Retinal Contraindications to Laser Vision Correction Randall V. Wong, M.D. Retina Specialist
Randall V. Wong, M.D. Retina Specialist Capitol Eye Consultants Fairfax Virginia Dressler Ophthalmology Assoc. Fairfax Vir...
Contraindications  LVC <ul><li>There may be no actual retinal contraindications to laser vision correction. </li></ul><ul>...
Extreme Myopia <ul><li>Myopic degeneration – behaves much like ARMD </li></ul><ul><li>May not have potential to reach 20/2...
Retinal Detachment LVC <ul><li>Previous retinal detachment </li></ul><ul><li>Potential for good vision </li></ul><ul><li>L...
Diabetes Refractive Surgery <ul><li>Assess macular edema, ischemia and potential for 20/20 </li></ul><ul><li>If good candi...
Retinal Detachment Laser Vision Correction <ul><li>Previous retinal detachment or retinal tear does not, in my opinion, pr...
Upcoming SlideShare
Loading in …5
×

Contraindications To Laser Vision Correction

1,440 views
1,331 views

Published on

Retinal conditions that may be contraindications to laser vision correction.

Published in: Health & Medicine
0 Comments
1 Like
Statistics
Notes
  • Be the first to comment

No Downloads
Views
Total views
1,440
On SlideShare
0
From Embeds
0
Number of Embeds
54
Actions
Shares
0
Downloads
0
Comments
0
Likes
1
Embeds 0
No embeds

No notes for slide

Contraindications To Laser Vision Correction

  1. 1. Retinal Contraindications to Laser Vision Correction Randall V. Wong, M.D. Retina Specialist
  2. 2. Randall V. Wong, M.D. Retina Specialist Capitol Eye Consultants Fairfax Virginia Dressler Ophthalmology Assoc. Fairfax Virginia
  3. 3. Contraindications LVC <ul><li>There may be no actual retinal contraindications to laser vision correction. </li></ul><ul><li>There may be several “ perceived ” retinal contraindications to laser vision correction. </li></ul>
  4. 4. Extreme Myopia <ul><li>Myopic degeneration – behaves much like ARMD </li></ul><ul><li>May not have potential to reach 20/20 </li></ul><ul><li>Up to the refractive surgeon </li></ul>
  5. 5. Retinal Detachment LVC <ul><li>Previous retinal detachment </li></ul><ul><li>Potential for good vision </li></ul><ul><li>LVC is probably a good choice, buckles used to increase myopia </li></ul><ul><li>Refractive surgeon needs to be aware of previous buckle or RD surgery. Carefully assess axial length. </li></ul>
  6. 6. Diabetes Refractive Surgery <ul><li>Assess macular edema, ischemia and potential for 20/20 </li></ul><ul><li>If good candidate, then make sure sugars are well controlled. </li></ul><ul><li>Screen more than once </li></ul>
  7. 7. Retinal Detachment Laser Vision Correction <ul><li>Previous retinal detachment or retinal tear does not, in my opinion, present an absolute contraindication for surgery </li></ul><ul><li>It would be wise that the refractive surgeon be aware of the presence of a scleral buckle as the axial length is now abnormal. </li></ul>

×