LASIK complications prevention and management

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Hauptverfasser: Gimbel, Howard V. (VerfasserIn), Penno, Ellen E. Anderson (VerfasserIn)
Format: Buch
Sprache:English
Veröffentlicht: Thorofare, NJ Slack 2001
Ausgabe:2. ed.
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Datensatz im Suchindex

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adam_text Contents Dedication v Acknowledgments ix About the Authors xi Contributing Authors xiii Foreword xu Preface xoii Section I. LASIK Complications: Prevention and Management I Chapter 1. The Changing Role of LASIK: Combined Sequential Refractive Surgery . .3 Introduction 3 Background 5 Text Objectives 6 References 6 Chapter 2. Patient Selection and Preoperative Assessment 9 Preoperative Assessment 9 Patient Education and Counseling 9 Documentation 13 Informed Consent 13 Conclusion 16 Comanagement Issues for the Primary eye Care Provider 17 Dennis A. Braun, MD Optimizing the Comanaging Relationship 17 Preoperative Assessment and Referals 17 Postoperative Comanagement of LASIK 18 Expected Clinical Findings 18 Long term After Care 19 Chapter 3. Microkeratomes and Laser Systems 21 Microkeratome Systems 21 The Chiron Hansatome and the Chiron ACS 22 Nader G. Iskander, MD, Diplomate ABO, and N. Timothy Peters, MD The Chiron Hansatome 22 The Chiron ACS 25 Moria/Microtech Microkeratomes 28 Ashley Behrens, MD, Lee H. Novick, MD, Lawrence Qiao, MD, and Roy S. Chuck, MD, PhD Common Features 28 Evolution II Control Unit 28 via Contents LSK One Microkeratome 28 Microkeratome Head 28 Turbine 29 Advantages 29 ; Disadvantages 29 One Disposable Microkeratome 29 Carriazo Barraquer Microkeratome 30 Microkeratome Head 30 Turbine 30 Advantages 30 Disadvantages 31 Laser Technology 31 Nidek EC 5000 35 N. Timothy Peters, MD, and Nader G. kkander, MD, Diplomate ABO Myopia Nomogram 37 Hyperopia Nomogram 37 Treatment Zones 38 Upcoming Modifications 38 VISX Staar S2 Excimer Laser (V1SX, Inc, Santa Clara, Calif) 38 lee H. Novkk, MD, Ashley Behrens, MD, Lawrence Chao, MD, and Roy S. Chuck, MD, PhD Specifications of the VISX Staar S2 Excimer Laser 40 The Summit Apex Plus (Summit Technology, Inc, Waltham, Mass) . . .40 Daniel S. Durrie, MD, and Trent L. VandeGarde, MD The Autonomous Laser (Automonous Technologies Corporation, Orlando, Fla) 41 Customized Corneal Ablations: The LASIK. of the Future 41 The Bausch Lomb Technolas 217C 45 Jaime R. Martz, MD Laser Scan LSX (LaserSight Technologies Inc, Winter Park, Fla) 47 Technical information Provided hy Angela Q. King, MD, Director oj Education and Training, LaserSight Technologies, Inc. Outcomes 47 Eye Tracker 48 Fluence, Pulse, Frequency, Pulse Area 48 Treatment Zones 48 Myopic/Hyperopic/ Astigmatism Capabilities and Ablation Pattern . .48 Special Features 48 Upcoming Modifications 48 Conclusion 49 References 49 Chapter 4. LASIK Results: Safety, Efficacy, and Learning Curve 51 References 57 Chapter 5. Intraoperative Complications 59 Inadequate Exposure 59 Inadequate Suction 64 Microkeratome Complications 66 Thin Flaps and Buttonholes 66 Contents ix Free Cap 68 Incomplete Pass 71 Corneal Perforation 73 Flap Complications 73 Shifted Flap 73 Wrinkled Flap 73 Interface Debris 79 Flap Edema 79 Flap Shrinkage 81 Flap Stretching 81 Intraoperative Bleeding 81 Epithelial Complications 83 Patching/Shielding/Bandage Contact Lenses 86 Decentration 88 References 90 Chapter 6. Early Postoperative Complications: 24 to 48 Hours 93 Pain 93 Epithelial Complications 94 Infections 94 Diffuse Lamellar Keratitis 95 Interface Debris 97 Wrinkles and folds 97 Shifted and Dislodged Flaps 102 Diffuse Lamellar Keratitis 103 Damien C. Macaluso, MD, and Scott M. Macrae, MD Introduction 103 History 103 Etiology: Multifactorial Causes 104 Host Factors 105 Diagnosis 105 Differential 105 Symptoms 106 Signs 106 Grading/Staging 108 Laboratory Findings 110 Confocal Microscopy 112 Treatment 112 Oral Corticosteriods 112 Prevention 113 Conclusion 114 References 115 References 115 Chapter 7. Late Postoperative Complications 119 Epithelial Ingrowth 119 Stromal Melts 22 Overcorrection/Undercorrection 123 Regression 124 x Contents Haze 126 Central Islands 126 Irregular Astigmatism 127 Small Optical Zone 128 ; Decentration 128 Keratectasia 130 References 135 Chapter 8. LASIK Enhancement and Retreatment Concerns 139 Simple Enhancements 139 i Simple Retreatments 142 ; Mixed Enhancements 142 I LASIK after Radial Keratectomy 142 ! LASIK after Epikeratophakia 144 LASIK after Penetrating Keratoplasty 145 LASIK after PRK 145 PRK after LASIK 146 LASIK after IOL Implantation 146 ; Special Cases 146 LASIK in Nystagmus 146 Unilateral Surgery/Anisometropia 146 Conclusion 147 References 147 Chapter 9. LASIK Techniques 151 Final Preoperative Discussion and Informed Consent 151 Intraoperative Techniques 154 Postoperative Care 160 Conclusion 160 Section II. Patient Examples 165 Patient Example 1 Keratoconus Found on Preoperative Assessment 167 Patient Example 2 Pellucid Marginal Degeneration Found on Refractive Assessment 169 Patient Example 3 Unmasking of Cylinder 172 Patient Example 4 Buttonhole/Inadequate Exposure/Lateral Canthotomy .... 