(

TR
T
R
A
N
A
S
N
S
E
P
-
I
T
P
R
H
E
K
LI
ALP
HOT
ORE
FRA
CTI
VEK
ERA
TEC
TOMY
)

B
LAD
E-
LES
S,F
LAP
-L
ESS
REF
RAC
TI
VESU
RGE
RY
 Whati
sTr
ans-PRK?

TransPRK( Transepithel
ialPhotorefr
acti
ve I
ti susedt otreatmyopi a
Keratect omy)i sanadvancedt ouch-fr
ee, (near si
ghtedness),hyperopia
non-i nvasi
ve, sur
face-basedlaser (farsightedness)andast i
gmat i
sm
refracti
vesur gerythatcor r
ectsrefract
ive andr educesdependenceon
errorwi t
houtsuct i
on,fl
ap,blade, oruseof cont actlensesandgl asses.
alcohol .

Whendoweadvi set
rans-PRKpr ocedureforapat i
ent?
Afterathoroughevaluation,dependingont heshape
andt hi
cknessoft hecornea,thesiz
eofthepupi li
ndim
l
ightandanypr e-exi
sti
ngeyecondi ti
onssuchas
glaucoma, cataractetc,t
rans-PRKisadvi
sed, onl
yif
youar esui
tableforthepr ocedure.

Whi
chmachi
nei
susedf
ort
hepr
ocedur
e?
Weuset hest ate-of-the-art,
moder n, high-t echSchwi nd
Amar i
s1 050RSex cimerlaser
machi ne. Itisequi ppedwi t
ha
zerolat encyt racker,all
owing
f
orsaf eandaccur ate
treatment . Apar tfr
om this,
Alconwavel i
ghtandMEL90
ar etheot herlasermachi nes
thatar ei nuseatNar ayana
Net hralayaf ortrans-PRK.
 Whatpreoper
ati
veworkupi
sdonebefore
t
heprocedureandhow muchti
mewilli
ttake?

St
ep

01
Detai
ledoptometr
iceval
uationwher
evisi
on
chart
ing,
glasspowerassessmenti
sdone.

Advancedimagingofyourcorneaonhigh St
ep

02
endsoft
warelikePentacam,Cor
visand
MS-39wher evari
ousparameter
sof
corneaarestudi
edindetai
l
.

St
ep Cl
ini
calexami
nat
iononsl
itl
amp

03
byatrai
nedopht
halmol
ogist
.

Det
ail
edr
eti
naeval
uat
ion.

Basedonthescans,t
hesurgeonwi l
l St
ep

04
usehis/
herexper
ienceandknowledge
t
odecidewhichprocedureisbest
sui
tedforyou.

Detail
edcounseli
ngregardi
ngthe
St
ep decidedprocedurewil
lbedone.

05 Theconsentf
vi
si
got
t
tit
sel
hr
fsot
oughi
omakeani
orm wi

tanddi
nfor
llbegivenonyourf
hatyouhaveampl
scusswi
meddeci si
t
on.
et
imet
hyourf
i
r
o
ami
l
st

St
ep

06
I
nsur
ance-anex pertwi
l
lguide
yout
hroughtheprocess.
Iwearcontactl
ensesr
egular
ly,
wil
lthataf
fectmyscans?

Yes,ifyouarear egularcontactl
ensuser,youneed
tostopwear i
ngl ensesatleastoneweek( i
ncaseof
softcontactlenses)pr i
ort
oexami nat
ionasthey
alt
ert heshapeofyourcor neaandt husmayaf f
ect
thescansandt heout comeofthesurgery.I
fyou
wearr igi
dcont actl
ensesthenyoumustst optheir
useatl east3weekspr i
ort
othewor kup.

How l
ongwoul
dt hepre-oper
ative
assessmenttake?

Thepre-oper
ati
veassessmentwoul
dtakearound
2-4hours.
Whichwilli
ncl
udeadil
atedr
etinal
exami
nati
onaswel l
.

Wi
llIbegi
venanyi
nject
ions?

No,TransPRKisdoneundertopi
calanest
hesi
a.Bef
ore
theprocedure,anaest
heti
cnumbingeye-dropswil
l
beinsti
ll
edinyoureyes.

Forhow l
ongduringtheprocedur
e
wi l
lIbeaskedtonotmove?

TransPRKisasimple-stepprocedur etaki
ng
ar
ound3-5mi nutespereye.Youwillbeinstr
ucted
t
ost
aystil
landl ookatt
hef i
xat
iont ar
getdur i
ng
t
histi
me.
Whathappensdur
ingt
hepr
ocedur
e?

I
ntheoper
ati
ver
oom,youreyeswi
l
lbe
numbedusi
ngonl
yanest
heti
ceyedrops.

