News

Skewed topography

Q: 27 year old woman wants Lasik. MR -5.75 +0.50 x 95 20/20 – 5.25+0.50 x 85 20/20 Pachs 574 OD, 599 OS Topographies attached. What concerns me is the skewed topography left eye. Would you recommend: 1. No refractive surgery 2. PRK 3. Lasik Thanks, David Atlanta, GA A: Hi David In general, if …

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25g needle bending

Q: When McLean originally published this technique (Ophthalmology, 1986), it was with a regular, non-bent 20g needle. The advantage of using such a large needle is that there is zero chance of perforating. When Peter Laibson discussed this technique at the AAO, he suggested maybe using a smaller (i.e. 25g) needle. With that, unbent, folks …

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SMILE

Q: I will put my $0.02 here for what it’s worth. In theory the structural integrity from SMILE should be better but independent in vivo research is needed. Dan Reinstein is a consultant for Zeiss. SMILE has a lot of attractive features but sadly my evaluation from peers who used it and abandoned it is …

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LASEK

PRK for corneal scars

Dr. Chynn wrote in bold to a question from another doctor: Emil/KeraNetters Tangent from the December discussion on PTK in corneal scarring: I have a 24yo with history of traumatic recurrent erosion in the left eye. Had anterior micropuncture performed by another surgeon this past December but has started to re-erode. He wants to have …

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