By Christopher J. Rapuano MD
This up to date quantity covers a couple of issues, from the technology of refractive surgical procedure to accommodative and nonaccommodative remedy of presbyopia, from sufferer assessment to overseas views. It examines particular systems in refractive surgical procedure, in addition to refractive surgical procedure in ocular and systemic illness. significant revision 2011-2012.
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Additional info for 2011-2012 Basic and Clinical Science Course, Section 13: Refractive Surgery (Basic & Clinical Science Course)
2003;110(8):1606-16 14. Schmidt GW, Yoon M, McGwin G, Lee PP, McLeod SD. Evaluation of the relationship between ablation diameter, pupil size, and visual function with vision-specific quality-of-life measures after laser in situ keratomileusis. Arch Ophtha/mol. 2007;125(8):1037-1042. Ocular Motility. Confrontation Fields. and Ocular Anatomy Ocular motility should also be evaluated. Patients with an asymptomatic tropia or phoria may develop symptoms after refractive surgery if the change in refraction causes the motility status to break down.
2007;125(8):1037-1042. Ocular Motility. Confrontation Fields. and Ocular Anatomy Ocular motility should also be evaluated. Patients with an asymptomatic tropia or phoria may develop symptoms after refractive surgery if the change in refraction causes the motility status to break down. If there is a history of strabismus (see Chapte r 10) or a concern regard ing ocular alignment postoperatively, a trial with contact lenses before surgery CHAPTER 2: Patient Evaluation. 35 should be considered. A sensory motor evaluation can be obtained preoperatively if strabismus is an issue.
The patient needs to understand this phenomenon and must be willing to accept th is result prior to undergoing any refractive surgery that aims for emmetropia. In patients wearing glasses, a tria l with contact lenses will approximate the patient's reading ability after surger y. A discussion of monovision ( I eye corrected for distance and the other eye for near) often fits well into the evaluation at this point. The alternative of monovision correction should be discussed with all patients in the prepresbyopic and presbyopic age groups.