ارزیابی اولیه در بیماران کاندید Refractive Surgery A.Ashtari MD 1391.

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Presentation transcript:

ارزیابی اولیه در بیماران کاندید Refractive Surgery A.Ashtari MD 1391

 A thorough preoperative patient evaluation is critically important in achieving a successful out come following refractive surgery Patient Evaluation

Patient History

Social History

 Connective tissue disorders  Immunocompromised state (HIV/AIDS)  Corticosteroids or chemotherapeutic agents isotretinoin(eg, Accutane) and amiodarone (cordarone)  pacemakers and inplanted defibrillators  pregnant and nursing women Medical History

 Contact lens  Patient Age, Presbyopia and Monovision Pertinent ocular History

 Uncorrected visual Acuity and Manifest and cycloplegic Refraction Acuity  Pupillary Examination  Ocular Motility, confrontation fields, and Ocular Anatomy  Intra Ocular pressure  Slit – Lamp Examination  Dilated fundus Examination EXAMINATION

ANCILLARY TEST  corneal topography  Pachymetry  wave front analysis  Calculation of Residual Stromal bed thickness after LASIK

Discussion OF FINDINGS AND INFORMED CONSENT