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28. Kongress der Deutschsprachigen Gesellschaft für Intraokularlinsen-Implantation, Interventionelle und Refraktive Chirurgie (DGII)

Gesellschaft für Intraokularlinsen-Implantation, Interventionelle und Refraktive Chirurgie (DGII)

06.03. - 08.03.2014, Bochum

Correction of corneal complications using topography and sub-surface topographically driven data

Meeting Abstract

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  • Dan Z. Reinstein - London, United Kingdom

Deutschsprachige Gesellschaft für Intraokularlinsen-Implantation, Interventionelle und Refraktive Chirurgie. 28. Kongress der Deutschsprachigen Gesellschaft für Intraokularlinsen-Implantation, Interventionelle und Refraktive Chirurgie (DGII). Bochum, 06.-08.03.2014. Düsseldorf: German Medical Science GMS Publishing House; 2014. Doc14dgii050

doi: 10.3205/14dgii050, urn:nbn:de:0183-14dgii0507

Published: March 4, 2014

© 2014 Reinstein.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.


Outline

Text

Refractive complications of corneal surgery after previous corneal procedures (LASIK, PRK, RK, DALK, PK etc.) will be discussed. Patient complaints and diagnostic testing must lead to a specific diagnosis in order to best choose the therapeutic course of action (Wavefront-guided, Topography-guided, Trans-epithelial PTK or others). Subjective and objective tests will be discussed in the context of obtaining a diagnosis in the various types of complication (small optical zone, decentration, irregular astigmatism, irregularly irregular surfaces etc.). The impact of epithelial remodeling compensating for stromal surface irregularities will be described, with examples of how this can lead to a mis-diagnosis by wavefront or topography.