175 Patient Example 5 Buttonhole 180 Patient Example 6 Thin Flap/Inadequate Suction 184 Patient Example 7 Free Cap 186 Patient Example 8 Flap Shrinkage 189 Patient Example 9 Epithelial Disruption/LASIK Attempt 191 Patient Example 10 Flap Repositioning 193 Patient Example 11 LASIK Flap Repositioning and Suturing 196 Patient Example 12 Flap Repositioning 198 Patient Example 13 Flap Repositioning 199 Patient Example 14 Thin Flap/Debris Under Flap 200 Patient Example 15 Epithelial Ingrowth 203 Patient Example 16 Epithelial Ingrowth Resulting in a Stromal Melt 204 Patient Example 17 Epithelial Basement Membrane Hypertrophy 207 Patient Example 18 Interface Haze 209 Contents xl Patient Example 19 Diffuse Lamellar Keratitis 213 Patient Example 20 Diffuse Lamellar Keratitis 215 Patient Example 21 Lamellar Keratitis Following Corneal Abrasion 218 Patient Example 22 Lamellar Keratitis Following Contact Lens Use 219 Patient Example 23 Severe Dry Eye 220 Patient Example 24 Night Vision Disturbance Postoperatively 221 Patient Example 25 Night Vision Problems/Decentration 222 Patient Example 26 Loose Epithelium on an Enhancement 225 Patient Example 27 Thin Flap: Unable to Lift Flap on Enhancement 226 Patient Example 28 Adherent LAS1K Flap Recut 227 Patient Example 29 RK/LASIK/PTK 228 Patient Example 30 LASIK over Epikeratophakia 230 Patient Example 31 LASIK over Epikeratophakia 233 Patient Example 32 LASIK over PKP 235 Patient Example 33 LASIK over PRK 238 Patient Example 34 PRK over LASIK 242 Patient Example 35 LASIK After Cataract Surgery 244 Patient Example 36 LASIK OS/PRK OD 245 Patient Example 37 Pecan Injury 3 Months After LASIK 246 Patient Example 38 Cable Injury 10 Months After LASIK 248 Patient Example 39 Airbag Injury 34 Months After LASIK 249 Patient Example 40 Recutting With a Hansatome Over an Old Hyperopic ACS for the Treatment of Residual Hyperopia 250 Patient Example 41 LASIK with Nystagmus 253 Index 255
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language English
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spellingShingle Gimbel, Howard V.
Penno, Ellen E. Anderson
LASIK complications prevention and management
Keratomileusis, Laser In Situ adverse effects
LASIK (Eye surgery) Complications
Postoperative Complications prevention & control
Refractive Surgical Procedures
Laserchirurgie (DE-588)4132393-2 gnd
Hornhaut (DE-588)4160665-6 gnd
Hornhautchirurgie (DE-588)4282984-7 gnd
Excimerlaser (DE-588)4153300-8 gnd
subject_GND (DE-588)4132393-2
(DE-588)4160665-6
(DE-588)4282984-7
(DE-588)4153300-8
title LASIK complications prevention and management
title_auth LASIK complications prevention and management
title_exact_search LASIK complications prevention and management
title_full LASIK complications prevention and management Howard V. Gimbel ; Ellen E. Anderson Penno
title_fullStr LASIK complications prevention and management Howard V. Gimbel ; Ellen E. Anderson Penno
title_full_unstemmed LASIK complications prevention and management Howard V. Gimbel ; Ellen E. Anderson Penno
title_short LASIK complications
title_sort lasik complications prevention and management
title_sub prevention and management
topic Keratomileusis, Laser In Situ adverse effects
LASIK (Eye surgery) Complications
Postoperative Complications prevention & control
Refractive Surgical Procedures
Laserchirurgie (DE-588)4132393-2 gnd
Hornhaut (DE-588)4160665-6 gnd
Hornhautchirurgie (DE-588)4282984-7 gnd
Excimerlaser (DE-588)4153300-8 gnd
topic_facet Keratomileusis, Laser In Situ adverse effects
LASIK (Eye surgery) Complications
Postoperative Complications prevention & control
Refractive Surgical Procedures
Laserchirurgie
Hornhaut
Hornhautchirurgie
Excimerlaser
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work_keys_str_mv AT gimbelhowardv lasikcomplicationspreventionandmanagement
AT pennoelleneanderson lasikcomplicationspreventionandmanagement