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Lasik – procedure
By Ramji pandey
C Lgupta eye institute moradabad
Lasik – procedure
• Definition
• LASIK (Laser assisted in-situ keratomileusis) is
the high tech outpatient surgical technique for
permanent corrections of refractive errors -
myopia, astigmatism and hypermetropia.
• Procedure
• Utilising the accuracy and precision of the
computer controlled excimer laser, LASIK
changes the shape of the cornea and corrects
refractive errors.
The counsellor should be able
• To explain how LASIK gives normal high quality vision
with a fast recovery time.
• To educate the willing people who come for refractive
treatment through transparent counselling.
• To identify the deserving persons, who seek advanced
technology for treatment by social marketing.
• To clear confusions and contradictory messages in the
minds of the patients.
• To help people to have realistic expectations and not
get carried away by exaggerated advertisements done
elsewhere.
Advantages of lasik
• - Improves the cosmetics.
• - Freedom from the time-consuming, day-to-day hassle
of glasses or contact lens.
• - Freedom to play sports without the inconvenience of
glasses or contact lens.
• - Some institutions stipulate “minimum vision
requirements” like police services, navy,
drivers,railways etc.
• Some studies require good eye sight like engineering,
computer science, microbiology etc.
• Those opting for these services can benefit from Lasik..
Who can benefit from Lasik?
• The ideal candidate for LASIK is anybody
between 20 to below 40 years of age without
any other eye disease.
• In addition to having a healthy cornea,
patients must not have had a significant
change in their glass prescription in the last 6
to12 months and they should have realistic
expectation.
Who cannot benefit from LASIK?
• People with certain eye conditions like steep
cornea,opaque cornea, diabetic retinopathy,
glaucoma,cataract and systemic conditions
like pregnancy, and hypertension.
• These people may not be good candidates for
Lasik.
Pre-operative counselling instruction
• Discontinue wearing soft contact lenses one
week prior to the laser procedure.
• Do not wear rigid gas permeable or hard
contact lenses once you have scheduled your
laser surgery.
• Wear your eyeglasses on the day of your
surgery.
• You will be going home in protective shields.
• your appointment and do not wear any make-
up or scented facial lotion on the day of your
laser vision correction procedure.
• Do not wear earrings or facial jewelry.
• Arrange for a friend or relative to drive you
home on the day of your procedure and your
first postoperative visit.
• Duration of the procedure is approximately
60-90 minutes.
Role of counsellors
• To educate the patient about the surgery, its
benefits, side- effects and the types.
• To clear the doubts and misconceptions of the
patient about the procedure
• To give a realistic picture of the postoperative
vision, so that he if not carried away by the
aggressive marketing.
• To explain unsuitable patients, the reasons why
they are not suitable for lasik.
Preoperative evaluations before
doing lasik
• Refraction: A detailed subjective refraction is
• performed to determine the precise
refractive error.
• Keratometry: it is a test performed to measure
the corneal curvature and is especially useful
for patients with astigmatism.
• Pachymetry: it is a test used to measure
thickness of the cornea,
• A complete eye examination is performed.
• If the retina is found to be having any
degenerative changes, the same is treated first
using a barrage laser and after a month, lasik
laser is performed.
Surgical procedure
• The procedure is generally painless.
Postoperative care
• Read and watch TV in moderation for the first
• few days.
• Shower and baths are fine, but try to keep
your eyes closed and avoid getting water
directly in the eye for two weeks.
• When drying off, never directly rub or wipe
your eye.
• No swimming, hot tubs for at least 2 weeks.
• Avoid dirty and dusty environment for 2
weeks.
• Do not wear a contact lens in the eye which is
operated on, unless instructed by your doctor.
Follow up
• First post operative day.
• After one month follow up from the date of
surgery
• After one year follow up from the date of
surgery.
Genetic counselling
• Corneal dystrophies and keratoconus occur in
some families
• So other family members and siblings should
be screened for the disease and appropriate
genetic history obtained.
• Blood samples may be required to confirm
the problem and its chances of transmission.
Key points to remember
• Cornea is clear front portion of the eye.
• Corneal diseases are common causes of
defective vision and discomfort to patient.
con..
