Louis Probst. Commitment to Optometry. Cycloplegic Exam. Steroid free PRK. LASIK Enhancements made Ridiculously Simple 8/18/2017

Size: px
Start display at page:

Download "Louis Probst. Commitment to Optometry. Cycloplegic Exam. Steroid free PRK. LASIK Enhancements made Ridiculously Simple 8/18/2017"

Transcription

1 Louis Probst LASIK Enhancements made Ridiculously Simple Louis E. Probst MD National Medical Director, TLC Chief Surgeon, Central Midwest, USA TLC surgeon 22 years 7 books, 80 chapters, 50 papers, 11 instruments TLC National Medical Director 10 years 100% LASIK and PRK 100% Custom and IntraLase 100% co-managed with optometry X 18 years >110,000 LASIK procedures lasikwithprobst.com Cell: text or call Commitment to Optometry Annual meeting sponsorship CE meetings Grand Rounds/Live LASIK Viewing CPR courses Focus on Co-management news letter Respect for Optometry Presentation Title Goes Here 3 Steroid free PRK All PRK eyes are treated with 0.02% mitomycin C after the laser which eliminates the risk of haze No need for post op steroid Less drops/ inconveince Faster epithelial healing Less $$ for patient s drops Good UV protection sunglasses stil recommended after PRK Good for 90 days Cycloplegic Exam Try to do on the patients initial assessment so they do not have to return to your office after our consultation Trying to reduce the barriers to LASIK 1

2 LASIK/PRK Emergencies Dislodged flap Patients told to nap on back Wear eye protection first week Careful with eye drops and touching eye Flap striae are NOT an emergency Infection/Infiltrate Assume MRSA Needs topical Vancomycin ASAP Call center to arrange Patients Emergency Protocol Given ASK-DOCS in postop pack Doctors Call TLC center Day: speak to staff/doctor Night: call goes to emergency call center Call/text Dr. John Lehr Call/text Dr. Louis Probst Call ASK-DOCS LASIK Results last 12 months Probst, <6D with <2D cylinder, 3 months, n= % Postop UCVA - LASIK Probst <-6D sph w <-2D cyl, n= % 86.74% 87.22% 89.46% 90.74% 92.80% 81.67% 80.00% 74.55% 74.72% 75.43% 74.97% 70.00% 60.00% Percentages 50.00% 40.00% 34.73% 34.81% 30.00% 25.92% 29.89% 20.00% 12.64% 16.40% 14.29% 13.54% 18.35% 10.00% 9.00% 0.00% /15 or better 20/20 or better 20/25 or better 20/40 or better Alcon Wavelight Refractive Suite Risks for Enhancement High myopia (>6D) High hyperopia (>3D) High astigmatism (>3D) Monovision!! 2

3 LASIK Enhancement Indications > 1.00 D of myopia or hyperopia > 1.00 D of astigmatism UCVA 20/40 or worse 20/unhappy age Timing of Enhancements Immediate (1-3 days) Treatment error Early <12 months after primary LASIK Under/over correction Flap lift enhancements? PRK enhancement? Late >12 months after primary LASIK Epithelial hyperplasia Progressive myopia Presbyopic refractive changes Preoperative Healthy eye Cataract Retinal disease Stable refraction One month/se diopter correction 6 months minimum for hyperopia Contact lens trial Cycloplegic refraction Adequate corneal thickness Regular topography/tomography Risks of Enhancement Overcorrection Epithelial ingrowth Flap striae Infection Pain Enhancement Techniques PRK Side cut enhancement Flap lift enhancement Flap recut enhancement Microkeratome Femtosecond laser Enhancement Techniques Special Situations Lens exchange/ piggy back IOLs if large refractive error Cross linking if signs of corneal stability 3

4 PRK enhancement Epithelial Removal Brush EtOH Manual scrape Microkeratome LASEK Brush PRK Enhancement Hyperopic 8mm Amoils Brush Ring Fixation Healthy peripheral epithelium Heals in 3-4 days EToH PRK Enhancement Transepithelial PRK Enhancement 100 % EtOH for 10 seconds Attenuated peripheral epithelial Heals in 4-6 days 50 micron PTK Healthy peripheral epithelial Available on AMO/VISX Not available Alcon/Wavelight Side cut Enhancement Flap Lift Enhancement Femtosecond laser used to create new side cut inside original flap Risks of epithelial ingrowth and free wedge of tissue No longer performed at TLC Performed up to 3 years after primary procedure Risk of epithelial ingrowth increases from 0.5% to 5% after 3 years postoperatively Impossible to predict loose epithelium Greater ectasia risk 4

5 Microkeratome PRK enhancement Femtosecond Flaps are Harder to Lift Amadeus microkeratome used to removed epithelium Healthy peripheral epithelium Risk of damge to Bowman s membrane Flap lift Enhancement Classic LASIK Enhancement Protocol < 1 year postop enhancement > 1-3 years postop MMC lift flap PRK with New LASIK Enhancement Protocol Why switch to All PRK enhancements? LASIK has changed! PRK for ALL eyes! 1. Femtosecond flaps are harder to lift 2. The standard of safety is now higher 3. The rate of enhancements is lower 4. Enhancements performed on one eye 5

6 Inverted Side Cut Standard of LASIK Safety is higher Epithelial Ingrowth Risk (Caster, n=3866) Caster AI, Freiss DW, Schwendeeman FJ. Incidence of epithelial ingrowth in primary and retreatment laser in situ keratomileusis. J Cataract Refract Surg 2010;36:1: Cases of clinically significant epithelial ingrowth, defined as epithelial ingrowth impeding on the visual axis and negatively affecting UDVA, CDVA, or both Procedure Type Flap Technique Time of Flap Lift Time of Flap Lift 6

