蕭裕泉醫師眼科筆記

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  

Ocular allergies Combination drops are first-line therapy for allergies by Jena Passut EyeWorld Staff Writer Most practitioners agree that combination drops are the go-to therapy for SAC (pictured here) Source: Andrea Leonardi, M.D. Many ocular allergy suffers first try to quash symptoms by self-medicating with over-the-counter drops, but different classes of medications, especially combination antihistamine/mast cell stabilizers, are quite effective treating the irritating condition, according to several practitioners who spoke to EyeWorld. More than 90% of patients with ocular allergy symptoms are affected by either seasonal allergic conjunctivitis (SAC) or perennial allergic conjunctivitis (PAC), with swelling and itching being hallmark symptoms. Drop therapies available today attempt to stave off allergic conjunctivitis by focusing on the characteristic mast cell degranulation that is associated with the condition. Mast cell stabilizers help prevent the release of ...

Ocular allergies Calming allergic conjunctivitis by Faith A. Hayden EyeWorld Staff Writer     A patient with SAC Source: Ira J. Udell, M.D. April showers bring May flowers and endless misery to those suffering from seasonal and perennial conjunctivitis caused by pollen, mold, and grasses. 'Tis the season for red, itchy eyes, so EyeWorld spoke with two experts about diagnosing and treating patients with these ocular issues. Seasonal or perennial? The differences between seasonal and perennial allergies are limited, said Leonard Bielory, M.D., Springfield, N.J. Other than their frequency, primary differences are severity of symptoms and root cause. Seasonal allergies occur during the spring and fall months and are typically caused by pollen, grass, and ragweed. The intensity of seasonal allergic conjunctivitis (SAC) can be explosive for a number of weeks, depending on the level of exposure to the specific allergen circulating. "Tree pollen counts can go u...