-Op 20/20 Lasik Xtra vs 20/20 LASIK Mean UCVA at 1 Month Post-Op 20/18 Lasik Xtra vs 20/20 LASIK
24 LASIK XTRA: Predictable Visual Outcomes Retrospective Comparison of 66 Lasik eyes to 42 LASIK eyes treated for myopia Mean MRSE at 1 Week Post-Op Lasik Xtra vs LASIK Mean MRSE at 1 Month Post-Op Lasik Xtra vs LASIK
25 LASIK XTRA: Predictable Visual Outcomes UCVA 1 Day Post Operative Lasik Xtra 0% 2% 2% LASIK 0% 17% 79% 16% 5% 63% 16% 20/15 20/20 20/25 20/30 20/40
26 LASIK XTRA: Predictable Visual Outcomes UCVA 1 Month Post Operative Lasik Xtra LASIK 0% 0% 62% 3% 3% 32% 4% 4% 81% 11% 20/15 20/20 20/25 20/30 20/40
27 LASIK XTRA EXAMPLE # 1 PREOPERATIVE POSTOPERATIVE
28 LASIK XTRA EXAMPLE # 2 PREOPERATIVE POSTOPERATIVE
29 LASIK XTRA EXAMPLE # 2 PREOPERATIVE POSTOPERATIVE
30 FOLLOW UP AT ONE YEAR From the 66 eyes we were able to examine 51 at one year. All 51 were 20/20 or better and 16 (31%) were 20/15. No complications were observed. 6 eyes had photosensitivity for around 12 weeks that were successfully treated with steroid drops Endothelial cell count was completely normal without change from pre op to post op.
31 CONCLUSION LASIK XTRA No need to change nomogram for LASIK procedures (Femto or microkeratome). No change in the final results when compared to same procedures without KXL. No haze or loss of lines of BCVA. Time for surgery is increased only few more minutes. Follow up at one year and one eye retreatment Lifting the flap was very easy (surgeon was not aware of the KXL at the time of enhacement).
32 THANK YOU!! NO RUBBING!!
Cross-Linking with Refractive Surgery: Pros and Cons
Cross-Linking with Refractive Surgery: Pros and Cons Raj K. Rajpal, M.D. Medical Director and Founder See Clearly Vision Group Mclean, Virginia Clinical Associate Professor Georgetown University Washington,
More informationLasik Xtra Clinical Data Overview. MA-00354 Rev A
Lasik Xtra Clinical Data Overview Table of Contents What is Lasik Xtra? Who is Lasik Xtra being performed on? How is Lasik Xtra performed? What data to support Lasik Xtra? What is Lasik Xtra? Performed
More informationLasik 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,
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 informationShort 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
More informationMedical Director, Shinagawa LASIK Center, Tokyo, Japan Adjunct Professor, Department of Ophthalmology, Wenzhou Medical College, Wenzhou, China
Medical Director,, Tokyo, Japan Adjunct Professor, Department of Ophthalmology, Wenzhou Medical College, Wenzhou, China Financial disclosure: Ziemer Group AG, Switzerland AcuFocus, CA Schwind Eye-Tech-Solutions,
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 informationComplications of Combined Topography-Guided Photorefractive Keratectomy and Corneal Collagen Crosslinking in Keratoconus
Complications of Combined Topography-Guided Photorefractive Keratectomy and Corneal Collagen Crosslinking in Keratoconus Michelle Cho, M.D. 1 Anastasios John Kanellopoulos, M.D 1,2 New York University
More informationUPDATE 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,
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 informationΔιαθλαζηικη 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
More informationRefractive Surgery Issue. Inlays and Presbyopia: On the Horizon P. 24. Crack a SMILE or Raise a Flap? P. 30. LASIK Xtra: Who Should Get It? P.
MULTIMODAL IMAGING OF PLACOID DISORDERS P. 42 WILLS RESIDENT CASE SERIES P. 67 NTG: THE NOCTURNAL BLOOD PRESSURE FACTOR P. 54 WISE CHOICES FOR OCULAR DIAGNOSES P. 50 NEW WAYS TO DETECT KERATOCONUS P. 58
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 informationCrosslinking 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
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 informationTransepithelial Crosslinking vs. Corneal Pocket Crosslinking. Christoph Kranemann MD Anna Yu OD
Transepithelial Crosslinking vs. Corneal Pocket Crosslinking Christoph Kranemann MD Anna Yu OD Rome 2013 We have no financial interests in this presentation. Corneal collagen cross linking Creates new
More informationLasik Xtra: Principles and results of consecutive LASIK and CXL for the treatment of Moderate to high refractive error and PresbyLasik.