7 Age of Patient Post LASIK UDVA Probst < 6D sph, <2D cyl, f/u=3 months, n=11724, % 90.00% 80.00% 74.55% 74.72% 75.43% 74.97% 81.67% 86.74% 87.22% 89.46% 90.74% 92.80% 70.00% 60.00% Percentages 50.00% 40.00% 30.00% 25.92% 34.73% 29.89% 34.81% 20.00% 10.00% 12.64% 16.40% 14.29% 9.00% 13.54% 18.35% 0.00% /15 or better 20/20 or better 20/25 or better 20/40 or better PROBST Madison WI LASIK Wavelight Results 2016, n=382 (<6D Myopia,<2D Cylinder) Enhancement Rate % = A/B X 100 A = procedures over 6 months Date of measurement B = enhancements over 12 months Average follow-up: 9 months TLC Enhancement Rates (12 month ) , LASIK, n=537, % Probst LASIK Enhancements Rates by Type Conventional Custom Microkeratome Intralase Custom Intralase 15.00% 14.00% 13.00% 12.00% 11.00% 10.00% 9.00% 8.00% 7.00% 6.00% 5.00% 4.00% 3.00% 2.00% 1.00% 0.00% 8.00% 6.00% 4.00% 2.00% Custom Intralase Conventional Intralase Custom LASIK Conventional LASIK 0.00% Aug-04 Feb-05 Aug-05 Feb-06 Aug-06 Feb-07 Aug-07 7

8 Current Enhancement Rate Probst, 2016, n=5,500 eyes, Retreatment within 1 year of Primary Procedure TLC Chicago, IL 0.71% TLC Madison, WI 0.46% TLC Cedar Rapids, IA 0.60% TLC Tampa, FL 0.95% Epithelial Ingrowth Risk Anterior basement membrane dystrophy Neovascularization Previous ingrowth Greater patient age <3 year risk: 1% >3 year risk 7% Caster AI, Freiss DW, Schwendeeman FJ. Incidence of epithelial ingrowth in primary and retreatment laser in situ keratomileusis. J Cataract Refract Surg 2010;36:1: Epithelial Ingrowth 8

9 Ridiculously Simple PRK enhancement for all eyes Least complications Brush epithelial removal for all eyes Fastest epithelial healing MMC 0.02% for all eyes Eliminates haze No need for postop steriod PRK Enhancement with Amoils Brush Enhancement Laser Programming Refractive stability Myopia: one month per SE diopter Hyperopia: 6 months Contact lens trial Correct minimum myopia/hyperopia Check/reduce ablation depth microns per diopter Spherical aberration will increase depth Sprint4Flint Sprint4Flint Thank You 9

Abdel Rahman ElSebaey, MD, PhD.

Abdel Rahman ElSebaey, MD, PhD. Surface Ablation Refractive Surgery Abdel Rahman ElSebaey, MD, PhD. Menoufia University History Correction of optical defects of human eye started 1200 AD. Spherical error corrected by spectacle on 13

More information

Clinical experience of 9,000 small aperture Inlays for presbyopia correction

Clinical experience of 9,000 small aperture Inlays for presbyopia correction Clinical experience of 9,000 small aperture Inlays for presbyopia correction Minoru Tomita, MD, PhD Shinagawa LASIK Center, Tokyo, Japan September 7 th, 2012, ISOP meeting in Tokyo, JAPAN 1,060,666 Femto

More information

US Trends in Refractive Surgery: The 2008 ISRS/AAO Survey

US Trends in Refractive Surgery: The 2008 ISRS/AAO Survey US Trends in Refractive Surgery: The 2008 ISRS/AAO Survey Richard J. Duffey, MD ** David Leaming, MD Refractive Subspecialty Day Atlanta - November 8, 2008 ** TLCV provided partial funding for this survey

More information

Contoura TM Vision Correction

Contoura TM Vision Correction Contoura TM Vision Correction Fernando Faria Correia, Financial Disclosures: Alcon/Wavelight Cairo (Egypt) 26/01/2018 Topography-guided ablations Topography guided ablations Evolution from complicated

More information

PHOTOREFRACTIVE KERATECTOMY (PRK) PATIENT INFORMATION BOOKLET

PHOTOREFRACTIVE KERATECTOMY (PRK) PATIENT INFORMATION BOOKLET 616.365.5775 www.keillasik.com PHOTOREFRACTIVE KERATECTOMY (PRK) PATIENT INFORMATION BOOKLET Please read this entire booklet. Discuss its contents with your doctor so that questions are answered to your

More information

The pinnacle of refractive performance.

The pinnacle of refractive performance. The pinnacle of refractive performance. WaveLight REFRACTIVE PORTFOLIO Advancing REFRACTIVE SURGERY Contoura Vision sets a new standard in LASIK outcomes More than 98% of patients would choose it again.

More information

2/7/18. Disclosures: Laser K s: Keratectomy to Keratomileusis with a SMILE. Who Patients Are Listening to

2/7/18. Disclosures: Laser K s: Keratectomy to Keratomileusis with a SMILE. Who Patients Are Listening to Disclosures: Laser K s: Keratectomy to Keratomileusis with a SMILE Glaukos Equinox Alcon Mitch Ibach OD, FAAO Vance Thompson Vision Who Patients Are Listening to Optometrist 36% People who've had surgery

More information

~ 1 ~ CLINIQUE LASERVUE. Informed Consent Form for LASIK

~ 1 ~ CLINIQUE LASERVUE. Informed Consent Form for LASIK ~ 1 ~ CLINIQUE LASERVUE Informed Consent Form for LASIK Please read the following information and consent form very carefully. Your initials indicate that you understand all of the necessary patient information

More information

MMC in ASA; Clinical Results. Miguel A. Teus MD, PhD

MMC in ASA; Clinical Results. Miguel A. Teus MD, PhD MMC in ASA; Clinical Results Miguel A. Teus MD, PhD Financial Disclosure I do not have any financial interests or relationships to disclose. MMC in ASA; Clinical Results LASEK+MMC: Compare to LASIK in

More information

Cataract and Refractive Surgery Co-Management Policy and Procedure Manual

Cataract and Refractive Surgery Co-Management Policy and Procedure Manual Cataract and Refractive Surgery Co-Management Policy and Procedure Manual Michael R. George, M.D. Chief Surgeon and Medical Director Tylock-George Eye Care Index of Cataract and Refractive Surgery Manual

More information

Nature and Science 2017;15(11) Mohamed Elmoddather. MD

Nature and Science 2017;15(11)   Mohamed Elmoddather. MD Outcome of PRK in Management of Post LISIK Residual Myopia and Myopic Astigmatism Mohamed Elmoddather. MD Ophthalmology Faculty of Medicine, Al-Azhar University, Assuit, Egypt shahdmsaleh@hotmail.com Abstract:

