Download - LASIK REFRACTIVE SURGERY DEMYSTIFIED
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LASIK DEMYSTIFIEDPRK REVISITED
INDOREDRISHTI.WORDPRESS.COM
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DR DINESH MITTAL DR SONALEE MITTAL
DRISHTI EYE HOSP VIJAYNAGAR INDORE
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Eye’s refractive power determined by 1. Power of the cornea 2. Power of the lens 3. Length of the eye
EMMETROPIA - IMAGE OF THE OBJECT BEING VIEWED IS FOCUSED ON RETINA
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1. Myopia - Near-
sightedness- Image is focused
in front of retina2. Hyperopia - Far-sightedness- Image is focused
behind retina
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LASIK (Laser-assisted in situ keratomileusis)
•Most commonly performed refractive surgery• Excimer laser ablation of corneal stroma beneath a hinged corneal flap created with a mechanical microkeratome / femtosecond laser
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LASIK STEPS
TOPICAL ANAESTHESIA
SUCTION RING
MICROKERATOME HEAD
EXCIMER LASER FLAPFLAP PUT BACK
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NEW CURVATURE
LASIK
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ADVANCED SURFACE ABLATIONS
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REMOVAL OF EPITHELIUMSPATULA
⓴% ALCHOL
ROTARY BRUSH
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MUNNERLYN FORMULA
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PERCENT TISSUE ALTERED PTA
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PTA SHOULD BE LESS THAN 40 %
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COMPLICATIONCOMPLICATION LASIK ASAECTASIA ***** *
FLAP RELATED ***** NO
HAZE * ***
DRY EYE ** *INFECTIONS * **INFLAMMATORY *** *IRREGULAR ASTIGMATISM
* *
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WHICH PROCEDURE
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WHICH PROCEDURE
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SCREENINGALGORITHM
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Refractive surgery trends
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lasik
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lasik
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PREOP TESTING
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EVALUATION
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INDICATIONS
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EXAMINATION
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EQUIPMENT
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TOPOGRAPHIC ANALYSIS Keratometry & Computerized Videokeratography
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PACHYMETRY measuring thickness of cornea
ULTRASONIC PACHYMETRYMinimum bed
thickness (275µ)
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TOP ❿ RED FLAGS
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screening
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consultation
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OCULAR DISEASE
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Visually demanding occupations
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Inappropriate expectations
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All corneal refractive surgical procedures reduce corneal strength to varying degrees
Excessive corneal weakening can result in nonprogressive irregular astigmatism or progressive corneal ectasia
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ECTASIA RISK SCORE SYSTEM
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TO BE CONTINUED IN PART 2
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LASIK DEMYSTIFIEDPRK REVISITED
INDOREDRISHTI.WORDPRESS.COMPART 2
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DR DINESH MITTAL DR SONALEE MITTAL
DRISHTI EYE HOSP VIJAYNAGAR INDORE
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TOMOGRAPHY
THANKS TO MAZEN M SINZAB
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TOMOGRAPHY• ANTERIOR CURVATURE ( TOPOGRAPHY )• ANT. & POST. CORNEAL
SURFACE ELEVATION DATA• REGIONAL CORNEAL
THICKNESS• BELIN / AMBROSIO DISPLAY FOR
EARLY DETECTION OF ECTASIA
PENTACAM GOLD STANDARD GIVE ALL ABOVE DATA
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Topography pattern categories
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pentacam
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BFS>8 ANT ; >18 POST
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DECISION
PRK
NO RISK DO PRK OR LASIK
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K READINGS
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K READINGS
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K READINGS
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K READINGS
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K READINGS
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K READINGS
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K READINGS
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K READINGS effect on flap properties
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TO BE CONTINUED IN PART 3
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LASIK DEMYSTIFIEDPRK REVISITED
INDOREDRISHTI.WORDPRESS.COMPART 3
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DR DINESH MITTAL DR SONALEE MITTAL
DRISHTI EYE HOSP VIJAYNAGAR INDORE
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