• Thanks

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Consulling

  • 1. Lasik – procedure By Ramji pandey C Lgupta eye institute moradabad
  • 2. Lasik – procedure • Definition • LASIK (Laser assisted in-situ keratomileusis) is the high tech outpatient surgical technique for permanent corrections of refractive errors - myopia, astigmatism and hypermetropia.
  • 3. • Procedure • Utilising the accuracy and precision of the computer controlled excimer laser, LASIK changes the shape of the cornea and corrects refractive errors.
  • 4. The counsellor should be able • To explain how LASIK gives normal high quality vision with a fast recovery time. • To educate the willing people who come for refractive treatment through transparent counselling. • To identify the deserving persons, who seek advanced technology for treatment by social marketing. • To clear confusions and contradictory messages in the minds of the patients. • To help people to have realistic expectations and not get carried away by exaggerated advertisements done elsewhere.
  • 5. Advantages of lasik • - Improves the cosmetics. • - Freedom from the time-consuming, day-to-day hassle of glasses or contact lens. • - Freedom to play sports without the inconvenience of glasses or contact lens. • - Some institutions stipulate “minimum vision requirements” like police services, navy, drivers,railways etc. • Some studies require good eye sight like engineering, computer science, microbiology etc. • Those opting for these services can benefit from Lasik..
  • 6. Who can benefit from Lasik? • The ideal candidate for LASIK is anybody between 20 to below 40 years of age without any other eye disease. • In addition to having a healthy cornea, patients must not have had a significant change in their glass prescription in the last 6 to12 months and they should have realistic expectation.
  • 7. Who cannot benefit from LASIK? • People with certain eye conditions like steep cornea,opaque cornea, diabetic retinopathy, glaucoma,cataract and systemic conditions like pregnancy, and hypertension. • These people may not be good candidates for Lasik.
  • 8. Pre-operative counselling instruction • Discontinue wearing soft contact lenses one week prior to the laser procedure. • Do not wear rigid gas permeable or hard contact lenses once you have scheduled your laser surgery. • Wear your eyeglasses on the day of your surgery. • You will be going home in protective shields.
  • 9. • your appointment and do not wear any make- up or scented facial lotion on the day of your laser vision correction procedure. • Do not wear earrings or facial jewelry. • Arrange for a friend or relative to drive you home on the day of your procedure and your first postoperative visit. • Duration of the procedure is approximately 60-90 minutes.
  • 10. Role of counsellors • To educate the patient about the surgery, its benefits, side- effects and the types. • To clear the doubts and misconceptions of the patient about the procedure • To give a realistic picture of the postoperative vision, so that he if not carried away by the aggressive marketing. • To explain unsuitable patients, the reasons why they are not suitable for lasik.
  • 11. Preoperative evaluations before doing lasik • Refraction: A detailed subjective refraction is • performed to determine the precise refractive error. • Keratometry: it is a test performed to measure the corneal curvature and is especially useful for patients with astigmatism. • Pachymetry: it is a test used to measure thickness of the cornea,
  • 12. • A complete eye examination is performed. • If the retina is found to be having any degenerative changes, the same is treated first using a barrage laser and after a month, lasik laser is performed.
  • 13. Surgical procedure • The procedure is generally painless.
  • 14. Postoperative care • Read and watch TV in moderation for the first • few days. • Shower and baths are fine, but try to keep your eyes closed and avoid getting water directly in the eye for two weeks. • When drying off, never directly rub or wipe your eye. • No swimming, hot tubs for at least 2 weeks.
  • 15. • Avoid dirty and dusty environment for 2 weeks. • Do not wear a contact lens in the eye which is operated on, unless instructed by your doctor.
  • 16. Follow up • First post operative day. • After one month follow up from the date of surgery • After one year follow up from the date of surgery.
  • 17. Genetic counselling • Corneal dystrophies and keratoconus occur in some families • So other family members and siblings should be screened for the disease and appropriate genetic history obtained. • Blood samples may be required to confirm the problem and its chances of transmission.
  • 18. Key points to remember • Cornea is clear front portion of the eye. • Corneal diseases are common causes of defective vision and discomfort to patient.