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Introduction to Refractive Surgery Richard L. Nepomuceno, MD Diplomate, Philippine Board of Ophthalmology Cornea, External Disease & Refractive Surgery Fatima Medical Center  .  St. Lukes Medical Center  .  Capitol Medical Center   East Avenue Medical Center  .  Manila Central University Cardinal Santos Medical Center  .  Manila Doctors Hospital
 
Errors of Refraction or Ametropia ,[object Object],[object Object]
Emetropia ,[object Object],[object Object],[object Object]
Human Eye = Camera ,[object Object],[object Object],[object Object],[object Object]
What affects focusing function of the eye? ,[object Object],[object Object],[object Object]
Types of Errors of Refraction ,[object Object],[object Object],[object Object],[object Object],[object Object]
Near Sightedness ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Near Sightedness
Far  Sightedness ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Far  Sightedness
Astigmatism ,[object Object],[object Object],[object Object]
Astigmatism
Presbyopia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
History of Vision Correction Surgery ,[object Object],[object Object],[object Object]
History of Vision Correction Surgery ,[object Object],[object Object],[object Object],[object Object]
Automated Lamellar Keratoplasty (ALK) ,[object Object],[object Object],[object Object],[object Object],[object Object]
Arrival of the Excimer Laser ,[object Object],[object Object]
Photorefractive Keratectomy (PRK)
Photorefractive Keratectomy (PRK) ,[object Object]
Photorefractive Keratectomy (PRK) ,[object Object],[object Object],[object Object],[object Object]
PRK for Myopia
 
Photorefractive Keratectomy (PRK) ,[object Object],[object Object],[object Object],[object Object],[object Object]
Photorefractive Keratectomy (PRK) HAZE
Laser In-situ Keratomilieusis (LASIK) Las er – performed with Excimer Laser I n situ – the cornea in its natural position on the eye K eratomileusis – carving the cornea to reshape it
LASIK ,[object Object],[object Object],[object Object]
LASIK ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
LASIK
LASIK
LASIK
 
LASIK
LASIK
Laser Subepithelial Keratectomy (LASEK) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Advantages of Excimer Laser ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Disadvantages of Excimer Laser Surgery ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Am I a good candidate? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Am I a good candidate? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Am I a good candidate? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Other Health conditions : ,[object Object],[object Object],[object Object],[object Object]
Is It Painful ,[object Object],[object Object],[object Object],[object Object],[object Object]
How Long does LASIK Take ? ,[object Object]
How Long will it take for my eyes to heal for LASIK? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
When can I go back to work after LASIK ,[object Object],[object Object]
How long will the correction last? ,[object Object],[object Object],[object Object],[object Object]
Excimer laser corneal refractive surgery does NOT prevent or reduce the risk of cataract, glaucoma and retinal  degeneration or detachment.
Excimer laser corneal refractive surgery does NOT prevent or treat the development of presbyopia.
Radial Keratotomy (RK) ,[object Object],[object Object]
Radial Keratotomy
 
Astigmatic Keratotomy (AK) ,[object Object],[object Object],[object Object],[object Object],[object Object]
Astigmatic Keratotomy
 
Intacs Corneal Ring Segments ,[object Object],[object Object],[object Object],[object Object]
Intacs Corneal Ring Segments
Intacs Corneal Ring Segments
 
Intraocular Lens Implant ,[object Object]
Cataract Surgery
Clear Lens Extraction ,[object Object],[object Object],[object Object]
Advantages of Lens Implant ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Disadvantages of Lens Implant ,[object Object],[object Object],[object Object],[object Object],[object Object]
Phakic Intraocular Lens (PIOL) Implants ,[object Object],[object Object],[object Object]
Phakic Intraocular Lens (PIOL) Implants
Bioptics ,[object Object],[object Object],[object Object]
HYPEROPIA
PRK for Hyperopia
Laser Theramal Keratoplasty (LTK) ,[object Object],[object Object],[object Object],[object Object],[object Object]
Laser Theramal Keratoplasty (LTK)
Conducktive Keratoplasty (CK) ,[object Object],[object Object]
Conducktive Keratoplasty (CK)
Conducktive Keratoplasty (CK)
Presbyopia ,[object Object]
Surgery for Presbyopia ,[object Object],[object Object]
VIDEO
 
What is best for you? Consider your personal preference and lifestyle.
THANK YOU
 

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Fatima refractive surgery lecture