Ординатура / Офтальмология / Английские материалы / LASIK A Handbook for Optometrists_Hanratty_2005

P

Pachymetry 20, 52–4, 136 measurement procedure 52–3

Paper telescope test 48–9 Paracetamol 86

Patient

advice to 7 competition for 60

consultation preparation 19 counselling, pre-operative assessment

59–74

expectations management 60–1 LASIK information 20 procedures probability 19–20 psychology 91 recommendation 147

Pelli-Robson contrast sensitivity chart 71 Phakic intraocular lens implant 56, 57 Photokeratoscopic view 26–27 Photorefractive keratectomy see PRK Pilots, refractive surgery regulations 9–10 Police, refractive surgery regulations 10 Postoperative assessment 87–105 Postoperative care 4–5, 128–40 Postoperative complications 106–27 Postoperative symptoms 89–91 Pregnancy, LASIK contra-indication 14–5 Preoperative assessment

eye examination 45–58 patient counselling 59–74

Presbyopia correction 64

and retreatment 131 PRK 9, 57

guidelines 2–3 surface ablation 55

surgical complications 143 visual performance 148

Procyon dynamic pupillometer 39–40 Pterygium 33

Punctate staining 146

Punctum plugs, guidelines for use 5 Pupil

measurement methods 37, 39 topography 37

Pupillometry 20, 37–41

R

Radial keratotomy (RK) 9, 55, 57 Recovery, short-term 85–6

Red blood cells 95–96

Refraction examination 20

LASIK contra-indication 17 stable prescription 47

Refractive error postoperative 135 pre-operative 135 retreatment 132 unstable, absolute LASIK

contra-indication 16 Refractive map 34

Refractive surgery, alternative procedures 57 Retreatment

general health 130 motivation for 130 refraction in 131 visual acuity 131

Roaccutaine, LASIK contra-indication 15 Royal Air Force, refractive surgery

regulations 9

Royal College of Ophthalmologists, Standards for Photorefractive Surgery 3, 4

Royal Navy, refractive surgery regulations 8 Royal Pharmaceutical Society (RPS),

Medicines, Ethics and Practice: a guide for pharmacists 6

S

Sands of the Sahara 115 Scarring 130

Schirmer type test 51 Shape factor (SF) 34 Shared care schemes 2–3

Sjögrens syndrome, absolute LASIK contra-indication 16

Slit lamp examination 85 Snellen chart 71

Spectacles, prescription issue 139 Starburst 71, 73

Steroids

for DLK 116

LASIK contra-indication 15 regimen 81

Striae 100, 101, 111–112 Sunglasses, dark 86

Surface ablation treatments 142 Surgeon, role 77

Surgery

risks and benefits discussion 60 risks and complications 65–71 Surgical instrument preparation 78–9

Surgical trolley 78

T

Tangential map 24, 25–6 Target fixation 82

Tear film assessment 20, 50–51 Tears, artificial 100–1

Thin flap 66

Tiredness, postoperative 91 Tomography 37 Tonometry 20, 51 Topography 20, 23

cornea 133

display types 24, 26 images 136

map interpretation 32–4 maps, decision flow chart 33 scales 27–8, 29–31

Treatment

final check 85 instructions

for after-treatment 80–1 for day 74

patient journey 76–86 procedure 81–5

Treatment zone, size selection 41 Tricyclics, relative LASIK contra-indication

15

U

Unaided vision, LASIK contra-indication 17

V

Viscotears 5 Vision

after treatment 64–5 assessment 20, 47–50 at discharge 129 blurred 123

correction, advice on 13 final aftercare 102 fluctuating, postoperative 90 one month aftercare 102

postoperative assessment 91–2 postoperative management and residual

refractive error 92 regression 68–9 unaided distance 123–4 unaided near 124

Visual aberrations 67

Visual complications 67–9, 71, 122–5 Visual disturbance, postoperative 90 Visual recovery 64

Voltorol 81, 86

W

Wavefront aberrometry 20, 41, 42–4