More information

U.S. Trends in Refractive Surgery: 2015 ISRS Survey

U.S. Trends in Refractive Surgery: 2015 ISRS Survey U.S. Trends in Refractive Surgery: 215 ISRS Survey Richard J. Duffey, MD David Leaming, MD Refractive Subspecialty Day Las Vegas: November 13, 215 The authors have no financial interests in this survey

More information

pre-laser cut pre-laser cut Pre-operative Known and Potential Complications of SMILE Failure to obtain an adequate suction

pre-laser cut pre-laser cut Pre-operative Known and Potential Complications of SMILE Failure to obtain an adequate suction pre-laser cut! Known and Potential Complications of SMILE Failure to obtain an adequate suction Walter Sekundo Correct treatment pack size (S in myopic cases) Philipps University Marburg/Germany Use speculum

More information

The Egyptian Journal of Hospital Medicine (October 2018) Vol. 73 (9), Page

The Egyptian Journal of Hospital Medicine (October 2018) Vol. 73 (9), Page The Egyptian Journal of Hospital Medicine (October 2018) Vol. 73 (9), Page 7580-7586 Outcome of PRK in Management of Post LISIK Residual Myopia and Myopic Astigmatism Department of Ophthalmology, Faculty

More information

SAMPLE WHAT LASIK CAN DO

SAMPLE WHAT LASIK CAN DO DECIDING ON LASIK Imagine being able to work, drive, and play sports without having to depend on glasses or contact lenses. LASIK (laser in-situ keratomileusis) may make this a reality for you. This laser

More information

LASIK for 6.00 to D of Myopia With up to 3.00 D of Cylinder Using the ALLEGRETTO WAVE: 3- and 6-month Results With the 200- and 400-Hz Platforms

LASIK for 6.00 to D of Myopia With up to 3.00 D of Cylinder Using the ALLEGRETTO WAVE: 3- and 6-month Results With the 200- and 400-Hz Platforms LASIK for 6.00 to 12.00 D of Myopia With up to 3.00 D of Cylinder Using the ALLEGRETTO WAVE: 3- and 6-month Results With the 200- and 400-Hz Platforms Karl G. Stonecipher, MD; Guy M. Kezirian, MD; Megan

More information

A Patients Guide to Excimer Laser Refractive Surgery

A Patients Guide to Excimer Laser Refractive Surgery A Patients Guide to Excimer Laser Refractive Surgery March 2006 Contents 1. Introduction 2. Understanding your refractive error 3. Changing the eye s focus by surgery (refractive surgery) 4. Indications

More information

A procedure for Present and Future

A procedure for Present and Future A procedure for Present and Future MOSTAFA M. SALAH MD PROFESSOR Head of Refractive Unit RESEARCH INSTITUTE OF OPHTHALMOGY CAIRO -EGYPT 1 THIN FLAP LASIK DEF. Creation of Intended regular thin flap less

More information

Cataract Surgery in the Patient with a History of LASIK or PRK

Cataract Surgery in the Patient with a History of LASIK or PRK Cataract Surgery in the Patient with a History of LASIK or PRK #56996-RS April 2018 Sebastian Lesniak, MD Matossian Eye Associates None Disclosures Bio Matossian Eye Associates, Hopewell NJ, 7/2015 Present

More information

IntraLASIK Correction Of Nearsightedness, Farsightedness and Astigmatism Using IntraLase TM Technology

IntraLASIK Correction Of Nearsightedness, Farsightedness and Astigmatism Using IntraLase TM Technology IntraLASIK Correction Of Nearsightedness, Farsightedness and Astigmatism Using IntraLase TM Technology INDICATIONS AND PROCEDURE This information is being provided to you so that you can make an informed

More information

INFORMED CONSENT FOR LASER IN SITU KERATOMILEUSIS ( LASIK )

INFORMED CONSENT FOR LASER IN SITU KERATOMILEUSIS ( LASIK ) INFORMED CONSENT FOR LASER IN SITU KERATOMILEUSIS ( LASIK ) This information is to help you make an informed decision about having Laser In Situ Keratomileusis (LASIK), a laser vision correction procedure

More information

Photorefractive Keratectomy as A Retreatment of Residual Myopia after Previous Laser in Situ Keratomileusis

Photorefractive Keratectomy as A Retreatment of Residual Myopia after Previous Laser in Situ Keratomileusis Photorefractive Keratectomy as A Retreatment of Residual Myopia after Previous Laser in Situ Keratomileusis Alireza Ashtari, MD 1 Hassan Razmju, MD 2 Amin Masjedi, MD 3 Alireza Zandi, MD 1 Mehdi Tavakoli,

More information

ONE THOUSAND WAVEFRONT GIDED TREATMENT ON MICROSCAN VISUM. Mickael Yablokov. I have no any financial interests in any products mentioned in this paper

ONE THOUSAND WAVEFRONT GIDED TREATMENT ON MICROSCAN VISUM. Mickael Yablokov. I have no any financial interests in any products mentioned in this paper ONE THOUSAND WAVEFRONT GIDED TREATMENT ON MICROSCAN VISUM Mickael Yablokov I have no any financial interests in any products mentioned in this paper Ophthalmology clinic Eye Surgery, Kostroma, Russia Goal

More information

INFORMED CONSENT FOR PHOTOREFRACTIVE KERATECTOMY (PRK) AND ADVANCE SURFACE ABLATION (ASA)

INFORMED CONSENT FOR PHOTOREFRACTIVE KERATECTOMY (PRK) AND ADVANCE SURFACE ABLATION (ASA) INFORMED CONSENT FOR PHOTOREFRACTIVE KERATECTOMY (PRK) AND ADVANCE SURFACE ABLATION (ASA) This information and the Patient Information booklet must be reviewed so you can make an informed decision regarding

More information

Vision Correction Surgery Patient Information Form

Vision Correction Surgery Patient Information Form ! Vision Correction Surgery Patient Information Form The purpose of this Vision Correction Surgery Patient Information Form ( Information Form ) is to help you decide whether vision correction surgery

