callmedougan

pratical approach to refractive surgery

Jun 9th, 2021
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  1. TABLE 6
  2.  
  3. CASE 1
  4.  
  5. regular topo
  6.  
  7. is patient suitable for laser correction ?
  8. young px
  9. skin issues
  10.  
  11. would you preoperative management
  12. discussion of Tx by MGD
  13.  
  14. LASIK / LASEK / (( SMILE )) / PRK
  15. least dry eye issues
  16.  
  17.  
  18. pre-op pressures ??
  19. is this high IOPs due to steroid response ?
  20. finish drops & then recheck IOPs
  21.  
  22.  
  23.  
  24.  
  25. CASE 2
  26. other info =
  27. prev rx (looking @ astig rx)
  28. corneal topo
  29. what is his goal post op
  30.  
  31. laser not suitable - needs cataract surgery
  32. extended depth of focus (DV & VDU) (need top up)
  33.  
  34. pro = level of spectacle dependancy
  35. con = cost & glare
  36.  
  37.  
  38. aftercare #1
  39. issues - glare & temp crescent
  40. neuro adaptation (like floaters)
  41.  
  42. aftercare #2
  43. any previous VMT ?
  44. cmo = not pco = anti-inflam (nsaid drops & then steroid injection)
  45. - more steroids
  46.  
  47. scenario 3
  48.  
  49. ICL / ACIOL clip
  50. AC depth / angle
  51. pupil size
  52.  
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