Christopher J. Rapuano MD's 2011-2012 Basic and Clinical Science Course, Section 13: PDF


By Christopher J. Rapuano MD

ISBN-10: 1615251200

ISBN-13: 9781615251209

This up to date quantity covers a few issues, from the technology of refractive surgical procedure to accommodative and nonaccommodative remedy of presbyopia, from sufferer assessment to overseas views. It examines particular techniques in refractive surgical procedure, in addition to refractive surgical procedure in ocular and systemic disorder. significant revision 2011-2012.

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Additional info for 2011-2012 Basic and Clinical Science Course, Section 13: Refractive Surgery (Basic & Clinical Science Course)

Sample text

Stromal haze, myofibroblasts, and surface irregularity after PRK. Exp Eye Res. 2006;82(5):788-797. Schmack I, Dawson DG, McCarey BE, Waring GO III, Grossniklaus HE, Edelhauser HE Cohesive tensile strength of human LASIK wounds with histologic, ultrastructural, and clinical correlations. J Refract Surg. 2005;21 {5}:433 - 445. CHAPTER 2 Patient Evaluation A thorough preoperative patient evaluation is critically imp ortant in achieving a successful outcome follow ing refractive surgery. It is during this encounter that the physician begins to develop an impression as to whether the patient is a good candidate for refractive surgery.

The important variables for radial and astigmatic surgery include patient age and n umber, depth, and length of incisions. The same incision has greater effect in older patients than in younger patients. lOP and preoperative corneal curvature are not significant predictors of effect. Tissue Addition or Subtraction Techniques With the exception oflaser ablation techniques (discussed later in this chapter under Laser Biophysics), lamellar procedures that alter corneal shape through tissue addition or subtraction are of historical interest only.

J Refract Surg. 1995;11(5);371-379. Rabinowitz YS, McDonnell PI. Computer-assisted corneal topography in keratoconus. Refract Corneal Surg. 1989;5(6);400-408. Post-penetrating keratoplasty Corneal topography is very helpful in managing posto perative astigmatism following penetrating ke ratoplasty (PKP). Complex peripheral patterns may result in a refractive axis of astigmatism that is not aligned with the topographiC axis. It is important to remove all the sutures in the graft prior to performing refractive surgery, as th e presence of sutures may affect the refract ive error.

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2011-2012 Basic and Clinical Science Course, Section 13: Refractive Surgery (Basic & Clinical Science Course) by Christopher J. Rapuano MD

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