More information

CLINIQUE LASERVUE. Informed Consent Form for Photo-Refractive Keratectomy (PRK)

CLINIQUE LASERVUE. Informed Consent Form for Photo-Refractive Keratectomy (PRK) CLINIQUE LASERVUE Informed Consent Form for Photo-Refractive Keratectomy (PRK) Please read the following information and consent form very carefully. Your initials indicate that you understand all of the

More information

Clinical Policy: Refractive Surgery Reference Number: CP.MP. 391

Clinical Policy: Refractive Surgery Reference Number: CP.MP. 391 Clinical Policy: Refractive Surgery Reference Number: CP.MP. 391 Effective Date: November 2007 Last Review Date: January 2016 Coding Implications Revision Log See Important Reminder at the end of this

More information

UPDATES OF REFRACTIVE SURGERY اليوم العلمي الثالث قسم البصريات كلية العلوم الصحية 14/3/2015

UPDATES OF REFRACTIVE SURGERY اليوم العلمي الثالث قسم البصريات كلية العلوم الصحية 14/3/2015 UPDATES OF REFRACTIVE SURGERY اليوم العلمي الثالث قسم البصريات كلية العلوم الصحية 14/3/2015 1 Basic knowledge Refraction Refraction is the bending of light rays as they pass from one transparent medium

More information

Summary Recommendations for Keratorefractive Laser Surgery June 2013

Summary Recommendations for Keratorefractive Laser Surgery June 2013 Summary Recommendations for Keratorefractive Laser Surgery June 2013 Background Laser assisted in-situ keratomileusis (LASIK) surgery is the most commonly performed keratorefractive surgery; altering the

More information

펨토초레이저와미세각막절삭기를이용한근시교정수술에서임상성적비교

펨토초레이저와미세각막절삭기를이용한근시교정수술에서임상성적비교 펨토초레이저와미세각막절삭기를이용한근시교정수술에서임상성적비교 4 Table. Summary of data about patient who had LASIK operation using second laser and keratome Age (years) Male:Female (eyes) Pre-op. IOP (mmhg) Pre-op SE * (D) Pre-op

More information

LASIK. What is LASIK? Eye Words to Know. Who is a good candidate for LASIK?

LASIK. What is LASIK? Eye Words to Know. Who is a good candidate for LASIK? 2014 2015 What is? (laser in situ keratomileusis) is a type of refractive surgery. This kind of surgery uses a laser to treat vision problems caused by refractive errors. You have a refractive error when

More information

Efficacy of Photorefractive Keratectomy for Military Pilot Recruitment in an Asian Air Force

Efficacy of Photorefractive Keratectomy for Military Pilot Recruitment in an Asian Air Force Efficacy of Photorefractive Keratectomy for Military Pilot Recruitment in an Asian Air Force Brian See, Gerard Nah, Wee Hoe Gan, Robin Low AsMA Annual Scientific Meeting 2013 Chicago, IL, USA Disclosure

More information

Author s Affiliation. Original Article. Visual outcomes after LASIK (laser-assisted in-situ keratomileusis) for various refractive errors.

Author s Affiliation. Original Article. Visual outcomes after LASIK (laser-assisted in-situ keratomileusis) for various refractive errors. Original Article Visual outcomes after LASIK (laser-assisted in-situ keratomileusis) for various refractive errors. Author s Affiliation Sobia Tufail Imran Ahmad Asad Aslam Khan Correspondence Author:

More information

SAMPLE LASIK. What is LASIK? Eye Words to Know. Who is a good candidate for LASIK?

SAMPLE LASIK. What is LASIK? Eye Words to Know. Who is a good candidate for LASIK? What is? is a type of refractive surgery. This kind of surgery uses a laser to treat vision problems caused by refractive errors. You have a refractive error when your eye does not refract (bend) light

More information

ASCRS completes fourth annual Clinical Survey

ASCRS completes fourth annual Clinical Survey ASCRS completes fourth annual Clinical Survey More than 1,500 members responded with clinical opinions and practice patterns to help drive the future of ASCRS education A note from the ASCRS Education

More information

Single-step Transepithelial photorefractive keratectomy in the treatment of mild, moderate, and high myopia: six month results

Single-step Transepithelial photorefractive keratectomy in the treatment of mild, moderate, and high myopia: six month results Xi et al. BMC Ophthalmology (2018) 18:209 https://doi.org/10.1186/s12886-018-0888-x RESEARCH ARTICLE Open Access Single-step Transepithelial photorefractive keratectomy in the treatment of mild, moderate,

More information

What Makes a Good. Refractive Procedures

What Makes a Good. Refractive Procedures What Makes a Good Refractive Procedure? Surgeons discuss their preferred treatments for various refractive errors. By Frik J. Potgieter, MB ChB (Stell), FCS (SA), MMed (Pret), FRCS (Edin); David T.C. Lin,

More information

Clear Advantage Vision Correction Center INFORMED CONSENT FOR LASIK AND FEMTOSECOND LASER

Clear Advantage Vision Correction Center INFORMED CONSENT FOR LASIK AND FEMTOSECOND LASER Clear Advantage Vision Correction Center INFORMED CONSENT FOR LASIK AND FEMTOSECOND LASER PLEASE READ THE FOLLOWING PAGES CAREFULLY AND INITIAL AND SIGN WHERE INDICATED. PLEASE DO NOT SIGN ANY SECTION

More information

Trans Epithelial Surface Ablation A personal reflection over a collective experience

Trans Epithelial Surface Ablation A personal reflection over a collective experience Trans Epithelial Surface Ablation A personal reflection over a collective experience Dr S Mughal MBChB MSc FRCS(Glasg) MRCOphth DRCOphth CertLRS SCHWIND USERS LECTURE, BOOTH C13 ESCRS CONGRESS LONDON 2014

More information

Laser In-situ Keratomileusis (LASIK) For the Correction of Nearsightedness, Farsightedness and Astigmatism I. Introduction II.