Youreyewillbehel
dopenwi ththehel
pofa
speculum,andyouwillbeinst
ruct
edtolook
str
aightatonefi
xat
inglight
.

Thelaserthenremovestheepit
heli
um anda
calcul
atedamountofstromalti
ssue-t hi
sis
pre-progr
ammed-basedonyourpr e-operat
ive
analysi
sandt hepowerofyoureye.

Att
heendoftheprocedure,aprot
ecti
ve
bandagecont
actl
ensisplacedoverthecor
nea.
Thi
swil
lremai
ninplacefor3-5days.

Last
lyyouar
egivendar
kpr ot
ecti
veglassesand
escort
edoutoft
heoperat
iontheater
.

Befor
eyougohome, ourdoctor
swi l
lex
ami ne
youreyesont hesli
tlamp.Ourcounselorswil
l
guideyouaboutt hemedi ci
nes,thei
rdosage,
fr
equencies,otherdosanddont sandsolveany
otherdoubtsthatyoumayst il
lhave.
How l
ongwi
llIbeoneyedr
ops?

Post
-surgerymedicati
onsareprescri
bedfor6mont hs.You
mayr equi
relubr
icat
ingeye-dr
opsf oralongerper
iodoft i
me
andtheactualdurati
onmayvar yfrom pati
enttopati
ent.

I
sthi
spr
ocedur
epai
nful
?
No,thepr
ocedureispainlessasanestheti
cdr opsareplaced
pri
ort
osurgery.Pat
ientsmayexper i
encemi lddiscomfort
immediatel
yaftertheprocedurealongwi t
hl i
ghtsensi
ti
vit
y
whi
chr esol
vesi nafew days.

How sooncanIr
esumedai
lyact
ivi
ti
es?

I
ttakes3-5daysf
ort
heepithel
i
um toregener
ateandheal,dur
ing
whichabandagecontactl
enswil
lbeplacedonyoureyes.

Avoi
dwat
er/
soapcont
actwi
theyes,
andeye-makeupf
or2weeks.

Scr
eent
imeshoul
dber
educedf
or3-5daysaf
tersur
ger
y.

Swi
mmi
ngandheavyex
erci
seshoul
dbeavoi
dedf
or1mont
h.

Whatar
ethewar
ningsi
gnsaf
tersur
ger
y?

Thedoctorwil
lseeyouthedayaf t
ertheprocedur
et o
assesst
heresult
s.Youneedtogetintouchwithyourdoctor
i
mmedi at
elyi
fyouhaveanyoft hefol
lowingwarningsi
gns:
Redness|
Dischar
gef
rom t
heeye(
s)|Swel
li
ng|Fever
Al
so,
thepati
entshoul
dimmediatel
yinfor
mthetr
eati
ng
sur
geonifthebandagecontactl
ensi
sdisl
odgedorf
all
sout.

Whenwoul
dIneedt
ovi
sitt
hehospi
talaf
tersur
ger
y?
Youneedtovisi
tthehospi t
alforthefi
rst3-5days
fol
l
owingsurger
y,untilyourbandagecont actl
ensis
removed.Oncethelensi sr
emoved, youneedt ofol
l
ow-up
at1month,3mont hs,
6mont hs,andthenonceayear .
 P
RK(P
HOT
ORE
FRA
CTI
VE
KE
RAT
ECT
OMY)
L
ASE
REYES
URG
ERY

ADAYI
N
R
EFR
ACT
IV
ELASE
ROT

L
ASI
K|SMI
LE|PRK|IC
L/I
PC
L
YO
URQUES
TI
ONSABO
UT
LA
SERSU
RGER
YANSWER
ED

1
0MUSTK
NOWCO
MMANDMENT
S
BE
FOR
EYO
UPLAN
C
ONTO
URA/S
MIL
ELASI
K
 FORAPPOI
NTMENT&QUERI
ES,
CONTACT
Reshma:9449037329|Gi r
ia:9538898820|
j
Usha:9606028561|Si
bi:636641
6877|Harshia:73491
t 92666

NN1-RAJ
AJINAGAR NN2-NARAYANAHEAL
THCI
TY NN3-I
NDI
RANAGAR NN4-BANNERGHATTAROAD
#121/CChordRoad, #258/A,Bommas andr
a, #1/1,1stmai n,Binnamangal
a, No.63,Nextt oRoyalMeenaks
hi
1st‘
R’Block,Raj
ajiNagar
, HosurRoad, DefenceCol ony,100feetr
oad, Mall,BannerghattaRoad,
Bangalore- Bangal
ore– I
ndiranagar,Bangal or
e Hul
imavu,Bangal ore–
560010–I ndi
a. 560099–India. 560038–I ndia. 560076–I ndia.
TEL:080-
66121643 TEL:080-
66660655-0658 TEL:080-
66974000/01/02 TEL:080-
66121618-19