130 likes | 266 Vues
ارزیابی اولیه در بیماران کاندید Refractive Surgery. A.Ashtari MD 1391. Patient Evaluation. A thorough preoperative patient evaluation is critically important in achieving a successful out come following refractive surgery. Patient History. Social History. Medical History.
E N D
ارزیابی اولیه در بیماران کاندیدRefractive Surgery A.Ashtari MD 1391
Patient Evaluation A thorough preoperative patient evaluation is critically important in achieving a successful out come following refractive surgery
Medical History Connective tissue disorders Immunocompromised state (HIV/AIDS) Corticosteroids or chemotherapeutic agents isotretinoin(eg , Accutane) and amiodarone (cordarone) pacemakers and inplanted defibrillators pregnant and nursing women
Pertinent ocular History Contact lens Patient Age , Presbyopia and Monovision
EXAMINATION Uncorrected visual Acuity and Manifest and cycloplegic Refraction Acuity Pupillary Examination Ocular Motility , confrontation fields , and Ocular Anatomy Intra Ocular pressure Slit – Lamp Examination Dilated fundus Examination
ANCILLARY TEST corneal topography Pachymetry wave front analysis Calculation of Residual Stromal bed thickness after LASIK