Laser In-situ Keratomileusis (LASIK) For the Correction of Nearsightedness, Farsightedness and Astigmatism I. Introduction II. REV 011717 PATIENT CONSENT FORM Laser In-situ Keratomileusis (LASIK) For the Correction of Nearsightedness, Farsightedness and Astigmatism I. Introduction Laser-assisted in situ keratomileusis, or LASIK,

More information

Trans Epithelial Surface Ablation A personal reflection over a collective experience

Trans Epithelial Surface Ablation A personal reflection over a collective experience Trans Epithelial Surface Ablation A personal reflection over a collective experience Dr S Mughal MBChB MSc FRCS(Glasg) MRCOphth DRCOphth CertLRS 15th International SCHWIND User Meeting July 17-20, 2014

More information

ALLEGRETTO WAVE TM EYE-Q Scanning Spot LASIK Laser System

ALLEGRETTO WAVE TM EYE-Q Scanning Spot LASIK Laser System ALLEGRETTO WAVE TM EYE-Q Scanning Spot LASIK Laser System Patient Information Booklet Facts You Need to Know About LASIK (Laser Assisted In-Situ Keratomileusis) Laser Treatment Information for patients

More information

Intrastromal corneal ring

Intrastromal corneal ring Intrastromal corneal ring Kyriakidou Nantia M.D. Diathlasis Day Care Unit Scienti1ic Workshop of Diathlasis Day Care Unit 18-19 November, 2016 The Met Hotel Thessaloniki, Greece DAY CARE UNIT DIATHLASIS,

More information

Informed Consent for Excimer Laser Surface Ablation Surgery (PRK, LASEK, epi-lasik, and others)

Informed Consent for Excimer Laser Surface Ablation Surgery (PRK, LASEK, epi-lasik, and others) Informed Consent for Excimer Laser Surface Ablation Surgery (PRK, LASEK, epi-lasik, and others) Patient name (printed): Patient date of birth: Please review this information so you can make an informed

More information

Learn Connect Succeed. JCAHPO Regional Meetings 2016

Learn Connect Succeed. JCAHPO Regional Meetings 2016 Learn Connect Succeed JCAHPO Regional Meetings 2016 Development of PEDIG William F. Astle, MD, FRCS(C) Alberta Children s Hospital University of Calgary Calgary, Alberta, Canada PEDIG is a network dedicated

More information

efocus Issue 041 August 2011 Excellence in Co-Managed Care

efocus Issue 041 August 2011 Excellence in Co-Managed Care Issue 041 August 2011 efocus Excellence in Co-Managed Care P A C I F I C V I S I O N I N S T I T U T E Life in Focus 415.922.9500 www.pacificvision.org Pacific Vision Institute Video Workshop in Cataract

More information

SCHWIND CAM Perfect Planning wide range of applications

SCHWIND CAM Perfect Planning wide range of applications SCHWIND CAM Perfect Planning wide range of applications ORK-CAM PresbyMAX PTK-CAM 2 SCHWIND CAM the system solution The modular design of the SCHWIND CAM offers customised treatment planning for a uniquely

More information

Innovation, Leadership, Passion for Perfection

Innovation, Leadership, Passion for Perfection Innovation, Leadership, Passion for Perfection efocus P A C I F I C V I S I O N I N S T I T U T E Issue 052 415.922.9500 www.pacificvision.org May 2018 Bay Area optometrists observing topography-guided

More information

Number 80. Laser Eye Surgery in Myopia. Date of decision October 2017 Date of review October 2020 GUIDANCE

Number 80. Laser Eye Surgery in Myopia. Date of decision October 2017 Date of review October 2020 GUIDANCE Excluded: Procedure not routinely funded Bedfordshire, Hertfordshire, West Essex, Luton and Milton Keynes Priorities Forum statement - adapted for Bedfordshire CCG Number 80 Subject Date of decision October

More information

iflap Intralase Facts

iflap Intralase Facts THE EYE CENTER UNDERSTANDING Dear Fname Lname: Our eyesight is a precious gift. Please take a few minutes to read this important information regarding the raindrop NEAR VISION INLAY with iflap procedure

More information

In Practice. Surgical Procedures Diagnosis New Drugs

In Practice. Surgical Procedures Diagnosis New Drugs In Practice Surgical Procedures Diagnosis New Drugs 62 65 A New Carpet Over Broken Tiles Facing an eye with multiple, deep radial keratotomy cuts? Arun Gulani describes how the right mindset and technique

More information

The Visian ICL Advantages

The Visian ICL Advantages The Visian ICL Advantages Many vision correction procedures promise an improved level of vision, but few vision correction alternatives offer the quality and features found with the Visian ICL. These include:

More information

Clinical Study Photorefractive Keratectomy for Residual Myopia after Myopic Laser In Situ Keratomileusis

Clinical Study Photorefractive Keratectomy for Residual Myopia after Myopic Laser In Situ Keratomileusis Hindawi Ophthalmology Volume 2017, Article ID 8725172, 5 pages https://doi.org/10.1155/2017/8725172 Clinical Study Photorefractive Keratectomy for Residual Myopia after Myopic Laser In Situ Keratomileusis

More information

Evolution in Visual Freedom.

Evolution in Visual Freedom. Evolution in Visual Freedom. The EVO Visian ICL Advantages Many vision correction procedures promise an improved level of vision, but few vision correction alternatives offer the quality and features

More information

Laser in Situ Keratomileusis versus Laser Assisted Subepithelial Keratectomy for the Correction of Low to Moderate Myopia and Astigmatism

Laser in Situ Keratomileusis versus Laser Assisted Subepithelial Keratectomy for the Correction of Low to Moderate Myopia and Astigmatism Laser in Situ Keratomileusis versus Laser Assisted Subepithelial Keratectomy for the Correction of Low to Moderate Myopia and Astigmatism Seyed Javad Hashemian, MD 1 Hossein Aghaei, MD 2 Alireza Foroutan,

More information

Patient Information: laser vision correction

Patient Information: laser vision correction Consultation Document Patient Information: laser vision correction April 2016 Contents Section page 1 What is Laser Vision Correction? 3 2 What are the benefits? 3 3 How much does laser vision correction

More information

Wound Dehiscence BY ERIC D. DONNENFELD, MD; SAMUEL MASKET, MD; ASIM PIRACHA MD; JASON E. STAHL, MD; AND ERIK L. MERTENS, MD, FEBOPHTH

Wound Dehiscence BY ERIC D. DONNENFELD, MD; SAMUEL MASKET, MD; ASIM PIRACHA MD; JASON E. STAHL, MD; AND ERIK L. MERTENS, MD, FEBOPHTH SECTION EDITORS: KARL G. STONECIPHER, MD; PARAG A. MAJMUDAR, MD; AND STEPHEN COLEMAN, MD Wound Dehiscence BY ERIC D. DONNENFELD, MD; SAMUEL MASKET, MD; ASIM PIRACHA MD; JASON E. STAHL, MD; AND ERIK L.

