30130324 眼科教授醫學會學會


30130324 眼科教授醫學會學會


ReSTOR Toric +2.5D

Central zoom 0.938mm較大
Cataract先做dominant eye, +2.5D in dominant eye
Distant vision excellent

Flap thickness愈薄，愈不會dry eye.
Nerve supply非只是3，9點進入，是從360度進入，所以hinge在那個位置，其實沒差！（新觀念）
Flap diameter愈大，愈乾。


逆性散光或斜性散光，要注意非角膜散光比率高，約10%!


角膜塑型術及近視雷射手術，可減少旁中心離焦，可以控制近視度數加深。戴眼鏡會有旁中心離焦，近視度數易會加深。
現在有一種鏡片，可以控制近視度數，
眼鏡也要戴好
戴眼鏡如果沒戴好或戴歪, 戴眼鏡如天天地震, 也容易加深
近視300度以內，除非內隱斜視太強，可以看近不戴眼鏡，不然建議都戴著，近視比較不會加深。因為看近要調整力較好。


CCC coming full circle


Touqui effect,當角膜前表面後表面的軸度沒有很一致時，有時會開到45度，不是想像中在合力的中間, 變成怪怪的！




術前提到dry eye symptm
 

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