1/16/2011 1. Dr.H.A. Moeeni Isfahan University of Medical Sciences 1/16/2011 2.

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Presentation transcript:

1/16/2011 1

Dr.H.A. Moeeni Isfahan University of Medical Sciences 1/16/2011 2

 Over correction  Hyperopic shift  Under correction  Irigular astigmatism  Unstable refraction 1/16/2011 3

4

 Corneal staining  Recurrent corneal ulcer  Night glare – light scuter  Hypertrophic scaring  Dificult biometri  Endothelial problems 1/16/2011 5

6

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8

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10

 Refraitive lens exchange  Myopic  Hyperopic 1/16/

 Surgical complications  Losing accomodation  Vitrous problems (P.V.D)  Retinal problems * CME * RD 1/16/

1/16/

 Homoplastic corneal inlays  Aphakic and high hyperopic correction 1/16/

 Synthetic inlays *Under the stromal flap * In the stromal pocket 1/16/

 Re epithelialization over the lenticule  Non healing defects  Iinfection  Stromal infiltration 1/16/

 Strmal melting  Dehiscence  Refractive error  Irrigular astigmatism 1/16/

 Epithelial ingrowth  Interface cyst  Sever glare 1/16/

1/16/

1/16/

 Loss of best corrected V.A  Anterior chamber perforation  Microbial keratitis  Implant expulsion 1/16/

 Shalow ring segment placement  Redured corneal sensitvity  Induced astigmatism  Deep neovascularization 1/16/

 Persistent epithelial defect  Iritis ( uveitis )  Diplopia  Difficalty in night vision 1/16/

 Blurry vision  Glare  Haloes  Fluctuation Far near near  Photophobia 1/16/

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 Over correction  Under correction  Central islands  Optical aberrations 1/16/

 Glare  Ghost images  Haloes Most seen in smaller zones large pupilary diameter 1/16/

 Decentered ablation  Corneal haze * Normal healers * Inadequeate healers * Aggressive healers 1/16/

1/16/

 Epitlelial defect * Keratoconjunctivitis sicca * Autoimmune disease * Diabeties 1/16/

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 Infiltrates * Sterile infiltrates * Contact lens * NSAIDS * Immune 1/16/

1/16/

 Corticosteroid – induced complications *IOP 2% 40 MHG * IOP with fluorometholone 1.5 – 3% with dexametason 25% with dexametason 25% * Herpes keratitis * Ptosis * Cataract 1/16/

1/16/

* 33% on the lasik patients * Contact lens intolerans * Puctate keratitis * Epithelial haze * Loos Epithelelium 1/16/

 Endothelial effects  Contact lens polymegatisam  Mytomycin complications 1/16/

1/16/

 Microkeratom complications  Thin flap  Button hol * Irrigular astigmatism 1/16/

 Free cap  Corneal perforation  Epithelial ingrowth 1/16/

1/16/

 Epithelial erosions  Striae  Flap Subluxation  Traumatic flap dislocation 1/16/

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 Dry eye  Central islands  Interface inflamation  Infectious Keratitis 1/16/

 Interface debris  Ectasia 1/16/

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 Artisan  Artiflex  ICL 1/16/

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