More information

Wavefront-optimized Versus Wavefrontguided LASIK for Myopic Astigmatism With the ALLEGRETTO WAVE: Three-month Results of a Prospective FDA Trial

Wavefront-optimized Versus Wavefrontguided LASIK for Myopic Astigmatism With the ALLEGRETTO WAVE: Three-month Results of a Prospective FDA Trial Wavefront-optimized Versus Wavefrontguided LASIK for Myopic Astigmatism With the ALLEGRETTO WAVE: Three-month Results of a Prospective FDA Trial Karl G. Stonecipher, MD; Guy M. Kezirian, MD, FACS ABSTRACT

More information

"TransPRK outcomes in virgin eyes treated with the Aberration-Free profile and AMARIS 500Hz laser technology"

TransPRK outcomes in virgin eyes treated with the Aberration-Free profile and AMARIS 500Hz laser technology "TransPRK outcomes in virgin eyes treated with the Aberration-Free profile and AMARIS 500Hz laser technology" Ants Haavel MD KSA Eye Center Tallinn, Estonia TransPRK -message to patients New Generation

More information

Pearls for the Refractive Technician Fadiah Alkhawaldeh, IMBA, COT, ROUB

Pearls for the Refractive Technician Fadiah Alkhawaldeh, IMBA, COT, ROUB Pearls for the Refractive Technician Fadiah Alkhawaldeh, IMBA, COT, ROUB Cleveland Clinic Cole Eye Institute OOS, Columbus, OH February, 2014 alkhawf@ccf.org NO FINANCIAL DISCLOSURES A Puzzle of an Eye

More information

Corneal Changes Following LASIK and Enhancement with Microkeratome and Femtosecond Laser Flaps

Corneal Changes Following LASIK and Enhancement with Microkeratome and Femtosecond Laser Flaps Corneal Changes Following LASIK and Enhancement with Microkeratome and Femtosecond Laser Flaps Jerome C. Ramos-Esteban, MD Cole Eye Institute Cleveland Clinic Commercial Disclosures Jerome C. Ramos-Esteban,

More information

ilasik/prk Experience

ilasik/prk Experience 1 Preparing for a successful ilasik/prk Experience Our Surgeons and Staff Welcome You!! 2 Bruce J. Ballon,MD Bruce E. Wietharn, MD Natalia V. Bajenova, MD 3 Am I a good candidate for ilasik or PRK? Refractive

More information

Clinical Outcomes after Topography-based Corneal Laser Surgery with the. WaveLight Oculyzer and Topolyzer Platforms

Clinical Outcomes after Topography-based Corneal Laser Surgery with the. WaveLight Oculyzer and Topolyzer Platforms 1 Clinical Outcomes after Topography-based Corneal Laser Surgery with the WaveLight Oculyzer and Topolyzer Platforms By Arthur B. Cummings, M.D. 1 and Nadia Mascharka, MSc 2 Corresponding Author: Arthur

More information

A pilot study: LASEK with the Triple-A profile of a MEL 90 for mild and moderate myopia

A pilot study: LASEK with the Triple-A profile of a MEL 90 for mild and moderate myopia Chen et al. BMC Ophthalmology (2017) 17:98 DOI 10.1186/s12886-017-0493-4 RESEARCH ARTICLE A pilot study: LASEK with the Triple-A profile of a MEL 90 for mild and moderate myopia Yingjun Chen 1, Dong Yang

More information

Refractive Surgery. I need to acknowledge Dr. Bill Tullo and Dr. Lou Probst who provided slides for this talk. Patient and Treatment Selection

Refractive Surgery. I need to acknowledge Dr. Bill Tullo and Dr. Lou Probst who provided slides for this talk. Patient and Treatment Selection Refractive Surgery Patient and Treatment Selection Karl Stonecipher, MD Abbott Medical Optics Alcon Allergan Alphaeon Bausch and Lomb Nidek Presbia Refocus TLC C-Consultant/Advisor E-Employee L-Lecture/Travel

More information

In the early 1990s, photorefractive keratectomy (PRK) and

In the early 1990s, photorefractive keratectomy (PRK) and CLINICAL SCIENCE Collagen Crosslinking After Radial Keratotomy Uri Elbaz, MD, Sonia N. Yeung, MD, PhD, FRCSC, Setareh Ziai, MD, FRCSC, Alejandro D. Lichtinger, MD, Noa Avni Zauberman, MD, MHA, Yakov Goldich,

More information

LASER REFRACTIVE CENTER INFORMED CONSENT DOCUMENT SMALL INCISION LENTICULE EXTRACTION (SMILE)

LASER REFRACTIVE CENTER INFORMED CONSENT DOCUMENT SMALL INCISION LENTICULE EXTRACTION (SMILE) GENERAL INFORMATION The purpose of this document is to provide written information regarding the risks, benefits and alternatives of Small Incision Lenticule Extraction. This material serves as a supplement

More information

Laser in situ keratomileusis (LASIK) has proven to be

Laser in situ keratomileusis (LASIK) has proven to be Autorefractometry after laser in situ keratomileusis Dimitrios S. Siganos, MD, PhD, Corina Popescu, MD, Nikolaos Bessis, DOpt, Georgios Papastergiou, MD Purpose: To correlate cycloplegic subjective refraction

More information

Uday Devgan MD Private Practice, Devgan Eye Surgery, Los Angeles

Uday Devgan MD Private Practice, Devgan Eye Surgery, Los Angeles Irregular Astigmatism & honing your K incision Uday Devgan MD Private Practice, Devgan Eye Surgery, Los Angeles Uday Devgan MD Current Disclosures: Aaren Scientific: consultant Accutome Inc: royalties