Lasik Xtra: Principles and results of consecutive LASIK and CXL for the treatment of Moderate to high refractive error and PresbyLasik. Charles Ghenassia New Vision, Nice. No financial interest Avedro
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 informationCollagen 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
More informationCorneal 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
More informationFIRST 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
More informationEctasia 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
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 information9/15/2013. Naturally-existing Corneal Pathology Forme Fruste Keratoconus Keratoconus Pellucid Marginal Degeneration
Bill Tullo, OD, FAAO Diplomate Vice-President of Clinical Services TLC Vision 33386-PO 1 Hour Bill Tullo, OD has no financial interests in any of the products or companies discussed in this program Naturally-existing
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 Xtra Provides Corneal Stability and Improved Outcomes
DOI 10.1007/s40123-015-0039-x REVIEW Lasik Xtra Provides Corneal Stability and Improved Outcomes Rajesh K. Rajpal. Christine B. Wisecarver. Dawn Williams. Sachin D. Rajpal. Rhonda Kerzner. Nick Nianiaris.
More informationINTRACOR. 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
More informationIntracorneal Ring Segments Implantation Followed by Same-day Topography-guided PRK and Corneal Collagen CXL in Low to Moderate Keratoconus
SURGICAL TECHNIQUE Intracorneal Ring Segments Implantation Followed by Same-day Topography-guided PRK and Corneal Collagen CXL in Low to Moderate Keratoconus Waleed Al-Tuwairqi, MD; Mazen M. Sinjab, MD,
More informationOriginal Article Corneal Collagen Cross Linking Pak Armed Forces Med J 2015; 65(1): 105-9
Original Article Corneal Collagen Cross Linking Pak Armed Forces Med J 2015; 65(1): 105-9 COMPARISON OF RAPID AND CONVENTIONAL CORNEAL COLLAGEN CROSS LINKING IN PATIENTS HAVING KERATOCONUS Intisar ul Haq,
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 informationFinancial 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
More informationManagement of Unpredictable Post-PRK Corneal Ectasia with Intacs Implantation
Management of Unpredictable Post-PRK Corneal Ectasia with Intacs Implantation Mohammad Naser Hashemian, MD 1 Mahdi AliZadeh, MD 2 Hassan Hashemi, MD 1,3 Firoozeh Rahimi, MD 4 Abstract Purpose: To present
More informationDiego Fernando Suárez Sierra, MD Fellow Cornea and Refractive Surgery Fellow Lens and Ocular Surface Vejarano Laser Vision Center
Corneal crosslinking with riboflavin and ultraviolet light before or after subepithelial keratectomy laser-assisted (LASEK) in patients with thin corneas. Diego Fernando Suárez Sierra, MD Fellow Cornea
More informationShinagawa 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
More informationCollagen 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"#:&#$*+$345"%*D51&&%2*AB!"#$%%&'&(%&)*+,!
More informationComparison Combined LASIK Procedure for Ametropic Presbyopes and Planned Dual Interface for Post-LASIK Presbyopes Using Small Aperture Corneal Inlay
Comparison Combined LASIK Procedure for Ametropic Presbyopes and Planned Dual Interface for Post-LASIK Presbyopes Using Small Aperture Corneal Inlay Minoru Tomita, MD, PhD 1,2 1) Shinagawa LASIK, Tokyo,
More 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 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 informationCase Reports Post-LASIK ectasia treated with intrastromal corneal ring segments and corneal crosslinking
Case Reports Post-LASIK ectasia treated with intrastromal corneal ring segments and corneal crosslinking Kay Lam, MD, Dan B. Rootman, MSc, Alejandro Lichtinger, and David S. Rootman, MD, FRCSC Author affiliations:
More informationShort 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
More informationSimultaneous Topography-guided PRK Followed by Corneal Collagen Cross-linking for Keratoconus
Simultaneous Topography-guided PRK Followed by Corneal Collagen Cross-linking for Keratoconus George D. Kymionis, MD, PhD; Georgios A. Kontadakis, MD, MSc; George A. Kounis, PhD; Dimitra M. Portaliou,
More informationSri Ganesh and Sheetal Brar. 1. Introduction. 2. Materials and Methods
Ophthalmology Volume 215, Article ID 263412, 7 pages http://dx.doi.org/1.1155/215/263412 Clinical Study Clinical Outcomes of Small Incision Lenticule Extraction with Accelerated Cross-Linking (ReLEx SMILE
More informationLASIK/PRK following previous eye Surgery
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 www.brilliantvision.com
More informationComparison 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
More informationCXL With the Epithelium on or off: Which Is Better?
