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  • Lasik Co - Management Protocol

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    رضوان وارث
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    This document outlines the pre-operative and post-operative care protocols for LASIK eye surgery. The pre-operative examination includes taking a patient history, measuring visual acuity and refraction, conducting keratometry and topography tests, and performing slit lamp, tonometry, and dilated fundus exams. Contact lens wearers must remove their lenses for varying periods of time depending on the lens type before the visit. The post-operative care involves examinations at one day, one week, one month, three months, and six months to check refraction, slit lamp findings, tonometry, and potentially dilated fundus exams. Possible LASIK complications that can be checked for include diffuse lamellar keratitis (DL

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    LASIK

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    This document outlines the pre-operative and post-operative care protocols for LASIK eye surgery. The pre-operative examination includes taking a patient history, measuring visual acuity and refraction, conducting keratometry and topography tests, and performing slit lamp, tonometry, and dilated fundus exams. Contact lens wearers must remove their lenses for varying periods of time depending on the lens type before the visit. The post-operative care involves examinations at one day, one week, one month, three months, and six months to check refraction, slit lamp findings, tonometry, and potentially dilated fundus exams. Possible LASIK complications that can be checked for include diffuse lamellar keratitis (DL

    Copyright:

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    Download as PDF, TXT or read online from Scribd
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    16 views2 pages

    Lasik Co - Management Protocol

    Uploaded by

    رضوان وارث
    This document outlines the pre-operative and post-operative care protocols for LASIK eye surgery. The pre-operative examination includes taking a patient history, measuring visual acuity and refraction, conducting keratometry and topography tests, and performing slit lamp, tonometry, and dilated fundus exams. Contact lens wearers must remove their lenses for varying periods of time depending on the lens type before the visit. The post-operative care involves examinations at one day, one week, one month, three months, and six months to check refraction, slit lamp findings, tonometry, and potentially dilated fundus exams. Possible LASIK complications that can be checked for include diffuse lamellar keratitis (DL

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    of 2

    LASIK Co Co-Management Protocol

    Pre-Operative Care
    Pre-Operative Examination

    History: Goals, Ocular and Systemic Condition, Allergies Spectacle Neutralization Visual Acuity (standard procedure) Refraction: Subjective, Manifestive, and Cycloplegic Best Corrected Visual Acuity Keratometry (quantitative and qualitative) Topography External Exam: Lids, Pupils (scotopic size), EOM, CF, Ocular Dominancy Slit Lamp: Pre and Post-Dilation Including Tear Film Assessment & epithelial integrity test Applanation Tonometry Dilated Fundus Exam Myopia: -0.50 to -14.00 D (corneal plane) Astigmatism: -0.50 to -4.00 D Hyperopia: +1.00 to +6.00 D (Nidek pending FDA approval) Stable Refraction: < 0.50 D change within past 12 months In order to acquire the best measurements for the procedure, we ask that all contact lens wearers remove their contacts for a period of time depending upon which type of lens is worn: Soft Lenses: no contacts 10 days before visit Toric Lenses: no contacts 14 days before visit Extended Wear: no contacts 30 days before visit RGP Lenses: no contacts 30-90 days before visit Corneal Mold Lenses: no contacts 90 days before visit

    Inclusion Criteria

    Exclusion Criteria
    Active Ocular Disease Pregnancy (including nursing mothers) Monocular Patients Unrealistic Expectations

    Post-Operative Care
    One Day Examination

    Manifest Refraction and UCVA Slit Lamp: Loose or Rotated Flap, Interface Opacities or Debris, DLK, Epithelial Cells or Ingrowths, etc. NO IOP. Continue antibiotic and steroid QID (Vigamox or Zymar and Pred Forte). Continue wearing eye shield at bedtime. Same as One Day Exam Manifest Refraction Applanation Tonometry Discontinue antibiotic and steroid if stable.

    One Week Examination

    One Month Examination


    Same as One Week Exam

    Three Month Examination


    Same as One Month Exam.

    Six Month Examination


    Same as Three Month Exam, including dilated fundus exam

    Possible LASIK Complications


    Stage 1 DLK Stage 2 DLK

    Stage 3 DLK

    Stage 4 DLK

    Interface Debris

    Interface Hemorrhage

    Epithelial Ingrowth

    Epithelial Defect

    Pseudo Striae

    Striae

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