Contraindications To Laser Vision Correction

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 Virginia

Contraindications LVC
There may be no actual retinal contraindications to laser vision correction.
There may be several “ perceived ” retinal contraindications to laser vision correction.

Extreme Myopia
Myopic degeneration – behaves much like ARMD
May not have potential to reach 20/20
Up to the refractive surgeon

Retinal Detachment LVC
Previous retinal detachment
Potential for good vision
LVC is probably a good choice, buckles used to increase myopia
Refractive surgeon needs to be aware of previous buckle or RD surgery. Carefully assess axial length.

Diabetes Refractive Surgery
Assess macular edema, ischemia and potential for 20/20
If good candidate, then make sure sugars are well controlled.
Screen more than once

Retinal Detachment Laser Vision Correction
Previous retinal detachment or retinal tear does not, in my opinion, present an absolute contraindication for surgery
It would be wise that the refractive surgeon be aware of the presence of a scleral buckle as the axial length is now abnormal.

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Contraindications To Laser Vision Correction

by Randall Wong, M.D. on Oct 04, 2009

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Contraindications To Laser Vision Correction — Presentation Transcript