CXL With the Epithelium on or off: Which Is Better? Transepithelial CXL Is Gaining Ground By Roy S. Rubinfeld, MD, and the CXL-USA Study Group At its simplest, corneal collagen cross-linking (CXL) is a
More informationKeratoconus 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$-
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 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 informationTechnical specifications. TECHNOLAS Femtosecond Workstation 520F Versatility at its best. Diode Pumped Solid State Laser (DPSSL)
Technical specifications Laser type Pulse duration Wavelength Pulse frequency Supply Power consumption Size Weight System Components Microscope Safety Room conditions Diode Pumped Solid State Laser (DPSSL)
More informationUniquely Safe. predictably better for our patients. enhancement, may be significantly reduced.
Uniquely Safe Clinical Support: Six different studies verify the improved safety of flap creation with the INTRALASE FS laser when compared to traditional microkeratomes. Clinical studies validate the
More informationThe Laser Eye Center s surgeons are sub-specialized in both cornea and refractive surgery, and are among the region s most experienced surgeons.
Laser Eye Center 1 About Us The Laser Eye Center at AUBMC is a state-of-the-art, continuously updated facility with a mission to provide high-precision refractive surgery to correct visual errors. Staffed
More information5/24/2013 ESOIRS 2013. Moderator: Alaa Ghaith, MD. Faculty: Ahmed El Masri, MD Mohamed Shafik, MD Mohamed El Kateb, MD
ESOIRS 2013 Moderator: Alaa Ghaith, MD Faculty: Ahmed El Masri, MD Mohamed Shafik, MD Mohamed El Kateb, MD 1 A systematic approach to the management of Keratoconus through the presentation of different
More 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 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 informationCollagen Cross Linking in the limelight: The Universal Dream of Keratoconus Treatment
Collagen Cross Linking in the limelight: The Universal Dream of Keratoconus Treatment Andrew S. Morgenstern, OD FAAO Booz Allen Hamilton Contractor at The Vision Center of Excellence Who We Work For My
More informationConsumer s Guide to LASIK
Consumer s Guide to LASIK A Community Service Project brought to you by Price Vision Group Your Guide To A Successful LASIK Procedure The purpose of this educational guide is to help prospective patients
More 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 informationLASIK/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
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 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 informationBY 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
More informationDisclosures. Refractive Surgery. PRK vs LASIK. Case # 1. Refractive Error. Navigating the Refractive Surgery Menu 9/11/2015
Navigating the Refractive Surgery Menu Disclosures TLC Vision Employee Alcon Advisory board Bill Tullo, OD, FAAO Diplomate AAO Cornea, CL & Refractive Surgery Vice-President of Clinical Service TLC Laser
More informationSurface Ablation After Corneal
Surface Ablation After Corneal Surgery: Management of Haze Helen K. Wu, MD New England Eye Center Tufts University School of Medicine Boston, MA Financial Disclosures Travel Stipend/Honoraries: IOP Ophthalmics
More informationOne Use-PlusSBK versus LDV Femto Laser Clinical evaluation
One Use-PlusSBK versus LDV Femto Laser Clinical evaluation Nikica Gabric, Maja Bohac, Iva Dekaris Eye Clinic Svjetlost Zagreb, Croatia MORIA ONE USE-PLUS SBK MICROKERATOME Automatic linear microkeratome
More informationTo date, several million patients have been treated worldwide. So why not discover the benefits The Eye Hospital can bring to your life.
L a s e r E y e S u r g e r y I N F O R M A T I O N 1 Welcome Imagine the freedom of being able to do away with glasses and contact lenses. You too, may be suitable for laser eye surgery, freeing you from
More informationMathematical Model to Compare the Relative Tensile Strength of the Cornea After PRK, LASIK, and Small Incision Lenticule Extraction
ORIGINAL ARTICLE Mathematical Model to Compare the Relative Tensile Strength of the Cornea After PRK, LASIK, and Small Incision Lenticule Extraction Dan Z. Reinstein, MD, MA(Cantab), FRCOphth; Timothy
More informationOphthalmology 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
More informationReLEx smile Minimally invasive vision correction Information for patients
ReLEx smile Minimally invasive vision correction Information for patients Seeing is living Our eyes are our most important sensory organ. The human brain obtains over 80 % of its information via the sense
More informationOCT-guided Femtosecond Laser for LASIK and Presbyopia Treatment
Shinagawa LASIK Center OCT-guided Femtosecond Laser for LASIK and Presbyopia Treatment Minoru Tomita, MD, Ph.D 1) Executive Medical Director at Shinagawa LASIK Center, Tokyo, Japan 2) Clinical Professor
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 informationWhat We Do and Don t Know about Corneal Crosslinking. Roy Rubinfeld, MD
What We Do and Don t Know about Corneal Crosslinking Roy Rubinfeld, MD Washington Eye Physicians and Surgeons Chevy Chase, MD Georgetown University Medical Center, Washington Hospital Center, Washington,
