11/16/2011

2

Optical and non_optical

complication

Dr.H.A. Moeeni Isfahan University of Medical Sciences

1/16/2011

3

Over correctionHyperopic shiftUnder correctionIrigular astigmatismUnstable refraction

Redial Keratotomy

1/16/2011

41/16/2011

5

Corneal staining

Recurrent corneal ulcer

Night glare – light scuter

Hypertrophic scaring

Dificult biometri

Endothelial problems1/16/2011

61/16/2011

71/16/2011

81/16/2011

91/16/2011

101/16/2011

11

Refraitive lens

exchange

Myopic

Hyperopic

Clear lens extraction

1/16/2011

12

Surgical complicationsLosing accomodationVitrous problems (P.V.D)Retinal problems * CME* RD

1/16/2011

131/16/2011

14

Homoplastic corneal

inlays

Aphakic and high

hyperopic correction

Onlays and inlays

1/16/2011

15

Synthetic inlays

*Under the stromal flap

* In the stromal pocket

Alloplastic corneal inlays

1/16/2011

16

Re epithelialization over

the lenticule

Non healing defects

Iinfection

Stromal infiltration

1/16/2011

17

Strmal melting

Dehiscence

Refractive error

Irrigular astigmatism

1/16/2011

18

Epithelial ingrowth

Interface cyst

Sever glare

1/16/2011

191/16/2011

201/16/2011

21

Loss of best corrected V.A

Anterior chamber perforation

Microbial keratitis

Implant expulsion

Intacs and corneal rings

1/16/2011

22

Shalow ring segment

placement

Redured corneal sensitvity

Induced astigmatism

Deep neovascularization

1/16/2011

23

Persistent epithelial

defect

Iritis ( uveitis )

Diplopia

Difficalty in night vision

1/16/2011

24

Blurry vision

Glare

Haloes

Fluctuation Far

near

Photophobia

1/16/2011

251/16/2011

261/16/2011

271/16/2011

281/16/2011

291/16/2011

301/16/2011

31

Over correction

Under correction

Central islands

Optical aberrations

PhotoablationP.R.K

1/16/2011

32

Glare

Ghost images

Haloes

Most seen in smaller zones

large pupilary diameter

1/16/2011

33

Decentered ablation

Corneal haze

* Normal healers

* Inadequeate healers

* Aggressive healers

1/16/2011

341/16/2011

35

Epitlelial defect

* Keratoconjunctivitis

sicca

* Autoimmune disease

* Diabeties

1/16/2011

361/16/2011

371/16/2011

38

Infiltrates

* Sterile infiltrates

* Contact lens

* NSAIDS

* Immune

1/16/2011

391/16/2011

40

Corticosteroid – induced complications

*IOP 2% 40 MHG* IOP with fluorometholone

1.5 – 3%

with dexametason 25%* Herpes keratitis* Ptosis* Cataract

1/16/2011

411/16/2011

42

* 33% on the lasik patients

* Contact lens intolerans* Puctate keratitis * Epithelial haze* Loos Epithelelium

Dry eye

1/16/2011

43

Endothelial effectsContact lens polymegatisam

Mytomycin complications

1/16/2011

441/16/2011

45

Microkeratom complications

Thin flapButton hol* Irrigular astigmatism

Lasik

1/16/2011

46

Free cap

Corneal perforation

Epithelial ingrowth

1/16/2011

471/16/2011

48

Epithelial erosions

Striae

Flap Subluxation

Traumatic flap

dislocation

1/16/2011

491/16/2011

501/16/2011

511/16/2011

52

Dry eye

Central islands

Interface inflamation

Infectious Keratitis

1/16/2011

53

Interface debris

Ectasia

1/16/2011

541/16/2011

551/16/2011

561/16/2011

571/16/2011

581/16/2011

591/16/2011

601/16/2011

611/16/2011

62

Artisan

Artiflex

ICL

Phakic IOLs

1/16/2011

631/16/2011