蕭裕泉醫師眼科筆記

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  IOL Power Calculations After Keratorefractive Surgery How the Pentacam simplifies an increasingly important task. BY WARREN E. HILL, MD Performing IOL power calculations for eyes with prior RK and LASIK is becoming more and more of a problem for ophthalmologists; in fact, it is something of a tsunami that will wash over many practices. In the US alone, millions of patients have undergone RK and LASIK since these procedures were first introduced, and a significant portion of these individuals are nearing the age at which cataract surgery is becoming commonplace. More than ever, ophthalmologists now need a workable strategy for easily and successfully handling IOL power calculations following all forms of keratorefractive surgery.  A TWO-PART PROCESS  Calculating the IOL power for the postkeratorefractive surgery patient is a two-part process. First, we must estimate the central corneal power as best as we can. The problem with using standard equipment is that keratometer...

  The Pentacam: Offering a Clearer View The Pentacam Comprehensive Eye Scanner (Oculus, Inc., Lynnwood, WA) continues to expand the field of ophthalmic diagnostics with new features and software, such as densitometry for cataracts. This and other key information on the Pentacam is presented in the following articles, which summarize presentations that were given at two breakfast symposia on November 10th and 11th in New Orleans . SUPPLEMENT TO CATARACT & REFRACTIVE SURGERY TODAY I FEBRUARY 2008 Surgical Refinement  The role of corneal topography in premium-channel cataract surgery.  BY JOHN A. VUKICH, MD I n this visual age, nervous patients are often reassured when they can see an image or set of data that shows (1) you are a capable surgeon and (2) that you can identify and treat their visual problems. The Pentacam Comprehensive Eye Scanner (Oculus, Inc., Lynnwood, WA) is an educational aid and a diagnostic workhorse that fulfills this function in my practice. Here,...