More informationPost LASIK Ectasia. Examination: Gina M. Rogers, MD and Kenneth M. Goins, MD
Post LASIK Ectasia Gina M. Rogers, MD and Kenneth M. Goins, MD October 6, 2012 Chief Complaint: Decreasing vision after laser- assisted in- situ keratomileusis (LASIK) History of Present Illness: This
More 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 informationCorneal collagen crosslinking with riboflavin and ultraviolet A to treat induced keratectasia after laser in situ keratomileusis
ARTICLE Corneal collagen crosslinking with riboflavin and ultraviolet A to treat induced keratectasia after laser in situ keratomileusis Farhad Hafezi, MD, John Kanellopoulos, MD, Rainer Wiltfang, MD,
More informationRefractive Surgery. Evolution of Refractive Error Correction
Refractive Surgery Techniques that correct for refractive error in the eye have undergone dramatic evolution. The cornea is the easiest place to place a correction, so most techniques have focused on modifying
More 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 informationTechniques for Enhancing Cataract Surgery Patients with Residual Refractive Error. Director of Cornea Center For Excellence In Eye Care Miami, FL
Techniques for Enhancing Cataract Surgery Patients with Residual Refractive Error William Trattler, MD Director of Cornea Center For Excellence In Eye Care Miami, FL 1 Financial Disclosures Consulting
More informationORIGINAL 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,
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 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 informationNew and Improved Femtosecond Laser Applications. Karl Stonecipher, MD Wavefront Congress 2008
New and Improved Femtosecond Laser Applications Karl Stonecipher, MD Wavefront Congress 2008 When birds don t fly, neither should you. When cows bunch together in a field, a storm is coming. When ants
More informationCollagen Crosslinking and Management of Keratoconus Christopher Chow, M.D. Michigan Cornea Consultants Oakland University William Beaumont School of Medicine May 11, 2012 2 Keratoconus First described
More informationTopography guided custom ablation treatment for treatment of keratoconus
Symposium: Keratoconus Topography guided custom ablation treatment for treatment of keratoconus Rohit Shetty, Sharon D Souza, Samaresh Srivastava 1, R Ashwini Keratoconus is a progressive ectatic disorder
More informationDr. Booth received his medical degree from the University of California: San Diego and his bachelor of science from Stanford University.
We've developed this handbook to help our patients become better informed about the entire process of laser vision correction. We hope you find it helpful and informative. Dr. Booth received his medical
More 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 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 informationClinic s Logo YOUR Z-LASIK CLINIC. (( Clinic s name ))
Clinic s Logo YOUR Z-LASIK CLINIC in (( Location )) (( Clinic s name )) The gentle way to restore sharp vision We have performed surgical vision correction since (( year )) and treated more than (( number
More informationFemtosecond Lasers in LASIK Surgery
Femtosecond Lasers in LASIK Surgery Dr Chan Tat Keong Senior Consultant Refractive Surgery Service Singapore National Eye Centre Disclosure Speaker has no financial interest in the products to be discussed
More informationCustomVue 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
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 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 informationThe concept of a proactive intervention involving in situ
CLINICAL SCIENCE Epithelial Remodeling After Femtosecond Laser-assisted High Myopic LASIK: Comparison of Stand-alone With LASIK Combined With Prophylactic High-fluence Cross-linking Anastasios J. Kanellopoulos,
More informationICRS implantation with the Femto LDV laser in stabilized KC patients: 6 months results
ICRS implantation with the Femto LDV laser in stabilized KC patients: 6 months results Jérôme C. VRYGHEM, M.D. Brussels Eye Doctors Brussels, Belgium No financial interest! A lot of KC patients show interest
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 informationJournal of American Science 2014;10(8) http://www.jofamericanscience.org
Management of Early Post LASIK Ectasia by using Corneal Collagen Cross-Linking Abdalla M. Elamin MD. Ophthalmology Department, Faculty of Medicine, Al Azhar University, Cairo, Egypt Abstract: Purpose:
More information2. Materials and Methods
Ophthalmology Volume 216, Article ID 267298, 7 pages http://dx.doi.org/1.1155/216/267298 Clinical Study Comparison of the Early Clinical Outcomes between Combined Small-Incision Lenticule Extraction and
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 informationPreliminary U.S. FDA Outcomes of SMILE
Preliminary U.S. FDA Outcomes of SMILE D. REX HAMILTON, MD, MS, FACS HEALTH SCIENCES CLINICAL PROFESSOR OF OPHTHALMOLOGY MEDICAL DIRECTOR, UCLA LASER REFRACTIVE CENTER STEIN EYE INSTITUTE, GEFFEN SCHOOL
More informationLASIK, 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
More informationIntroducing 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
More information