1/16/2011 1. Dr.H.A. Moeeni Isfahan University of Medical Sciences 1/16/2011 2.
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Transcript of 1/16/2011 1. Dr.H.A. Moeeni Isfahan University of Medical Sciences 1/16/2011 2.
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
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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
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Refraitive lens
exchange
Myopic
Hyperopic
Clear lens extraction
1/16/2011
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Surgical complicationsLosing accomodationVitrous problems (P.V.D)Retinal problems * CME* RD
1/16/2011
131/16/2011
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Homoplastic corneal
inlays
Aphakic and high
hyperopic correction
Onlays and inlays
1/16/2011
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Synthetic inlays
*Under the stromal flap
* In the stromal pocket
Alloplastic corneal inlays
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Re epithelialization over
the lenticule
Non healing defects
Iinfection
Stromal infiltration
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Strmal melting
Dehiscence
Refractive error
Irrigular astigmatism
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Epithelial ingrowth
Interface cyst
Sever glare
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201/16/2011
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Loss of best corrected V.A
Anterior chamber perforation
Microbial keratitis
Implant expulsion
Intacs and corneal rings
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Shalow ring segment
placement
Redured corneal sensitvity
Induced astigmatism
Deep neovascularization
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Persistent epithelial
defect
Iritis ( uveitis )
Diplopia
Difficalty in night vision
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Blurry vision
Glare
Haloes
Fluctuation Far
near
Photophobia
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271/16/2011
281/16/2011
291/16/2011
301/16/2011
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Over correction
Under correction
Central islands
Optical aberrations
PhotoablationP.R.K
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Glare
Ghost images
Haloes
Most seen in smaller zones
large pupilary diameter
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Decentered ablation
Corneal haze
* Normal healers
* Inadequeate healers
* Aggressive healers
1/16/2011
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Epitlelial defect
* Keratoconjunctivitis
sicca
* Autoimmune disease
* Diabeties
1/16/2011
361/16/2011
371/16/2011
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Infiltrates
* Sterile infiltrates
* Contact lens
* NSAIDS
* Immune
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Corticosteroid – induced complications
*IOP 2% 40 MHG* IOP with fluorometholone
1.5 – 3%
with dexametason 25%* Herpes keratitis* Ptosis* Cataract
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* 33% on the lasik patients
* Contact lens intolerans* Puctate keratitis * Epithelial haze* Loos Epithelelium
Dry eye
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Endothelial effectsContact lens polymegatisam
Mytomycin complications
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Microkeratom complications
Thin flapButton hol* Irrigular astigmatism
Lasik
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Free cap
Corneal perforation
Epithelial ingrowth
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Epithelial erosions
Striae
Flap Subluxation
Traumatic flap
dislocation
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511/16/2011
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Dry eye
Central islands
Interface inflamation
Infectious Keratitis
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Interface debris
Ectasia
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551/16/2011
561/16/2011
571/16/2011
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601/16/2011
611/16/2011
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Artisan
Artiflex
ICL
Phakic IOLs
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631/16/2011