More information

Facts You Need to Know About IDESIGN System Driven Laser Assisted In-Situ Keratomileusis (LASIK) Procedure for Monovision

Facts You Need to Know About IDESIGN System Driven Laser Assisted In-Situ Keratomileusis (LASIK) Procedure for Monovision Facts You Need to Know About IDESIGN System Driven Laser Assisted In-Situ Keratomileusis (LASIK) Procedure for Monovision Patient Information Booklet For Monovision Treatment of Presbyopic Patients with

More information

Combined ethanol-assisted and blunt mechanical corneal epithelial peeling technique

Combined ethanol-assisted and blunt mechanical corneal epithelial peeling technique TECHNICAL REPORT Combined ethanol-assisted and blunt mechanical corneal epithelial peeling technique Rafael Bilbao-Calabuig, MD 1 ; Félix González-López, MD 1 ; José R. Villada-Casaponsa, MD 1 ABSTRACT:

More information

Analysis of eye movements during myopic laser in situ keratomileusis

Analysis of eye movements during myopic laser in situ keratomileusis 15th International SCHWIND User Meeting, Vancouver 2014 Analysis of eye movements during myopic laser in situ keratomileusis Thomas Kohnen Department of Ophthalmology Goethe-University, Frankfurt, Germany

More information

Prof.Paolo Vinciguerra, M.D. 1, 2 Riccardo Vinciguerra, M.D Humanitas University 1. Humanitas Clinical and Research Center IRCS 2

Prof.Paolo Vinciguerra, M.D. 1, 2 Riccardo Vinciguerra, M.D Humanitas University 1. Humanitas Clinical and Research Center IRCS 2 Prof.Paolo Vinciguerra, M.D. 1, 2 Riccardo Vinciguerra, M.D. 1-3 1 Humanitas University 1 Humanitas Clinical and Research Center IRCS 2 Columbus, Ohio State University 3 University of Insubria, Varese

More information

Refractive and Keratometric Stability in High Myopic LASIK With High-Frequency Femtosecond and Excimer Lasers

Refractive and Keratometric Stability in High Myopic LASIK With High-Frequency Femtosecond and Excimer Lasers ORIGINAL ARTICLE Refractive and Keratometric Stability in High Myopic LASIK With High-Frequency Femtosecond and Excimer Lasers Anastasios John Kanellopoulos, MD; George Asimellis, PhD ABSTRACT PURPOSE:

More information

Edward Manche, MD. Professor of Ophthalmology at Stanford University Medical Center

Edward Manche, MD. Professor of Ophthalmology at Stanford University Medical Center Professor of Ophthalmology at Stanford University Medical Center CLINICAL OFFICES Stanford Byers Eye Institute 2452 Watson Ct MC 5353 Palo Alto, CA 94303 Tel (650) 723-6995 Fax (650) 565-8297 Stanford

More information

You will start medications 4 hours after your procedure.

You will start medications 4 hours after your procedure. Dear Valued Patient, Dr. Roberts and staff welcome you to Shady Grove Ophthalmology. We appreciate your selection of our office for your refractive procedure. We have prepared this packet to help you make

More information

Subject Index. Atopic keratoconjunctivitis (AKC) management 16 overview 15

Subject Index. Atopic keratoconjunctivitis (AKC) management 16 overview 15 Subject Index Acanthamoeba keratitis, see Infective keratitis Acute allergic conjunctivitis AKC, see Atopic keratoconjunctivitis Allergy acute allergic conjunctivitis 15 atopic keratoconjunctivitis 15

More information

Personal data. Curriculum Vitae. Experience. Date of birth 18 December 1969

Personal data. Curriculum Vitae. Experience. Date of birth 18 December 1969 1 Curriculum Vitae Dr. Sophia I. Panagopoulou University of Crete Medical School, IVO 71003 Heraklion Greece Phone: +302810394645 FAX: +302810394653 e-mail: spanagop@med.uoc.gr Personal data Date of birth

More information

Comparative Studies on Femto-LASIK

Comparative Studies on Femto-LASIK Comparative Studies on Femto-LASIK Assoc Prof Jod Mehta P Royalty: Network Medical Products D Research Funds: Carl Zeiss Meditec Assoc Prof Jod S Mehta BSc.(Hons), MBBS, FRCOphth, FRCS (Ed) Consultant

More information

H o r i z o n L a s e r V i s i o n C e n t e r

H o r i z o n L a s e r V i s i o n C e n t e r H o r i z o n L a s e r V i s i o n C e n t e r Technology Quality Education Care October 2017 Horizon Laser Vision Center is an established premium refractive surgery clinic with facilities in Saskatoon

More information

Patient Selection for

Patient Selection for Patient Selection for Laser Vision Correction Suitable Candidates: n Must be 18 years old n Healthy eyes n Stable prescription for at least one year (i.e. change no greater than 1.00 D a year) n Acceptable

More information

Pre-Operative Health Questionnaire. 3. Are you currently taking any of the following medications for. glaucoma: TRAVATAN LUMIGAN XALATAN

Pre-Operative Health Questionnaire. 3. Are you currently taking any of the following medications for. glaucoma: TRAVATAN LUMIGAN XALATAN Pre-Operative Health Questionnaire 1. Are you Diabetic? YES / NO 2. Are you currently on dialysis? YES / NO 3. Are you currently taking any of the following medications for glaucoma: TRAVATAN LUMIGAN XALATAN

More information

Satisfaction of 13,655 Patients With Laser Vision Correction at 1 Month After Surgery

Satisfaction of 13,655 Patients With Laser Vision Correction at 1 Month After Surgery Satisfaction of 13,655 Patients With Laser Vision Correction at 1 Month After Surgery Mitchell C. Brown, OD; Steven C. Schallhorn, MD; Keith A. Hettinger, MS, MBA; Stephanie E. Malady, BS ABSTRACT PURPOSE:

More information

POST-LASIK ECTASIA MANAGEMENT

POST-LASIK ECTASIA MANAGEMENT POST-LASIK ECTASIA MANAGEMENT A. John Kanellopoulos MD 1,2 1: Laservision.gr Clinical & Research Eye Institute, Athens, Greece 2: NYU Medical School Department of Ophthalmology, NY, NY Financial interests:

More information

Appendix Table 1. Ophthalmic drugs approved by the US Food and Drug Administration,

Appendix Table 1. Ophthalmic drugs approved by the US Food and Drug Administration, SUPPLEMENTARY DATA Appendix Table 1. Ophthalmic drugs approved by the US Food and Drug Administration, 2002-2012 Approval Year Name Indication Pivotal Trial Design Randomized Comparator Masked Post-Approval

More information

Photochemical corneal collagen cross-linkage using riboflavin and ultraviolet A for keratoconus and keratectasia

Photochemical corneal collagen cross-linkage using riboflavin and ultraviolet A for keratoconus and keratectasia Photochemical corneal collagen cross-linkage using riboflavin and ultraviolet A for keratoconus and keratectasia Issued: September 2013 guidance.nice.org.uk/ipg466 NICE has accredited the process used

More information

Advanced Eyecare of Orange County/ Kim T. Doan, M.D.

Advanced Eyecare of Orange County/ Kim T. Doan, M.D. Patient Information Sheet: Cataract Surgery And/Or Implantation of an Intraocular Lens This information is given to you so that you can prepare for the discussion with your eye surgeon. This document will

More information

Review Article Laser-Assisted Subepithelial Keratectomy versus Laser In Situ Keratomileusis in Myopia: A Systematic Review and Meta-Analysis

Review Article Laser-Assisted Subepithelial Keratectomy versus Laser In Situ Keratomileusis in Myopia: A Systematic Review and Meta-Analysis Hindawi Publishing Corporation ISRN Ophthalmology Volume 2014, Article ID 672146, 8 pages http://dx.doi.org/10.1155/2014/672146 Review Article Laser-Assisted Subepithelial Keratectomy versus Laser In Situ

More information

Causes and Prevention of Diplopia After Refractive Surgery

Causes and Prevention of Diplopia After Refractive Surgery Causes and Prevention of Diplopia After Refractive Surgery Burton J. Kushner, M.D. ABSTRACT Background and Purpose: To describe the decompensation of strabismus or the occurrence of persistent diplopia

More information

Interventional procedures guidance Published: 25 September 2013 nice.org.uk/guidance/ipg466

Interventional procedures guidance Published: 25 September 2013 nice.org.uk/guidance/ipg466 Photochemical corneal collagen cross-linkage using riboflavin and ultraviolet A for keratoconus and keratectasia Interventional procedures guidance Published: 25 September 2013 nice.org.uk/guidance/ipg466

More information

ALLEGRETTO WAVE Scanning Spot LASIK Laser System

ALLEGRETTO WAVE Scanning Spot LASIK Laser System TM ALLEGRETTO WAVE Scanning Spot LASIK Laser System Patient Information Booklet Information for patients considering Laser Assisted In-Situ Keratomileusis (LASIK) Surgery Information for patients considering

More information

NORTHWEST EYE SURGEONS WHATCOM EYE SURGEONS September October 2014 PARTNERING WITH OPTOMETRY FOR EDUCATION AND PATIENT CARE

NORTHWEST EYE SURGEONS WHATCOM EYE SURGEONS September October 2014 PARTNERING WITH OPTOMETRY FOR EDUCATION AND PATIENT CARE NORTHWEST EYE SURGEONS WHATCOM EYE SURGEONS September October 2014 PARTNERING WITH OPTOMETRY FOR EDUCATION AND PATIENT CARE Partner with your surgeon in postoperative care Determine how to best address

More information

Comparison between Pentacam HR and Orbscan II after Hyperopic Photorefractive Keratectomy

Comparison between Pentacam HR and Orbscan II after Hyperopic Photorefractive Keratectomy Original Article Comparison between Pentacam HR and Orbscan II after Hyperopic Photorefractive Keratectomy Mahmoud Jabbarvand 1, MD; Farshad Askarizadeh 2, PhD; Mohamad Reza Sedaghat 3, MD Hadi Ghadimi

More information

Create a New Flap, Lift the Old, or Perform Surface Ablation? Surgeons share their preferences.

Create a New Flap, Lift the Old, or Perform Surface Ablation? Surgeons share their preferences. ONLINE SURVEY LASIK Retreatments: Create a New Flap, Lift the Old, or Perform Surface Ablation? Surgeons share their preferences. By Arthur B. Cummings, MB ChB, FCS(SA), MMed (Ophth), FRCS(Edin); Andreas

More information

LASIK: Basic steps for great results

LASIK: Basic steps for great results LASIK: Basic steps for great results ESCRS 2009 A. John Kanellopoulos, M.D. Associate Professor of Ophthalmology l NYU Medical School, NY Director: Laservision.gr Eye Institute, Athens, Greece My Background

More information

ALTERNATIVES TO PHAKIC IMPLANT SURGERY

ALTERNATIVES TO PHAKIC IMPLANT SURGERY Visian ICL Consent 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. Only you and your

More information

Corneal refractive surgery

Corneal refractive surgery Miltos Balidis PhD, FEBOphth, ICOphth Corneal refractive surgery Symposium of the Hellenic Society of Intraocular Implant and Refractive Surgery Cairo, 14/3/2018 1 Professional standards for refractive

More information

Keratoconus Clinic. Optometric Co-management Opportunities

Keratoconus Clinic. Optometric Co-management Opportunities Keratoconus Clinic Optometric Co-management Opportunities The Bochner Eye Institute established the first Keratoconus Clinic in Canada in 2008. The consultation and advanced imaging are OHIP covered. All

More information

LASIK INFORMED CONSENT INITIAL TREATMENT

LASIK INFORMED CONSENT INITIAL TREATMENT LASIK INFORMED CONSENT INITIAL TREATMENT PLEASE READ THE FOLLOWING PAGES CAREFULLY AND INITIAL AND SIGN WHERE INDICATED. PLEASE DO NOT SIGN ANY SECTION THAT YOU HAVE NOT READ OR DO NOT UNDERSTAND. SECTION

More information

The job might not be finished after a Lege Artis cataract operation

The job might not be finished after a Lege Artis cataract operation The job might not be finished after a Lege Artis cataract operation The role of photorefractive surgery Vikentia Katsanevaki, MD, PhD Cataract surgery is one of the most common procedures performed in

More information